Hillcrest Country Estates-Cottages

In the surveyor’s words

From the most serious findings on record at Hillcrest Country Estates-Cottages, in the surveyor’s own words.

• Actual harm, isolatedF689Aug 9, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7b Based on record review and interview; the facility staff failed to evaluate the cause of falls for 1 (Resident 7) of 3 sampled residents. The facility staff identified a census of 91. Findings are: Record review of a Face Sheet printed on 4-14-2022 revealed Resident 7 admitted to the facility on [DATE] with the diagnoses that included Dementia, Unsteadiness on feet and a fracture of the right femur (thigh). Record review of Resident 7's Comprehensive Care Plan (CCP) dated 6-28-2022 revealed Resident 7 had a history of falls. The goal identified for Resident 7 was to have no falls with injury. […]

• No harm, potential for more than minimal, widespreadF812Feb 29, 2024

  Licensure Reference Number 175 NAC ,d+[DATE].11E Based on observations, record reviews and interviews; the facility failed to ensure foods were labeled and dated in the refrigerators and dry storage areas in all 3 cottages, failed to ensure that scoops were not in flour and sugar bins in cottage 80, failed to ensure foods were not on the floor in cottage 80 to prevent cross contamination, failed to store resident food items in a separate fridge from facility food in all 3 cottages, failed to perform hand hygiene between glove changes to prevent cross contamination during meal prep in all 3 cottages, failed to sanitize thermometer between foods in the rehab and cottage 80, failed to store equipment in a manner to prevent contamination on surfaces of the equipment in the rehab cottage and… […]

• No harm, potential for more than minimal, widespreadF880Mar 21, 2023

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.17D Based on observation, record review and interview, the facility failed to 1) ensure respiratory equipment was cleaned, dried, and stored in a manner to prevent the potential for cross contamination and 2) ensure that hand hygiene was completed between glove changes and medication administration. This has the potential to affect 13 of 13 residents in the 800 cottage and 12 of 12 residents in the 700 cottage. The facility identified the census to be 46. FINDINGS ARE: A. […]

• No harm, potential for more than minimal, patternF684Aug 18, 2026

  Licensure Reference Number 175 NAC 12-006.09(H)(vi)(3). Based on interviews and record reviews, the facility staff failed to ensure as needed Lasix (medication to help the body get rid of extra fluid) and Potassium (medication to restore minerals) was administered for a weight gain of greater than 2 pounds in 24 hours for 1 (Resident 7) of 1 sampled resident, notify the provider of a blood glucose (sugar in the blood) of greater than the ordered parameters (limits) on the sliding scale insulin (medication to help the body absorb high sugar levels in the blood) order for 1 (Resident 11) of 1 sampled residents, and complete skin checks on admission to identify placement of an intravenous device (a thin tube inserted under the skin to administer medication into the body) for 1 (Resident 46)… […]

• No harm, potential for more than minimal, patternF756Apr 14, 2025

  Licensure Reference Number 175 NAC 12-006.12(A)(vi) Based on interviews and record reviews; the facility failed to ensure pharmacy recommendations were completed for 3 (Residents 5, 8, and 9) of 5 sampled residents. The facility staff identified a census of 47. The findings are: Record review of a facility policy entitled Medication Regimen Review Policy updated 02/03/2025 revealed: -A medication regimen review will be completed for each resident by a licensed pharmacist in order to identify irregularities and to identify clinically significant risks and/or actual or potential adverse consequences which may result from or be associated with medications. […]