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Deficiency Records for Heritage Rehabilitation Center
A list of the most recent deficiencies for Heritage Rehabilitation 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 Rehabilitation 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-13 | 2024-07-13 | N |
| 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. | Health | 2024-06-13 | 2024-07-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-06-13 | 2024-07-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-13 | 2024-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-07-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-13 | 2024-07-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-13 | 2024-07-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-13 | 2024-07-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-13 | 2024-07-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-13 | 2024-07-13 | 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 | 2024-06-13 | 2024-07-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-13 | 2024-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-06-12 | 2024-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-03 | 2024-04-22 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-06 | 2023-11-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-22 | 2022-12-08 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-25 | 2022-06-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-11 | 2022-06-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| 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. | Health | 2021-07-15 | 2021-08-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-07-15 | 2021-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-15 | 2021-08-16 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-07-15 | 2021-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-15 | 2021-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-15 | 2021-08-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-15 | 2021-08-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-15 | 2021-08-16 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-07-15 | 2021-08-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-15 | 2021-08-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-07-15 | 2021-08-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-15 | 2021-08-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-28 | 2020-03-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-28 | 2020-03-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-02-28 | 2020-03-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-28 | 2020-03-26 | 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 | 2020-02-28 | 2020-03-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-28 | 2020-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-28 | 2020-03-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-28 | 2020-03-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-28 | 2020-03-26 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-02-28 | 2020-03-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-28 | 2020-03-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-28 | 2020-03-26 | 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 | 2020-02-28 | 2020-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-28 | 2020-03-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2020-02-28 | 2020-03-26 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-28 | 2020-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-28 | 2020-03-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-28 | 2020-03-26 | N |
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