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Deficiency Records for Heritage Hall-Blackstone
A list of the most recent deficiencies for Heritage Hall-Blackstone. 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-Blackstone. 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? |
---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-23 | 2023-07-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-07-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-23 | 2023-07-10 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-23 | 2023-07-10 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-23 | 2023-07-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-23 | 2023-07-10 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-17 | 2023-06-27 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-17 | 2023-06-27 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-17 | 2023-06-27 | 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 | 2023-05-17 | 2023-06-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-17 | 2023-06-27 | 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 | 2023-05-17 | 2023-06-27 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-17 | 2023-06-27 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-17 | 2023-04-14 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-16 | 2022-12-23 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-16 | 2022-12-23 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-19 | 2022-05-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-19 | 2022-05-27 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-19 | 2022-05-27 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-19 | 2022-01-14 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-19 | 2022-01-14 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-19 | 2022-01-14 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-19 | 2022-01-14 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-19 | 2022-01-14 | 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 | 2021-11-17 | 2021-12-27 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-17 | 2021-12-27 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-17 | 2021-12-27 | 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 | 2021-11-17 | 2021-12-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-17 | 2021-12-27 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-17 | 2021-12-27 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-06 | 2019-04-17 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-06 | 2019-04-17 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-06 | 2019-04-17 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-06 | 2019-04-17 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-03-06 | 2019-04-17 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-06 | 2019-04-17 | 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 | 2019-03-06 | 2019-04-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-06 | 2019-04-17 | 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 | 2019-03-06 | 2019-04-17 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-06 | 2019-04-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-06 | 2019-04-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-06 | 2019-04-17 | 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 | 2019-03-06 | 2019-04-17 | 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 | 2019-03-06 | 2019-04-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-06 | 2019-04-17 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-06 | 2019-04-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-06 | 2019-04-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-06 | 2019-04-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-06 | 2019-04-17 | N |
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