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Deficiency Records for Heritage Hall Nursing Center
A list of the most recent deficiencies for Heritage Hall Nursing 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 Hall Nursing 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? |
|---|---|---|---|---|
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-12 | 2024-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-12 | 2024-07-09 | 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 | 2024-06-12 | 2024-07-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-14 | 2024-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-14 | 2024-06-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-14 | 2024-06-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-06-12 | 2024-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-12 | 2024-06-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-24 | 2023-04-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-24 | 2023-04-17 | 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 | 2023-03-24 | 2023-04-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-24 | 2023-03-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-24 | 2023-03-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-28 | 2022-04-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-18 | 2021-09-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-19 | 2021-09-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-19 | 2021-09-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-19 | 2021-09-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-18 | 2021-09-17 | N |
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