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Deficiency Records for The Heights Post Acute
A list of the most recent deficiencies for The Heights Post Acute. 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 The Heights Post Acute. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-09 | 2024-07-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-15 | 2024-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-06-07 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-19 | 2024-04-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-19 | 2024-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-19 | 2024-04-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-30 | 2024-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-30 | 2024-03-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-30 | 2024-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-03-29 | N |
| 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. | Health | 2024-01-11 | 2024-03-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-11 | 2024-03-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-11 | 2024-03-18 | 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 | 2024-01-11 | 2024-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-03-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-01-11 | 2024-03-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-11 | 2024-03-18 | 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 | 2024-01-11 | 2024-03-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-11 | 2024-03-13 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-11 | 2024-03-13 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-30 | 2024-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-30 | 2024-02-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-30 | 2024-02-18 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-01-30 | 2024-02-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-30 | 2024-02-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-30 | 2024-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-30 | 2024-02-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-30 | 2024-02-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-11 | 2024-02-09 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-11 | 2024-02-09 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-01-11 | 2024-02-09 | Y |
| 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 | 2024-01-11 | 2024-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-02-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-11 | 2024-02-07 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-01-11 | 2024-02-06 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-01-11 | 2024-02-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-11 | 2024-02-02 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-01-11 | 2024-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-30 | 2024-02-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-30 | 2024-02-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-11 | 2024-02-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-01-11 | 2024-02-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-11 | 2024-02-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-11 | 2024-01-12 | Y |
| 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 | 2023-10-19 | 2023-12-04 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-10-19 | 2023-11-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-19 | 2023-11-11 | Y |
| 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. | Health | 2023-08-16 | 2023-09-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-09-08 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-16 | 2023-09-08 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-08-16 | 2023-09-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-09-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-25 | 2023-08-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-15 | 2023-08-04 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-16 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-12 | 2022-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-12 | 2022-11-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-12 | 2022-11-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-12 | 2022-10-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-10-12 | 2022-10-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-12 | 2022-10-30 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-16 | 2022-10-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-12 | 2022-10-17 | 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 | 2022-09-16 | 2022-10-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-16 | 2022-10-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-16 | 2022-10-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-09-16 | 2022-10-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-16 | 2022-10-14 | 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 | 2022-09-16 | 2022-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-16 | 2022-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-17 | 2020-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-01-26 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2019-12-17 | 2020-01-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-17 | 2020-01-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-17 | 2020-01-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 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 | 2019-11-21 | 2019-12-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-21 | 2019-12-23 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-21 | 2019-12-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-21 | 2019-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-21 | 2019-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-23 | N |
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