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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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