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Deficiency Records for Heatherwood Rehabilitation and Health Care Center
A list of the most recent deficiencies for Heatherwood Rehabilitation and 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 Heatherwood Rehabilitation and 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-06 | 2024-10-01 | 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 | 2024-09-06 | 2024-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-06 | 2024-10-01 | N |
| 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 | 2024-09-06 | 2024-10-01 | 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 | 2024-09-06 | 2024-10-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-06 | 2024-10-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-06 | 2024-10-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-06 | 2024-10-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-09-06 | 2024-10-01 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-09-06 | 2024-10-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-06 | 2024-10-01 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-09-06 | 2024-10-01 | 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 | 2024-09-06 | 2024-10-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-06 | 2024-10-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-06 | 2024-10-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-06 | 2024-10-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-06 | 2024-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-06 | 2024-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-06 | 2024-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-13 | 2024-06-25 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-12 | 2023-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-12 | 2023-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-12 | 2023-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-12 | 2023-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-12 | 2023-11-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-13 | 2023-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-13 | 2023-10-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-13 | 2023-10-04 | N |
| Provide appropriate foot care. | Health | 2023-09-13 | 2023-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-13 | 2023-10-04 | 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 | 2023-09-13 | 2023-10-04 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-13 | 2023-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-13 | 2023-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-04 | 2023-08-22 | 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 | 2023-04-06 | 2023-04-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-10 | 2022-11-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-10 | 2022-11-28 | Y |
| 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 | 2022-08-26 | 2022-09-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-08 | 2022-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-08 | 2022-06-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-08 | 2022-06-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-08 | 2022-06-30 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-08 | 2022-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-08 | 2022-06-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-03 | 2022-02-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-22 | 2022-01-12 | Y |
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