HILLSBORO HOUSE NURSING HOME
CMS
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Penalty
$97,730
Outcome
HILLSBORO HOUSE NURSING HOME in HILLSBORO, NH was fined $97,730 by CMS across 17 separate penalties following 15 deficiency citations identified during federal surveys.
Details
HILLSBORO HOUSE NURSING HOME (HILLSBORO, NH) — $97,730 in CMS Fines
Outcome: HILLSBORO HOUSE NURSING HOME in HILLSBORO, NH was fined $97,730 by CMS across 17 separate penalties following 15 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Provide and implement an infection prevention and control program.
- Allow residents to self-administer drugs if determined clinically appropriate.
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- Honor the resident's right to organize and participate in resident/family groups in the facility.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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