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Deficiency Records for Heritage Hall Clintwood

A list of the most recent deficiencies for Heritage Hall Clintwood. 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 Hall Clintwood. 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?
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-14 2023-05-01 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-20 2022-10-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-05-20 2022-07-15 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2022-05-20 2022-07-15 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 2022-05-05 2022-06-07 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-06-20 2019-09-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-06-20 2019-09-13 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-06-20 2019-09-13 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 2019-06-20 2019-09-13 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 2019-06-20 2019-09-13 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-06-20 2019-09-13 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2019-06-20 2019-08-21 N
Keep residents' personal and medical records private and confidential. Health 2019-06-20 2019-08-21 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2019-06-20 2019-08-21 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 2019-06-27 2019-07-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-06-27 2019-07-25 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 2018-02-26 2018-03-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-02-26 2018-03-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-02-02 2018-03-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2018-02-02 2018-03-19 N
Keep residents' personal and medical records private and confidential. Health 2018-02-02 2018-03-19 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2018-02-02 2018-03-19 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-02-02 2018-03-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-02-02 2018-03-19 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 2018-02-02 2018-03-19 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-02-02 2018-03-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-02-02 2018-03-19 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 2018-02-02 2018-03-19 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 2018-02-02 2018-03-19 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-02-02 2018-03-19 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2018-02-02 2018-03-19 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 2018-02-02 2018-03-19 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-02-02 2018-03-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-02-02 2018-03-19 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-02-02 2018-03-19 N
Provide and implement an infection prevention and control program. Health 2018-02-02 2018-03-19 N

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