Hillcrest Firethorn

In the surveyor’s words

From the most serious findings on record at Hillcrest Firethorn, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 20, 2025

  Licensure Reference Number 174 NAC 12-006.09(H)(iv) Based on record review and observation, the facility failed to provide the facility's outlined bowel management program for 1 (Resident 3) of 3 residents sampled and instead provided digital stimulation for Resident 3. The facility also failed to provide prompt medical attention for 1 (Resident 1) of 4 sampled residents. Facility census was 65. Findings are: A. A record review of Resident 3's progress notes dated 2/16/2025 revealed that at 3:00 AM the resident was placed on the bedpan, and with digital stimulation, expelled large, formed stool. […]

• No harm, potential for more than minimal, widespreadF804Aug 6, 2026

  Licensure Reference Number 175 NAC 006.11DBased on observations, interviews and record reviews, the facility failed to ensure that food served to the residents was at a safe and appetizing temperature. This had the potential to affect all 68 residents who eat from the kitchen. The census at the time of the survey was 68. Findings are: Record review of the FDA Food Code 2022, a science-based guideline published by the Food and Drug Administration to regulate food service facilities to create uniform safety rules, revealed in the section titled 3-501.16 Time/Temperature Control for Safety Food, Hot and Cold Holding that bacterial growth or toxins can occur when foods remain in the danger zone for too long. […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2025

  Licensure Reference Number 175 NAC 12-006.11(E) Based on observations and interview the facility failed to label and date opened packages of food in the walk- in freezer and failed to cover items in the walk in refrigerator and to discard processed food items passed the 7 day date to prevent the potential for food borne illness. This had the potential to affect all 56 residents. The facility census was 56. Findings are: An observation on 3/26/25 at 7:30 AM of the walk-in freezer revealed: -An open box of beef patties not dated and open to air, -An open box of chicken patties not dated and open to air, -An open box of chicken fillets not dated and open to air, -An open box of breakfast potatoes not dated and open to air. […]

• No harm, potential for more than minimal, widespreadF812Apr 11, 2024

  Licensure Reference Number 175 NAC ,d+[DATE].11E Based on observation, interview, and record review; the facility kitchen staff failed to label and date opened packages of food in the walk-in refrigerator and dry storage, failed to dispose of expired food from the walk-in refrigerator, and failed to perform hand hygiene while prepping room trays for lunch to prevent the potential of spread of infection and cross contamination. This had the potential to affect all 60 residents. The facility census was 60. […]

• No harm, potential for more than minimal, widespreadF880Apr 11, 2024

  Licensure Reference Number 175 NAC 12-006.17D Based on observation, record review and interview; the facility failed to perform hand hygiene to prevent the spread of infection and prevent cross contamination during catheter care and wound care for 1 resident (Resident 14) of 1 sampled resident. The facility census was 60. Findings are: A record review of Resident 14's Clinical Resident Profile printed 4/10/2024 revealed an admitted [DATE] and readmitted [DATE] with the diagnoses of multiple fractures of the pelvis and lumbosacral spine, parkinsonism (a motor syndrome that manifests as rigidity, tremors, and slow movement), chronic kidney disease (progressive damage and loss of kidne function) and an in-house acquired pressure ulcer (localized skin and soft tissue injuries that form as a… […]