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Deficiency Records for Heritage Village Rehab and Skilled Nursing Inc.
A list of the most recent deficiencies for Heritage Village Rehab and Skilled Nursing Inc.. 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 Village Rehab and Skilled Nursing Inc.. 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? |
|---|---|---|---|---|
| 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 | 2024-08-02 | 2024-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-02 | 2024-09-30 | 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 | 2024-08-02 | 2024-09-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-02 | 2024-09-30 | N |
| Post nurse staffing information every day. | Health | 2024-08-02 | 2024-09-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-02 | 2024-09-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-02 | 2024-09-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-08-02 | 2024-09-30 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-02 | 2024-09-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-12 | 2022-10-12 | 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 | 2022-08-12 | 2022-10-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-08-12 | 2022-10-12 | 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 | 2022-08-12 | 2022-10-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-12 | 2022-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-12 | 2022-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-12 | 2022-08-29 | 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 | 2022-08-12 | 2022-08-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-12 | 2022-08-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-03 | 2022-01-13 | 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 | 2019-09-23 | 2019-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-23 | 2019-11-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-23 | 2019-11-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-23 | 2019-11-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-23 | 2019-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-23 | 2019-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-23 | 2019-11-11 | N |
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