Deficiency Records for Heritage Place
Updated as of May 01, 2024
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Deficiency Records for Heritage Place
A list of the most recent deficiencies for Heritage Place. 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. 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? |
|---|---|---|---|---|
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-03-21 | 2023-05-05 | 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 | 2023-03-21 | 2023-05-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-05-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-10 | 2023-04-24 | 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 | 2023-03-10 | 2023-04-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-10 | 2023-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-10 | 2023-04-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-10 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-04-24 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-14 | 2022-03-17 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-12-06 | 2022-02-01 | 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 | 2021-12-06 | 2022-01-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-06 | 2022-01-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-06 | 2022-01-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-06 | 2022-01-27 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2021-12-06 | 2022-01-26 | 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 | 2021-12-06 | 2022-01-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-06 | 2022-01-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-06 | 2022-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-06 | 2022-01-26 | 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 | 2021-12-06 | 2022-01-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-06 | 2022-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-06 | 2022-01-26 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-12-06 | 2021-12-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-06 | 2021-12-31 | 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 | 2021-12-06 | 2021-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-06 | 2021-12-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-28 | 2020-03-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-28 | 2020-03-31 | 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 | 2020-02-28 | 2020-03-31 | 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 | 2020-02-28 | 2020-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-28 | 2020-03-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-28 | 2020-03-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-02-25 | 2020-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-25 | 2020-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-25 | 2020-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-25 | 2020-02-25 | N |
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