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Deficiency Records for Heritage Manor Health and Rehab
A list of the most recent deficiencies for Heritage Manor Health and Rehab. 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 Manor Health and Rehab. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-18 | 2024-10-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-16 | 2024-08-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-16 | 2024-08-30 | 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 | 2024-07-16 | 2024-08-30 | 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 | 2024-07-16 | 2024-08-30 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-07-16 | 2024-08-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-16 | 2024-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-16 | 2024-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-16 | 2024-08-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-16 | 2024-08-30 | 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 | 2024-07-16 | 2024-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-16 | 2024-08-30 | 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 | 2024-07-16 | 2024-08-30 | 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 | 2024-07-16 | 2024-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-16 | 2024-08-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-16 | 2024-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-16 | 2024-08-30 | 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 | 2024-07-16 | 2024-08-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-18 | 2024-07-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-18 | 2024-07-29 | 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 | 2024-05-24 | 2024-06-08 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-24 | 2024-06-08 | Y |
| 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 | 2023-08-23 | 2023-10-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-23 | 2023-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-23 | 2023-10-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-23 | 2023-10-20 | 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 | 2023-08-23 | 2023-10-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-23 | 2023-10-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-23 | 2023-10-20 | N |
| Keep all essential equipment working safely. | Health | 2023-08-23 | 2023-10-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-23 | 2023-10-20 | 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 | 2022-08-24 | 2022-10-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-24 | 2022-10-07 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-08-24 | 2022-10-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-24 | 2022-10-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-24 | 2022-10-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-24 | 2022-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-23 | 2022-09-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-23 | 2022-09-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-23 | 2022-09-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-23 | 2022-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-23 | 2022-09-09 | 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 | 2022-07-13 | 2022-08-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-13 | 2022-08-27 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-13 | 2022-08-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-13 | 2022-08-27 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-13 | 2022-08-27 | Y |
| Keep all essential equipment working safely. | Health | 2022-07-13 | 2022-08-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-23 | 2022-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-08-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-23 | 2022-08-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-18 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-23 | Not Fixed | N |
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