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Deficiency Records for Havenwood-Heritage Heights
A list of the most recent deficiencies for Havenwood-Heritage Heights. 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 Havenwood-Heritage Heights. 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? |
|---|---|---|---|---|
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-22 | 2024-04-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-22 | 2024-04-18 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-02-22 | 2024-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-22 | 2024-04-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-22 | 2024-04-18 | N |
| 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 | 2024-02-22 | 2024-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-04-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-02-22 | 2024-03-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-02-01 | 2023-03-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-01 | 2023-03-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-01 | 2023-03-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-02 | 2023-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-24 | 2022-03-25 | 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 | 2022-02-24 | 2022-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-24 | 2022-03-25 | 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 | 2022-02-24 | 2022-03-25 | N |
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