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Deficiency Records for Heritage Gardens Health Care Center
A list of the most recent deficiencies for Heritage Gardens Health Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Heritage Gardens Health Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-05 | 2024-09-30 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-03 | 2024-05-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-19 | 2024-01-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-04 | 2023-11-14 | Y |
| 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. | Health | 2023-09-29 | 2023-10-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-24 | 2023-10-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-10 | 2023-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-20 | 2022-11-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-15 | 2022-08-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-15 | 2022-08-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-15 | 2022-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-15 | 2022-08-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-15 | 2022-08-16 | N |
| 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. | Health | 2022-07-15 | 2022-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-15 | 2022-08-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-15 | 2022-08-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-15 | 2022-08-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-15 | 2022-08-16 | N |
| 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. | Health | 2022-07-15 | 2022-08-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-15 | 2022-08-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-07-15 | 2022-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-08-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-15 | 2022-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-15 | 2022-08-16 | N |
| Keep all essential equipment working safely. | Health | 2022-07-15 | 2022-08-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-18 | 2022-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-04 | 2021-12-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-25 | 2020-01-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-12 | 2020-01-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-25 | 2020-01-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-25 | 2020-01-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-25 | 2020-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-25 | 2020-01-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-25 | 2020-01-06 | N |
| 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. | Health | 2019-11-25 | 2020-01-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-11-25 | 2020-01-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-25 | 2020-01-06 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-25 | 2020-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-25 | 2020-01-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-17 | 2019-02-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-29 | 2019-01-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-29 | 2019-01-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-29 | 2019-01-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-29 | 2019-01-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-29 | 2019-01-24 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-29 | 2019-01-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-11-29 | 2019-01-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-11-29 | 2019-01-24 | N |
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