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Deficiency Records for Heritage Gardens Rehabilitation and Healthcare
A list of the most recent deficiencies for Heritage Gardens Rehabilitation and Healthcare. 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 Gardens Rehabilitation and Healthcare. 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 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 | 2024-03-08 | 2024-03-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-08 | 2024-03-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-08 | 2024-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-10-31 | 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 | 2023-10-05 | 2023-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-10-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-05 | 2023-10-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-05 | 2023-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-11 | 2023-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-11 | 2023-10-20 | 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 | 2023-10-11 | 2023-10-12 | 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 | 2023-10-11 | 2023-10-12 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-11 | 2023-10-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-11 | 2023-10-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-11 | 2023-10-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-19 | 2023-05-05 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-04-19 | 2023-05-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-19 | 2023-05-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-19 | 2023-05-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-20 | 2022-11-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-16 | 2022-09-09 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-16 | 2022-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-17 | 2022-09-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-16 | 2022-08-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-23 | 2021-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-07-22 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-06-23 | 2021-06-25 | 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 | 2021-06-23 | 2021-06-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-24 | 2021-06-25 | N |
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