Public Record
Hillcrest Care Center
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 45
- Avg. residents per day
- 40
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 43
- Inspections on file
- 7
- Last inspection
- 2024-10-03
*CMS
*CMS
*CMS
Citations
43 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0923Generalpotential for harm
Have proper medical gas storage and administration areas.
- 0914Generalpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0522Generalpotential for harm
Have an externally vented heating system.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0693Generalpotential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0565Generalpotential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
- 0029Generalpotential for harm
Develop a communication plan.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0585Generalpotential for harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- 0676Generalpotential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0943Generalpotential for harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- 0697Generalpotential for harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0006Generalpotential for harm
Conduct risk assessment and an All-Hazards approach.
- 0009Generalpotential for harm
Include a process for Emergency Preparedness collaboration.
- 0013Generalpotential for harm
Develop Emergency Preparedness policies and procedures.
- 0015Generalpotential for harm
Address subsistence needs for staff and patients.
- 0023Generalpotential for harm
Establish policies and procedures for medical documentation.
- 0024Generalpotential for harm
Establish policies and procedures for volunteers.
- 0026Generalpotential for harm
Establish roles under a Waiver declared by secretary.
- 0036Generalpotential for harm
Establish emergency prep training and testing.
- 0037Generalpotential for harm
Establish staff and initial training requirements.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0001Generalpotential for harm
Establish an Emergency Preparedness Program (EP).
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0758Generalpotential for 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.
- 0700Generalpotential for 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.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0646Generalpotential for harm
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0521Generalpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0039Generalpotential for harm
Conduct testing and exercise requirements.
- 0291Generalpotential for harm
Install emergency lighting that can last at least 1 1/2 hours.
FAQ
Questions and answers
- What is Hillcrest Care Center?
- Hillcrest Care Center is a Medicare- and Medicaid-certified nursing home in Wray, CO, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 065316.
- What is the CMS rating for Hillcrest Care Center?
- Hillcrest Care Center has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Hillcrest Care Center have?
- Hillcrest Care Center is certified for 45 beds. It serves an average of 40 residents per day.
- How many citations does Hillcrest Care Center have?
- Hillcrest Care Center has 43 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Hillcrest Care Center last inspected?
- Hillcrest Care Center was last inspected on October 3, 2024. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/065316-hillcrest-care-center