Hilltop at Blue River, The

In the surveyor’s words

From the most serious findings on record at Hilltop at Blue River, The, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 21, 2023

  Based on observation, interview, and record review, the facility failed to put measures in place to prevent further injury following an incident in which one sampled resident (Resident #120) out of 27 sampled residents knocked over a large, heavy metal activity cabinet, resulting in the resident sustaining a fractured wrist. The facility also failed to complete a smoking assessment and care plan for one sampled resident (Resident #15) who smoked cigarettes to ensure a safe smoking plan out of 27 sampled residents. […]

• Actual harm, isolatedF692Jul 21, 2023

  Based on observation, interview, and record review, the facility failed to monitor weights upon admission for one sampled resident (Resident #10) who had a significant weight loss of 28 pounds, a 13.96% loss in 3 1/2 weeks, to notify the resident's physician of the Registered Dietician's (RD) recommendations in a timely manner so the recommendations could be implemented before the resident's weight loss became significant, and to have an individualized comprehensive dietary care plan; to monitor and record weights and notify the resident's physician in a timely manner for one sampled resident (Resident #11) with a gradual significant weight loss; and to ensure hydration opportunities and assistance were provided to three sampled residents (Residents #6, #120, and #104) who were dependent… […]

• Actual harm, isolatedF600Oct 17, 2022

  Based on interview and record review, the facility failed to protect one sampled resident (Resident #2) from abuse when Resident #1 pushed Resident #2 and he/she sustained a fractured hip out of 6 sampled residents. The facility census was 135 residents. On 10/17/22 the Administrator was notified of the past noncompliance which occurred on 9/30/22. On 9/30/22 the facility administration was notified of the incident and the investigation was started. Staff had been educated on the resident behaviors, interventions were in place at the time of the resident to resident incident. The facility staff immediately separated Resident #1 and Resident #2. Resident #2 was sent to the hospital on 9/30/22 and admitted with a fractured hip. […]

• No harm, potential for more than minimal, widespreadF800Jul 21, 2023

  Based on observation, interview, and record review, the facility's dietary staff failed to sanitize their work areas before, during and after preparing food; to take food temperatures at the foods' heat source; to sanitize the juice and beverage apparatuses nozzle; and to wear the appropriate hair restraints while in the kitchen. The facility census was 125 residents. 1. Observations on 7/17/23 between 5:03 A.M. and 7:55 A.M. in the kitchen showed: -At 5:05 A.M. the beverage/juice gun was not disassembled, soaking in a sanitizing solution mixture. -The beverage/juice gun's nozzle appeared to have various beverage and juice sediment stuck to the inside and out and, was actually sticky to the touch. […]

• No harm, potential for more than minimal, widespreadF814Jul 21, 2023

  Based on observation, interview, and record review, the facility failed to ensure the lids of the dumpster's were closed for two days during the survey. The facility census was 125 residents. 1. Observations on 7/17/23 at 8:33 A.M., 9:30 A.M. and on 7/19/23 at 9:37 A.M., and 1:06 P.M., showed: -The facility had two dumpster's for trash, each with two lids attached to them. -One lid on each dumpster was open. -On 7/19/23 at 1:06 P.M. two employees placed trash bags into the dumpster and did not close the lid. […]