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Deficiency Records for Heritage Place of Decatur
A list of the most recent deficiencies for Heritage Place of Decatur. 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 Place of Decatur. 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-08 | 2024-09-22 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-08-08 | 2024-09-22 | 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 | 2024-08-08 | 2024-09-22 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-08 | 2024-09-22 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-08 | 2024-09-22 | N |
| Keep all essential equipment working safely. | Health | 2024-08-08 | 2024-09-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-08-08 | 2024-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-08 | 2024-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-08 | 2024-09-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-08 | 2024-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-08 | 2024-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-08 | 2024-09-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-08 | 2024-08-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-21 | 2023-07-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-21 | 2023-07-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-21 | 2023-07-22 | 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 | 2023-02-06 | 2023-02-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-11 | 2023-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-11-09 | Y |
| 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 | 2022-04-28 | 2022-06-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-29 | 2022-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-05-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-28 | 2022-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-03-08 | Y |
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