Hillcrest Millard LLC

In the surveyor’s words

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

• Actual harm, isolatedF692Oct 17, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D8b Based on record review and interview; the facility staff failed to complete a nutritional assessment and failed to evaluate weight loss for 1 (Resident 2) of 1 sampled resident. The facility staff identifed a census of 71. The findings are: Review of Resident 2's medical record revealed an admitted [DATE] with an admission weight documented of 147 pounds. Review of Resident 2's admission assessment dated [DATE] revealed a documented weight of 147 pounds. Review of Resident 2's Treatment Administration Record (TAR) revealed a weight of 136.3 pounds on 09/24/22 which is a loss of 7.28% from documented weight on 09/23/22. […]

• Actual harm, isolatedF684Jun 2, 2021

  Licensure Reference Number ,d+[DATE].09 Based on record reviews and interviews, the facility failed to identify a change of condition for Resident 1. The facility census was 57. Review of Resident 1's admission progress note revealed Resident 1 was admitted to the facility on [DATE] with a goal of returning home. Resident 1 was assessed as being alert and oriented. Review of Resident 1's Admission Evaluation revealed the resident had a cognitive score of ,d+[DATE], indicating mild cognitive impairment. Resident 1 did use a [CONDITION(S)] (Continuous Positive Air Pressure) at night and had oxygen during the daytime hours and Resident 1 was receiving [CONDITION(S)] treatments. […]

• No harm, potential for more than minimal, widespreadF801Feb 24, 2026

  Based on interview and record review, the facility failed to ensure a qualified person was the director of food and nutrition services. This has the potential to affect all 55 residents of the facility. Findings are: A review of certificate dated 11/22/10 submitted on 2/26/26 revealed the Dietary Director had completed an Associate degree in Applied Science General Education. The certificate did not provide any evidence that the Dietary Director had completed the course work for the Dietary Manager certification. In an interview on 2/24/26 at 2:01 PM, the Administrator reported the Dietary Director had completed course work for the Certified Dietary Manager program. […]

• No harm, potential for more than minimal, widespreadF812Feb 24, 2026

  Licensure reference: 175 NAC 12-006.11(E) Based on observation and interview, the facility failed to ensure foods were stored in a manner to protect from potential cross contamination, failed to ensure kitchen equipment was maintained in a clean manner, and failed to ensure dietary staff member wore beard restraint. The has the potential to affect all 64 residents of the facility. Findings are: A.Observations on 2/18/26 between 7:21-7:54 AM revealed raw chicken and a precooked chicken patty product being thawed in the same pan on the lower rack in the walk-in refrigerator. In an interview on 2/18/26 at 8:17 AM, the Dietary Director confirmed that raw chicken should not be thawed together with a precooked chicken product. […]

• No harm, potential for more than minimal, widespreadF804Sep 12, 2024

  License Reference Number 175 NAC 12-006.09(J) Based on observation, record review and interview, the facility failed to ensure that food was prepared according to the recipe in order to retain nutritional value. This had the potential to affect all residents that ate foods prepared in the facility kitchen. The facility had a census of 60. Findings are: An observation on 09/11/2024 at 10:45 AM of Chef A preparing Salisbury steak patties for lunch on 09/12/24. revealed Chef A washed their hands and donned gloves. Chef A put unmeasured amounts of beef base, tomato ketchup, Worcestershire sauce, garlic, liquid eggs, mustard, breadcrumbs, onion powder, chopped onions, bell peppers and ground beef into a large pan. […]