Hillside Plaza
Inspection Findings
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
08/13/25. Review of the time stamped MARS for August 2025 for Resident #10 revealed the corresponding blank spaces identified in Resident #10's electronic medical record was electronically signed on 09/04/25.
Interview on 09/04/25 at 12:05 P.M. with Assistant Director of Nursing (ADON) #100 confirmed medications are to be signed off immediately after they are administered to residents and are to be recorded in each resident's electronic medical record. ADON #100 confirmed Resident #10 had many blank spots where the nurse was to initial as given. Interview on 09/04/25 at 2:43 P.M. with Regional Nurse #200 revealed for Resident #10, she manually signed off the July 2025 MARS for the 3 staff after she called them and they reported they gave the medications to Resident #10 and forgot to sign the MARS off. Interview on 09/08/25 at 9:45 A.M. with the Director of Nursing (DON) revealed on 09/04/25 she, ADON #100, or Regional Nurse #200 checked with staff in the building or via phone to verify if medications had been administered to Resident #10 for the instances where the spaces were blank on the July 2025 and August 2025 MARs. The DON confirmed the staff reported they administered the medication but forgot to sign the administrations off
on the corresponding MAR.Interview on 09/08/25 at 9:56 A.M. with Licensed Practical Nurse (LPN) #130 revealed she was approached by DON on 09/04/25 regarding not signing off medications. LPN #135 reported she gave the medications to Resident #10, but forgot to sign the medications off as administered.
LPN #135 reported she was at work and signed them off electronically on 09/04/25. Interview on 09/08/25 at 10:05 A.M. with LPN #135 revealed she was approached by DON on 09/04/25 regarding not signing off medications. LPN #135 reported she gave the medications to Resident #10, but forgot to sign the medications off as administered. LPN #135 reported she was at work and signed them off electronically on 09/04/25.Review of the facility policy, Preparation and General Guidelines, revised December 2019, revealed the individual who administers the medication dose records the administration on the resident's EMR/eMar directly after the medication is given. At the end of each medication pass, the person administering the medications reviews the MAR/eMAR to ensure necessary doses were administered and documented. In no case should the individual who administered the medications report off-duty without first recording the administration of any medications. Review of facility policy, Documentation - Skilled Note', revised 01/06/25 revealed the policy will have documentation daily per the federal guidelines, and to accurately reflect the resident status on a daily basis for the interdisciplinary team to have available as needed.
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HILLSIDE PLAZA in CLEVELAND, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 CLEVELAND, OH, (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 HILLSIDE PLAZA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.