The Hills Healthcare Center

In the surveyor’s words

From the most serious findings on record at The Hills Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF755Dec 18, 2025

  Based on observation, interview, and record review the facility failed to: 1. Replace two (2) open used medication emergency kits ([eKIT] - storage container for emergency use medications) within 72 hours of opening the kit on 2/13/2025, and one (1) open used medication eKIT within 72 hours of opening the kit on 2/13/2025, in two (2) of two (2) inspected Medication Rooms (Medication Room Station 1 and Medication Room Station 2.)2. Reconcile (the process of comparing transactions and activity to supporting documentation) two (2) medication eKITs containing Controlled Drugs ([CD]- medications which have a potential for abuse and may also lead to physical or psychological dependence) for December 2025, in two (2) of two (2) inspected Medication Rooms (Medication Room Station 1 and Medication… […]

• No harm, potential for more than minimal, widespreadF880Feb 5, 2021

  Based on observation, interview and record review, the facility failed to maintain an infection prevention and control program regarding COVD-19 (a [MEDICAL CONDITION] infection, highly contagious, that easily transmits from person to person, causing respiratory problems and may cause death) by failing to: 1. Ensure visitors/staff were screened upon entrance to the facility. 2. Ensure residents were social distancing inside the dining area. These deficient practices placed other residents and staff at risk for exposure and contracting COVID-19. Findings: A. During an observation, Health Facilities Evaluator Nurse (HFEN) entered the facility and there was no screener in the front of the entrance. […]

• No harm, potential for more than minimal, patternF700Dec 18, 2025

  Based on observation, interview, and record review, the facility failed to ensure the safe and appropriate use of side rails (adjustable rigid plastic or metal bars attached to the bed that may be positioned in various locations on the bed; upper or lower, either or both sides) for two of three sampled residents (Residents 9 and 11) reviewed under restraints care area by failing to: 1. Ensure the facility conducted an accurate assessment of Resident 9's side rails and obtained an informed consent for the correct type of side rails, as the assessment and the informed consent did not reflect the type of side rails the resident was using. […]

• No harm, potential for more than minimal, patternF759Dec 18, 2025

  Based on observation, interview, and record review, the facility failed to ensure that its medication error rate was less than five (5) percent (%). Four (4) medication errors out of 24 total opportunities contributed to an overall medication error rate of 14.28% affecting two (2) of four (4) residents observed for medication administration (Resident 6 and 43.) The medication errors were as follows: 1. Resident 6 received ferrous sulfate (a supplement used to treat iron deficiency [having low amounts of iron in the blood] and anemia [a condition with lower-than-normal number of red blood cells,]) at a different time than ordered by Resident 6's physician. 2. […]

• No harm, potential for more than minimal, patternF761Dec 18, 2025

  Based on observation, interview, and record review the facility failed to: 1. Monitor and record the medication room temperature on the temperature monitoring log for December 2025, for two (2) of two (2) inspected Medication Rooms (Medication Room Station 1 and Medication Room Station 2.) 2. Remove and discard from use two (2) expired Calcium with Vitamin D (medications used as supplements) medication bottles for facility use, in accordance with manufacturer's requirements and facility policy and procedures, in one (1) of two (2) inspected Medication Rooms (Medication Room Station 2.) These failures increased the potential for residents in the facility to receive medications that were ineffective or toxic due to the inadequate storage monitoring, and for residents to experience medication… […]