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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?
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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