Hillside Heights Rehabilitation Suites

In the surveyor’s words

From the most serious findings on record at Hillside Heights Rehabilitation Suites, in the surveyor’s own words.

• Immediate jeopardy, patternF686Feb 27, 2023

  Based on interview, observation and record review, the facility failed to provide the necessary care, treatment, and services, consistent with professional standards of practice, to prevent development of pressure injuries for three (Resident #1, Resident#2, Resident# 3) of twelve residents reviewed for pressure ulcer. 1. The facility failed to identify pressure ulcer for Resident #1 on residents left heel when completing weekly skin assessments from 01/13/2023 admitted until 02/19/2023, when a family member asked staff to look at the black area on Resident #1's left heel. 2. The facility failed to complete an initial skin assessment to identify any skin concerns for Resident #1 upon admission to the facility on [DATE]. 3. […]

• Immediate jeopardy, isolatedF689Apr 25, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident received adequate supervision to prevent accidents for 1 of 1 Residents (Resident #1) reviewed for Accidents and Hazards. On 04/05/2025, the facility failed to secure the van lift strap to Resident #1's wheelchair while in use which resulted in Resident #1 rolling off backwards when the lift was suspended in the air and caused Resident #1 to be hospitalized in the Intensive Care Unit with multiple fractures on his spine. The noncompliance was identified as PNC. The IJ began on 04/05/2025 and ended on 04/07/2025. The facility had corrected the noncompliance before the survey began. This deficient practice could place residents at-risk of harm, serious injury, or death. […]

• No harm, potential for more than minimal, widespreadF812Dec 6, 2023

  Based on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure stored food was properly labeled and dated. This failure could put/ place residents at risk for foodborne illness or cross contamination. Findings Included: Observation of refrigerated foods on 12/04/2023 at 8:27 am revealed the following: 1. Container of chicken broth in refrigerator 1 with no label or date. 2. Box of oranges in refrigerator 1 with no label or date. 3. Whipping cream in refrigerator 2 with no label or date. 4. Bowel of individual packets of butter in refrigerator 2 with no label or date. 5. […]

• No harm, potential for more than minimal, widespreadF880May 12, 2023

  Based on observations, interviews, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 2 screening stations, (#1 located at the facility front entrance) reviewed for infection control practices. The facility failed to ensure that 24 staff screened for signs and symptoms of COVID-19 and answering screening questions prior to contact with residents and staff resulting in 1 (MA B) out of 24 staff testing positive for COVID-19. […]

• No harm, potential for more than minimal, patternF600Apr 29, 2026

  Based on observations, interviews, and record reviews the facility failed to ensure the resident has the right to be free from abuse, neglect, misappropriation of resident property, for 6 residents (Resident #1, Resident #5, Resident #15, Resident #17, Resident #22, and Resident #41) of 83 residents reviewed for abuse and neglect.The facility failed to ensure Resident #1, Resident #5, Resident #15, Resident #17, Resident #22, and Resident #41 were not neglected during the 06:00 PM to 06:00 AM shift beginning on 04/19/26.The facility failed to ensure Resident #1 was not lying in a bed covered in feces.The facility failed to ensure Resident #5 was not lying in a bed soaked in urine.The facility failed to ensure Resident #15 was not lying asleep on a couch in just a soaked brief and t-shirt… […]