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Deficiency Records for Heritage Ridge Senior Living at Windy Hill
A list of the most recent deficiencies for Heritage Ridge Senior Living at Windy Hill. 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 Ridge Senior Living at Windy Hill. 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? |
|---|---|---|---|---|
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-12-11 | 2025-01-22 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-14 | 2024-09-17 | 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 | 2024-08-14 | 2024-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-14 | 2024-09-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-02 | 2024-09-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-02 | 2024-09-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-02 | 2024-09-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-02 | 2024-09-10 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-08-02 | 2024-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-02 | 2024-09-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-02 | 2024-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-25 | 2023-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-10-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-25 | 2023-10-17 | 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 | 2023-08-25 | 2023-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-25 | 2023-10-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-01 | 2023-09-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-01 | 2023-09-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-01 | 2023-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-01 | 2023-09-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-01 | 2023-09-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-29 | 2023-05-02 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-28 | 2022-11-15 | 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 | 2022-09-28 | 2022-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-28 | 2022-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-09 | 2022-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-09 | 2022-10-25 | 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 | 2022-09-09 | 2022-10-25 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-09 | 2022-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-10-25 | Y |
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