Hillside Health Care Center

In the surveyor’s words

From the most serious findings on record at Hillside Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF584Aug 1, 2023

  40865 Based on observation, interview and record review, the facility failed to maintain temperatures in resident accessible areas at or below 81 degrees Fahrenheit (F) and/or meet the comfort needs of residents for three of three resident floors. On 7/28/23, temperatures in the facility ranged from 82 degrees F to 90 degrees F. Resident #1 who is on oxygen and has Chronic Obstructive Pulmonary Disease (COPD-lung disease) reported he/she was hot. His/her window air conditioner registered 90 degrees, his/her portable air conditioner blew a fuse and with the fans blowing, the room temperature measured 88.8 degrees F. Residents #2 and #3 were in a room with an air conditioner unit, that was unplugged. The plug of the unit appeared burnt and unsafe for use. There were no fans in the room. […]

• Immediate jeopardy, isolatedF600Aug 7, 2026

  Based on interview and record review, the facility failed to ensure one resident's (Resident #2) right to be free from abuse was not violated when Resident #1 stabbed the resident multiple times with a screwdriver. On 07/30/26, Resident #1 stabbed Resident #2 with a screwdriver, resulting in Resident #2 sustaining three stab wounds to his/her upper arm and one stab wound to his/her chest. Resident #2 was hospitalized and diagnosed with a hemopneumothorax (when air and blood enter the space between the lung and chest wall) and required surgery. […]

• Immediate jeopardy, isolatedF740Apr 24, 2026

  Based on observation, interview and record review, the facility failed to provide behavioral health care services to address one resident's (Resident #84) known history of self-harming behavior. The facility failed to develop and implement care plan interventions related to the self-injurious behaviors, failed to develop a safety plan for the resident, and to timely refer the resident to psychiatric services, resulting in self-mutilating behaviors of biting off his/her fingers when he/she became frustrated or angry. The facility also failed to address one resident's aggressive behavior and pulling the facility fire alarm multiple times. (Resident #39) The sample was 33. The census was 149. […]

• Immediate jeopardy, isolatedF684Jul 16, 2024

  37672 Based on observation, interview and record review, the facility failed to obtain and follow physician orders for wound care for two sampled residents (Residents #89 and #72). Both residents required hospitalization for assessment and treatment of wound conditions, including amputations. The census was 151. The Administrator was notified on 7/12/24 at 10:49 A.M., of an immediate jeopardy (IJ) that began on 7/1/24. The IJ was removed on 7/12/24 as confirmed by surveyor on-site verification. […]

• Immediate jeopardy, isolatedF693Jul 16, 2024

  Based on observation, interview and record review, the facility to failed to provide appropriate administration of enteral (passing through the intestine) nutrition for a resident who was dependent upon a gastrotomy tube (g-tube, a tube inserted through the belly that brings nutrition directly to the stomach) (Resident #22). Resident #22's physician's orders showed 40 milliliters (ml)/hour (hr) via g-tube continuously and water flushes 175 ml every four hours. On [DATE], the tube feeding machine was not set in the English language and infused at a rate of 140 ml/hour. Staff failed to ensure the g-tube machine settings were accurately set at 40 ml/hour during medication and treatment administrations and failed to report its language settings to management. […]