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Deficiency Records for Heritage Square
A list of the most recent deficiencies for Heritage Square. 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 Square. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-10 | 2024-07-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-10 | 2024-07-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-07-10 | 2024-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-10 | 2024-07-19 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-10 | 2024-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-10 | 2024-07-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-14 | 2023-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-20 | N |
| 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 | 2023-09-14 | 2023-10-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-14 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-14 | 2023-09-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-14 | 2023-09-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-09-14 | 2023-09-22 | 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 | 2023-09-14 | 2023-09-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-14 | 2023-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-14 | 2023-09-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-12-02 | 2022-12-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-12-02 | 2022-12-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-02 | 2022-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-02 | 2022-12-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-02 | 2022-12-12 | 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 | 2022-11-17 | 2022-12-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-17 | 2022-12-05 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-17 | 2022-12-05 | N |
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