Hillside Plaza

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 19, 2025

  Based on observation, interview, record review and review of the facility policy the facility failed to ensure a sanitary kitchen. This had the potential to affect all 43 of 43 residents who resided in the facility and received meals. Findings include: Observation on 05/12/25 at 8:05 A.M. of the soap dispenser with Dietary Manager #360 and Dietary Aide #306 revealed it was located above the hand washing station and it did not have soap in it. Dietary Aide #306 stated she would let housekeeping know the soap dispenser needed refilled. Observation on 05/12/25 at 8:07 A.M. of the facility kitchen revealed the floor had dried food bits and multiple dried, dark brown and clear, sticky fluid spills. […]

• No harm, potential for more than minimal, widespreadF607Nov 14, 2024

  Based on record review, interview, review of the facility self-reported incident (SRI) tracking number (#)253244 and facility investigation, review of staffing schedules and punch detailed report and review of the facility abuse policy, the facility failed to enforce their abuse policy including reporting an allegation of abuse promptly, immediately investigating the allegation of staff-to-resident abuse and ensuring the alleged perpetrator did not continue providing direct care to all residents after the alleged allegation was made on 10/04/24. This affected one resident (#28) and placed a potential risk of abuse for all 40 residents residing in the facility. […]

• No harm, potential for more than minimal, widespreadF610Nov 14, 2024

  Based on record review, interview, review of the facility self-report incident (SRI) tracking number (#)253244 and investigation, staffing schedules and punch detailed report, and review of the facility abuse policy, the facility failed to immediately investigate and implement protective measures upon receiving an allegation of staff-to-resident abuse to prevent further abuse including not allowing the alleged perpetrator to continue to provide direct care from 10/04/24 to 10/23/24 while a thorough investigation was completed. This affected one resident (#28) and had the potential to affect all 40 residents residing in the facility. […]

• No harm, potential for more than minimal, widespreadF868Nov 14, 2024

  Based on interview, record review and review of facility policy, the facility failed to ensure the Quality Assurance Performance Improvement (QAPI) committee that met at least quarterly consisted of the required members, including the medical director or his/her designee. This had the potential to affect all 40 residents residing in the facility. Finding include: Review of the QAPI sign-in sheets from 10/20/23 to 08/21/24 revealed a QAPI meeting was held on 03/01/24, and Medical Director #660 attended the meeting. A QAPI sign-in sheet revealed a meeting was held on 06/27/24, and Medical Director #660 or designee had not attended. A QAPI meeting sign-in sheet revealed a meeting was held on 08/21/24, and Nurse Practitioner #661 attended the meeting as the medical director's designee. […]

• No harm, potential for more than minimal, widespreadF698Jul 20, 2022

  Based on record review and interview, the facility failed to ensure [CONDITION(S)] residents were monitored before and after [CONDITION(S)] treatments. The facility also failed to ensure resident [CONDITION(S)] catheters were assessed as ordered by the physician. This affected three (Resident's #12, #22, and #140) of three residents receiving [CONDITION(S)]. The facility census was 40. Findings include: 1. Review of the medical record revealed Resident #12 was admitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . There were no [CONDITION(S)] assessments performed for Resident #12 before going to [CONDITION(S)] or after returning. Review of the physician's order dated 02/01/22 revealed Resident #12 had [CONDITION(S)] on Tuesdays, Thursdays, and Saturdays. […]