Hill Nursing Home, Inc.

In the surveyor’s words

From the most serious findings on record at Hill Nursing Home, Inc., in the surveyor’s own words.

• Immediate jeopardy, widespreadF607May 30, 2023

  On 05/12/23 at 3:30 p.m., an Immediate Jeopardy situation was determined to be in existence related to the facility failing to ensure background screenings were completed for 45 of 66 employees. On 05/12/23 at 3:50 p.m., the Oklahoma State Department of Health verified the existence of the Immediate Jeopardy situation. On 05/12/23 at 4:00 p.m., the administrator was notified of the IJ situation. On 05/12/23 at 6:00 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The plan of removal documented: Preparation and/or completion of this plan do not constitute admission or agreement by the provider that immediate jeopardy exists. […]

• Immediate jeopardy, patternF689May 30, 2023

  On 05/10/23 at 11:45 a.m., an Immediate Jeopardy situation was determined to be in existence related to the facility failing to ensure residents were served hot liquids at a safe temperature to prevent injury or harm. On 05/10/23 at 11:55 a.m., the Oklahoma State Department of Health verified the existence of the Immediate Jeopardy situation. On 05/10/23 at 12:00 p.m., the Administrator was notified of the IJ situation. On 05/10/23 at 4:00 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The plan of removal documented: Preparation and/or completion of this plan do not constitute admission or agreement by the provider that immediate jeopardy exists. […]

• Actual harm, isolatedF600Nov 14, 2024

  Based on record review and interview, the facility failed to ensure residents were free from abuse for one (#1) of three sampled residents reviewed for abuse. The deficient practice resulted in skin tears to the resident's wrists. The administrator identified five allegations of abuse in the last six months. Findings: A policy title Abuse, Neglect and Exploitation, dated 08/07/24, read in part, The facility will have written procedures to assist staff in identifying the different types of abuse- mental/verbal abuse, sexual abuse, physical abuse, and the deprivation by an individual of goods and services. […]

• No harm, potential for more than minimal, widespreadF803Jul 3, 2024

  Based on observation, record review, and interview, the facility failed to ensure menus were: a. prepared in advance, b. followed, and c. reviewed by the facility's dietitian or other qualified nutrition professional for the residents. The administrator identified 38 residents who ate meals prepared by the kitchen and two resident who received nutrition via feeding tube. Findings: The Facility Assessment Tool HNHINC, last updated 06/26/24, read in parts .OUR FACILITY IS CURRENTLY TRANSITIONING TO LIBERAL DIETS WITH DIET MODIFICATIONS AS REQUIRED TO MEET RESIDENTS' NEEDS. MENUS WILL BE CREATED BY OUR DSM AND STAFF AND APPROVED BY OUR REGISTERED DIETITIAN WITH CONSIDERATION OF SPECIALIZED DIETS AS ORDERED BY THE PCP. […]

• No harm, potential for more than minimal, patternF656Jul 24, 2026

  Based on facility policy review, record review, and interview, the facility failed to develop a comprehensive person-centered care plan for 4 (Residents #3, #5, #7, and #10) of 12 sampled residents. Specifically, the facility failed to develop a comprehensive care plan related to the use of psychotropic medication for Residents #3, #5, #7, and #10, failed to develop a care plan related to a diagnosis of post-traumatic stress disorder (PTSD) for Resident #3, and failed to develop a care plan related to suicidal ideations for Resident #7.Findings included: A facility policy titled, Care Planning-Interdisciplinary Team, revised 03/2022, indicated, The interdisciplinary team is responsible for the development of resident care plans. The policy revealed, 2. […]