All citations for Complete Care at Hillside LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Hillside LLC

Last standard health inspection on record

February 6, 2025

Showing 1 to 25 of 35 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  2. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 1, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  3. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of January 19, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2022).

  4. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  6. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  7. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  8. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 16, 2026).

  9. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  10. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  11. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  12. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  13. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  14. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  15. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  16. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  17. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  18. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  20. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  21. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  22. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0919, Environmental Deficiencies. Inspection of February 6, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 12, 2025).

  23. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  24. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 1, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 9, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.