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Deficiency Records for Heritage Manor
A list of the most recent deficiencies for Heritage Manor. 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. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-23 | 2024-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-23 | 2024-07-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-23 | 2024-07-01 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-05-23 | 2024-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-07-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-23 | 2024-07-01 | N |
| Post nurse staffing information every day. | Health | 2024-05-23 | 2024-07-01 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-23 | 2024-07-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-23 | 2024-07-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-23 | 2024-07-01 | 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 | 2024-05-23 | 2024-07-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-23 | 2024-07-01 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-31 | 2024-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-08 | 2024-03-05 | Y |
| 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 | 2023-04-10 | 2023-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-10 | 2023-06-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-04-10 | 2023-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-10 | 2023-06-15 | Y |
| 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 | 2023-04-10 | 2023-06-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-22 | 2023-06-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-22 | 2023-06-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-22 | 2023-06-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-08 | 2021-12-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-08 | 2021-12-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-08 | 2021-12-10 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-08 | 2021-12-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-08 | 2021-12-10 | 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 | 2021-11-08 | 2021-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-08 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-08 | 2021-12-10 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-11-03 | 2021-12-10 | 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 | 2021-11-03 | 2021-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-03 | 2021-12-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-03 | 2021-12-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-03 | 2021-12-10 | N |
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