Hill Top Home of Comfort Inc

In the surveyor’s words

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

• Immediate jeopardy, patternF600Jul 16, 2024

  Based on record review, review of facility policy, and staff interviews, the facility failed to ensure residents remained free from resident to resident abuse for 1 of 2 sampled residents (Resident #48), 1 supplemental resident (Resident #34), and 1 of 2 closed records (Resident #210). Failure to identify physical or sexual abuse placed residents at risk for possible mental and emotional distress, and/or physical injury. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 08/16/23. The IJ was identified when nurse's notes in Resident #34's and #210's medical records, dated 08/16/23, identified the residents had engaged in kissing and touching. […]

• Immediate jeopardy, patternF609Jul 16, 2024

  Based on record review, review of facility policy, and staff interview, the facility failed to report potential abuse to the State Survey Agency (SSA) for 1 of 2 sampled residents (Resident #48), 1 supplemental resident (Resident #34), and 1 of 2 closed records (Resident #210). Failure to report potential abuse between cognitively impaired residents to the SSA, placed Resident #34, #48, #210, and other residents at risk for possible abuse and/or injury. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 08/16/23. The IJ resulted from facility staff failing to report physical and sexual abuse between Resident #34, Resident #48, and Resident #210 to the SSA. […]

• Immediate jeopardy, patternF610Jul 16, 2024

  Based on record review, review of facility policy, and staff interviews, the facility failed to investigate resident to resident abuse for 1 of 2 sampled residents (Resident #48), 1 supplemental resident (Resident #34), and 1 of 2 closed records (Resident #210). Failure to investigate alleged violations of resident to resident abuse, ensure residents were protected during each investigation, and implement corrective actions/evaluate their effectiveness following each investigation, placed Resident #34, #48, #210, and other residents at risk for possible mental and emotional distress and/or physical injury. During the on-site recertification survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 08/16/23. […]

• No harm, potential for more than minimal, widespreadF801Jul 26, 2023

  Based on staff interview, the facility failed to ensure 1 of 1 nutrition and food services supervisor (#1) obtained the proper qualifications to serve as the director of food and nutrition services. Failure to ensure staff have the qualifications to carry out the functions of food and nutrition services has the potential to result in foodborne illness to residents, staff, and visitors. Findings include: During an interview on 07/26/23 at 3:31 p.m., the nutrition and food services supervisor (#1) and an administrative staff member (#2) confirmed the necessary courses required for the director of food and nutrition services are not completed. […]

• No harm, potential for more than minimal, patternF584Jun 23, 2022

  Based on observation and staff interview, the facility failed to ensure a safe, clean, comfortable, homelike environment on 3 of 4 units (Meadow Lane, Northern, and Spring). Failure to maintain a safe, clean, and sanitary environment does not provide a comfortable/homelike environment and places residents at risk for injury. Findings include: Observations of the environment on all days of the survey showed the following: - Meadow Lane Rooms 1101 - personal fan soiled with dust and heat register with broken piece hanging off the register 1103 - wall near the bed with scuffed/scraped areas 1104 - wall near the bed with scuffed/scraped areas 1106 - wall in the bathroom with scuffed/scraped areas 1109 - wall in the bathroom with two areas of missing paint 1110 - wall near the bed with… […]