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Health Inspection

Hillcrest Commons Nursing & Rehabilitation Center

March 25, 2025 · Pittsfield, MA · 169 Valentine Road
Citations 2
CMS Rating 2/5
Beds 265
Provider ID 225687
Healthcare Facility
Hillcrest Commons Nursing & Rehabilitation Center
Pittsfield, MA  ·  View full profile →
Inspection Summary

HILLCREST COMMONS NURSING & REHABILITATION CENTER in PITTSFIELD, MA — inspection on March 25, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF688
Minimal harm or 51466 Few (ADL) care in accordance with assessed needs, goals for care, preferences, and recognized standards of affected

Review of the facility policy titled Care of Foot and Nails, dated 2/27/17, indicated but was not limited to the following:

-Resident's need special care to prevent infection, odors, and injury to soft tissue.

> .To provide nail care to promote optimum health, safety and comfort of the Resident, reduce health risk secondary to existing medical condition, and prevent infection.

>Licensed Nurse can delegate to Nursing Assistants the trimming of nails of non-diabetic residents or residents without circulatory impairments.

Licensed Nurse can trim the nails of residents with diabetes and circulatory impairments only.

Review of the facility policy titled Skin Integrity Management, revised 5/21/21, indicated:

225687

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 225687 B.

Wing 03/25/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Hillcrest Commons Nursing & Rehabilitation Center 169 Valentine Road Pittsfield, MA 01201

During an interview with the FSD immediately following the observations, the FSD said:

-the inside of the flour bin was cleaned out weekly, but the outside of the bin needed to be cleaned

-the slicer was not thoroughly cleaned and needed to be cleaned again

-the kitchen windows should not be open if there were no screens because it could allow pests (mice/bugs) to enter the kitchen

-both of the fans that were in use in the dish room needed to be cleaned because they were covered in dust

-the minimum dish machine wash temperature should be 160 degrees F.

The FSD further said he had checked the temperature that morning and it was within range.

The FSD said that the dish machine should not be used and he would contact their vendor for further instructions.

During an interview on 3/25/25 at 10:46 A.M., Dietary Staff #3 said she keeps instructing staff to keep the window in the kitchen closed because there was no screen.

Dietary Staff #3 said she has also been educating the dietary staff about ensuring kitchen equipment, like the can opener and surfaces were cleaned after every use because they could be a cause of potential cross contamination.

During a follow-up interview on 3/25/25 at 11:08 A.M., the FSD said he spoke with the vendor relative to the facility dish machine and was instructed to connect the chemical sanitizer and the dish machine would be safe to use until they were able to provide an on-site visit to remedy the wash temperature issue.

The FSD said the temperatures were taken in the beginning when the dish machine was used and the wash temperature was 167 degrees F.

The FSD said the machine had been running for a while when he and the surveyor observed the wash temperatures of 140 F, and that the staff using the dish machine should be monitoring the temperatures to ensure they are within the acceptable ranges.

225687

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 225687 B.

Wing 03/25/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Hillcrest Commons Nursing & Rehabilitation Center 169 Valentine Road Pittsfield, MA 01201

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in PITTSFIELD, MA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HILLCREST COMMONS NURSING & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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