Hillcrest Home

In the surveyor’s words

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

• Actual harm, isolatedF550May 31, 2024

  Based on observation, interview and record review the facility quarantined 6 residents to remain in their rooms (R1, R21, R36, R43, R53 and R59) on 5/28/24 without any clear reasoning. This failure caused R53 to be very upset and anxious regarding his inability to leave his room. Findings Include: The Facility's Policy for Outbreak Investigation dated 4/1/2024 documents, It is the policy of (This Facility) that outbreak measures will be instituted whenever there is an incidence of infections above what would normally be expected, considering seasonal variations. […]

• Actual harm, isolatedF689Feb 24, 2021

  Based on observation, interview and record review, the facility failed to keep a resident's bed away from a heat source and monitor heat surface temperatures to prevent injury for one of three residents (R1) reviewed for supervision in the sample of three. This failure resulted in R1 receiving a burn with blisters to the right knee and requiring medical attention. Findings include: According to the American Burn Association severity determination, dated 5/2017 (ameriburn.org), a Second degree (partial thickness) burn, skin may be red, blistered, swollen. Very painful. R1's Minimum Data Set assessment (MDS), dated [DATE], documents R1's Brief Interview for Mental Status (BIMS) score is a three, indicating R1's cognitive status is severely impaired. […]

• No harm, potential for more than minimal, widespreadF812May 23, 2025

  Based on observation, interview and record review, the facility failed to ensure infection control practices were utilized while serving meals in the dining room. These failures have the potential to affect all resident who reside in the facility with a current census of 46 residents. Findings include: The Facility Resident Census Roster and Facility Matrix/802 dated 5/20/25 were reviewed. The Census Roster documented 46 Residents resided in the Facility. The Illinois Food Handler Training power point utilized for training facility dietary staff dated 6/3/16 documents food can become unsafe if staff practice poor personal hygiene. Personal hygiene consists of good hand washing practices, proper glove use, proper hand care and personal cleanliness. […]

• No harm, potential for more than minimal, widespreadF837May 23, 2025

  Based on observation, interview and record review, the facility's Governing Body failed to employ a licensed Administrator to oversee and manage the everyday operations of the facility. This failure has the potential to affect all 46 residents residing within the facility. Findings include: The Facility Resident Census Roster and Facility Matrix/802 dated 5/20/25 were reviewed. The Census Roster documented 46 Residents resided in the Facility. The Administrator's Job Description (not dated) documents the Administrator supervises all departments and employees and is responsible for planning, organizing, staffing, directing and coordinating the facility to ensure quality of care for residents, be knowledgeable of and implement federal, state, local laws and regulations applicable to the… […]

• No harm, potential for more than minimal, widespreadF881May 31, 2024

  Based on interview and record review, the facility failed to ensure their Antibiotic Stewardship program was implemented. this failure has the potential to affect all 62 residents residing at the facility. Findings include: The facility's Antibiotic Stewardship Program policy (undated) documents the following: Infection Preventionist will encourage and educate staff to use McGeer's definitions of infections. Standards of infection observation are checking for signs observed and/or resident has a change of condition. The following steps will be implemented: monitor vital signs, monitor intake and output for 48 hours, assessment of lung sounds, and assessment of other signs of infection and update the physician and family. […]