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Hillcrest Commons: Allergen Safety Failures Persist - MA
The two described a multi-step verification process that sounded thorough on paper....
Latest reports, citations, and penalties from CMS data
The two described a multi-step verification process that sounded thorough on paper....
That is what inspectors found at Hillcrest Commons Nursing & Rehabilitation Center on Valentine Road during a March 25 survey....
"I know it's going to be a bad night if the trays are still on the hall," CNA B told inspectors during a telephone interview on March 19....
She is cognitively impaired and totally dependent on staff for every aspect of her daily care....
Inspectors visited the facility on March 17, 2025, and found Resident 75 lying in bed with the tobacco cans in plain sight at 10:50 in the morning....
The inspection report does not give the resident a name....
The resident, identified in inspection records only as Resident 8, had been diagnosed with hemiplegia, diabetes, and hypertensive heart disease....
Diabetes complicates wound healing significantly....
The inspection at The Hills Post Acute, a skilled nursing facility at 1800 Old Tustin Avenue, was conducted on March 24, 2025....
What they found didn't match what the paperwork said....
The facility has four registered nurses on staff....
The resident, identified in inspection records only as Resident #50, had a physician's order for oxygen that ran through March 10, 2025....
The physician's order was not ambiguous....
That detail emerged during a March 27 inspection interview that also surfaced something more troubling: the facility had no ethics or compliance policy....
The medication was Santyl collagenase ointment, a topical enzyme treatment used to clean and manage wounds....
That was the finding federal inspectors documented after a May 2026 visit to the facility at 7660 Wyngate St....
She was transferred to the hospital on February 12, February 17, February 27, and March 11, 2025....
She could not explain the facility's policy on hand hygiene when removing and reapplying gloves....
The deficiency was cited as causing minimal harm or potential for actual harm, and affected a small number of residents....
When inspectors asked CNA E how often female residents received facial hair care, the answer was direct....