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Deficiency Records for Heritage Hills Nursing and Rehabilitation Center
A list of the most recent deficiencies for Heritage Hills Nursing and Rehabilitation 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 Hills Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-13 | 2024-10-13 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-09-13 | 2024-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-13 | 2024-10-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-13 | 2024-10-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-13 | 2024-10-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-13 | 2024-10-13 | 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 | 2024-09-13 | 2024-10-13 | 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 | 2024-09-13 | 2024-10-13 | 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 | 2024-09-13 | 2024-10-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-13 | 2024-10-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-13 | 2024-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-09-13 | 2024-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-13 | 2024-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-16 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-16 | 2024-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-16 | 2024-08-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-31 | 2024-08-30 | 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 | 2024-06-18 | 2024-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-05-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-02 | 2024-04-02 | Y |
| 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 | 2024-04-02 | 2024-03-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-04 | 2023-11-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-04 | 2023-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-16 | 2023-11-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-16 | 2023-11-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-16 | 2023-11-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-16 | 2023-11-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-16 | 2023-11-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-16 | 2023-11-03 | N |
| 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 | 2023-10-16 | 2023-11-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-10-16 | 2023-11-03 | 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 | 2023-10-16 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-16 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-16 | 2023-11-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-16 | 2023-11-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-16 | 2023-11-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-13 | 2023-09-25 | 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 | 2023-09-13 | 2023-09-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-24 | 2023-09-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-24 | 2023-09-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-26 | 2023-08-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-26 | 2023-08-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-26 | 2023-08-11 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-07-26 | 2023-08-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-28 | 2023-07-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-28 | 2023-07-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-28 | 2023-07-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-08 | 2023-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-08 | 2023-05-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-08 | 2023-05-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-30 | 2023-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-20 | 2023-03-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-12 | 2023-01-27 | 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 | 2022-11-09 | 2022-11-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-09 | 2022-11-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-30 | 2022-09-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-12 | 2022-09-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-12 | 2022-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-12 | 2022-09-11 | 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 | 2022-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-12 | 2022-09-11 | 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 | 2022-08-12 | 2022-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-12 | 2022-09-11 | N |
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