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Deficiency Records for Heritage Manor Nursing and Rehab Center

A list of the most recent deficiencies for Heritage Manor Nursing and Rehab 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 Manor Nursing and Rehab 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?
Provide enough food/fluids to maintain a resident's health. Health 2024-05-15 2024-05-29 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-04-24 2024-05-22 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 2024-04-24 2024-05-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-24 2024-05-22 Y
Respond appropriately to all alleged violations. Health 2024-04-24 2024-05-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-24 2024-05-22 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-04-24 2024-05-22 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-04-24 2024-05-22 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-30 2024-05-21 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-10-30 2024-04-28 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-03-06 2024-03-27 Y
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-30 2024-02-26 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-10-30 2024-01-26 N
Conduct testing and exercise requirements. Fire Safety 2023-10-30 2024-01-25 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-10-30 2024-01-25 N
Provide properly protected cooking facilities. Fire Safety 2023-10-30 2023-12-11 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-10-30 2023-12-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-30 2023-12-08 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-10-30 2023-12-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-10-30 2023-12-06 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-10-30 2023-12-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-10-30 2023-12-06 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-10-30 2023-12-04 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 2023-10-30 2023-12-04 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 2023-10-30 2023-12-04 N
Install an approved automatic sprinkler system. Fire Safety 2023-10-30 2023-12-04 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-10-30 2023-12-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-10-30 2023-12-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-30 2023-12-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-10-30 2023-12-04 N
Have power receptacles that are properly grounded. Fire Safety 2023-10-30 2023-12-04 N
Have proper medical gas storage and administration areas. Fire Safety 2023-10-30 2023-12-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-01 2023-11-24 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 2022-11-17 2023-01-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-17 2023-01-06 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-11-17 2023-01-04 N
Provide properly protected cooking facilities. Fire Safety 2022-11-17 2023-01-04 N
Install an approved automatic sprinkler system. Fire Safety 2022-11-17 2023-01-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-17 2023-01-04 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-11-17 2023-01-04 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-11-17 2023-01-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-11-17 2023-01-04 N
Provide a written emergency evacuation plan. Fire Safety 2022-11-17 2023-01-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-11-17 2023-01-04 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-11-17 2023-01-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-17 2023-01-04 N
Conduct testing and exercise requirements. Fire Safety 2022-11-17 2023-01-03 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-11-22 2022-12-28 N
Provide and implement an infection prevention and control program. Health 2022-11-22 2022-12-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-22 2022-12-23 N
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2022-11-22 2022-12-23 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-22 2022-12-23 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-11-22 2022-12-23 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-11-22 2022-12-23 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-09 2022-09-23 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-05-10 2022-06-16 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-10 2022-06-16 Y
Respond appropriately to all alleged violations. Health 2022-05-10 2022-06-16 Y
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-07-30 2021-12-28 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-11-18 2021-12-27 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 2021-11-18 2021-12-27 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-11-18 2021-12-27 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-11-18 2021-12-27 Y
Keep all essential equipment working safely. Health 2021-11-18 2021-12-27 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-11-18 2021-12-27 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-30 2021-11-09 N
Provide properly protected cooking facilities. Fire Safety 2021-07-30 2021-10-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-30 2021-10-26 N
Conduct testing and exercise requirements. Fire Safety 2021-07-30 2021-10-25 N
Address subsistence needs for staff and patients. Fire Safety 2021-07-30 2021-09-03 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-07-30 2021-09-03 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 2021-07-30 2021-09-03 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 2021-07-30 2021-09-03 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 2021-07-30 2021-09-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-30 2021-09-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-07-30 2021-09-03 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-07-30 2021-09-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-07-30 2021-09-03 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2021-07-30 2021-09-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-07-30 2021-09-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-07-30 2021-09-03 N
Have power receptacles that are properly grounded. Fire Safety 2021-07-30 2021-09-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-07-30 2021-09-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-07-30 2021-09-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-07-27 2021-09-01 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-07-27 2021-09-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-07-27 2021-09-01 N
Provide and implement an infection prevention and control program. Health 2021-07-27 2021-09-01 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-07-27 2021-09-01 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-07-27 2021-09-01 N

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