The Springs of Hillcrest

In the surveyor’s words

From the most serious findings on record at The Springs of Hillcrest, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 7, 2023

  Based on observation, record review, and interview, the facility failed to provide adequate supervision to prevent an altercation between two residents on the Secure Special Needs Unit. This failed practice resulted in actual harm for Resident #229 who received a laceration to her forehead requiring steri-strips and had the potential to cause more than minimal harm to 12 residents who resided on the Secure Special Needs Unit as documented on the Midnight Census Report provided by the Administrator on 07/03/23 at 9:31 AM. The findings are: 1. Resident #229 was admitted to the facility on [DATE] with diagnoses of Dementia with Behavioral Disturbance, Suicidal Ideations, and Unspecified Psychosis. a. […]

• No harm, potential for more than minimal, widespreadF812May 23, 2024

  Based on observation, record reviews and interviews, the facility failed to ensure serving items were properly covered; unused food items were kept away from used food items; the kitchen was free from buildup of unknown substances that had the potential to fall into food items to be served; equipment was in safe and useable condition; open food items were properly closed/sealed and had an open date; food items were not expired; food containers were put away without the contents being on the outside container; and the walls, floors, and door were in good repair without holes and or missing or chipped paint. The findings are as follows: 1. […]

• No harm, potential for more than minimal, widespreadF812Jul 7, 2023

  Based on observation and interview, the facility failed to ensure food was placed in the freezer per manufacturer instructions when received to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; kitchen vents were cleaned to provide a sanitary environment for food preparation, a storage shelf paint was peeling exposing the wood and the floor was chipped and dirty and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 79 residents who received meals from the kitchen (total census: 79), as documented on a list provided by the Dietary Supervisor on 07/05/23 at 12:30 PM. […]

• No harm, potential for more than minimal, widespreadF812Apr 28, 2022

  Based on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment, dishes, or food items to prevent potential food borne illness failed to ensure all kitchen areas were kept clean and free from litter and rubbish for residents who received who received meals from 1 of 1 kitchen. The failed practice had the potential to affect 70 (total census: 71) residents who received meals from the kitchen as documented on the Diet List provided by the Administrator on 4/25/2022. The findings are: 1. On 04/25/22 at 11:40 AM, Dietary Employee #1 turned on the water in the hand washing sink and washed her hands. After washing her hands, she used her bare hand to pick up the lid covering the trash can, contaminating her hand. […]

• No harm, potential for more than minimal, widespreadF925Apr 28, 2022

  Based on observation, record review and interview, the facility failed to ensure food storage, preparation and service areas were free from visible signs of rodents and pests. This failed practice had the potential to affect 70 residents who received a meal tray from the kitchen as documented on a list provided by the Administrator on 4/28/22 at 8:00 AM. The findings are: 1. On 04/25/22 at 10:05 AM, during the brief kitchen tour, on a shelf in the entrance area to the kitchen was a sticky trap sitting approximately five feet from where styrofoam cups and lids were stored. A dead roach was on the trap. Two flies were landing on the shelves of food items in the dry storage room. There were four plastic containers sitting on pallets on the floor - two labeled, flour and two labeled, sugar. […]