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Deficiency Records for South Heritage Health and Rehabilitation Center
A list of the most recent deficiencies for South Heritage Health and 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 South Heritage Health and 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? |
|---|---|---|---|---|
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-15 | 2023-04-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-10 | 2023-03-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-10 | 2023-03-12 | 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 | 2023-02-10 | 2023-03-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-10 | 2023-03-12 | 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 | 2023-02-10 | 2023-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-10 | 2023-03-12 | 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 | 2023-02-07 | 2023-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-07 | 2023-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-03-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-07 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-07 | 2023-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-07 | 2023-03-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-07 | 2023-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-07 | 2023-03-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-05 | 2022-11-05 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-05 | 2022-11-05 | 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 | 2022-10-05 | 2022-11-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-20 | 2021-06-20 | N |
| Meet other general requirements. | Fire Safety | 2021-05-18 | 2021-06-20 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-05-18 | 2021-06-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-18 | 2021-06-20 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-08-14 | 2019-09-13 | 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 | 2019-08-14 | 2019-09-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-14 | 2019-09-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-14 | 2019-09-13 | N |
| Establish methods for sharing information. | Fire Safety | 2019-08-14 | 2019-09-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-08-14 | 2019-09-13 | N |
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