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Deficiency Records for Heritage Health Care Center
A list of the most recent deficiencies for Heritage Health Care 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 Health Care 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? |
---|---|---|---|---|
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-22 | 2024-06-20 | 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 | 2024-04-09 | 2024-05-03 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-09 | 2024-05-03 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-09 | 2024-05-03 | Y |
Provide activities to meet all resident's needs. | Health | 2024-04-09 | 2024-05-03 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-09 | 2024-05-03 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-31 | 2024-02-09 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-31 | 2024-02-09 | Y |
Respond appropriately to all alleged violations. | Health | 2024-01-31 | 2024-02-09 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-26 | 2024-01-04 | Y |
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 | 2023-11-08 | 2024-01-01 | Y |
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 | 2023-11-27 | 2024-01-01 | 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 | 2023-11-27 | 2024-01-01 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-27 | 2024-01-01 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-27 | 2024-01-01 | 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 | 2023-11-27 | 2024-01-01 | 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 | 2023-11-27 | 2024-01-01 | N |
Provide and implement an infection prevention and control program. | Health | 2023-11-27 | 2024-01-01 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-27 | 2024-01-01 | 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 | 2023-11-22 | 2024-01-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-22 | 2024-01-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-22 | 2024-01-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-22 | 2024-01-01 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-11-22 | 2024-01-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-22 | 2024-01-01 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-22 | 2024-01-01 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-22 | 2024-01-01 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-22 | 2024-01-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-11-27 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-08 | 2023-11-27 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-01 | 2023-02-10 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-01 | 2023-02-10 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-01 | 2022-09-06 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-27 | 2021-08-24 | N |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-07-27 | 2021-08-24 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-27 | 2021-08-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-27 | 2021-08-24 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-27 | 2021-08-24 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-07-27 | 2021-08-24 | 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 | 2021-07-27 | 2021-08-24 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2021-07-27 | 2021-08-24 | 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 | 2021-07-27 | 2021-08-24 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-27 | 2021-08-24 | 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 | 2021-07-27 | 2021-08-24 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Construct fire resistant interior walls. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-12 | 2021-08-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-07-16 | N |
Dispose of garbage and refuse properly. | Health | 2019-03-28 | 2019-07-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-25 | 2019-07-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-25 | 2019-07-16 | 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 | 2019-03-28 | 2019-07-03 | 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 | 2019-03-28 | 2019-07-03 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-03-25 | 2019-07-03 | 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 | 2019-03-25 | 2019-07-03 | 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 | 2019-03-25 | 2019-07-03 | N |
Construct fire resistant interior walls. | Fire Safety | 2019-03-25 | 2019-07-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-25 | 2019-07-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-25 | 2019-07-03 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-25 | 2019-07-03 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-03-25 | 2019-07-03 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-25 | 2019-07-03 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-25 | 2019-07-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-25 | 2019-07-03 | N |
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