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Deficiency Records for South Heritage Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for South Heritage Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for South Heritage Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-25 | 2026-05-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-04-25 | 2026-05-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-04-25 | 2026-05-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-10-15 | 2025-12-05 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-10-15 | 2025-12-05 | Y |
| 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 | 2025-10-15 | 2025-12-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-02 | 2025-09-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-25 | 2025-05-25 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-04-25 | 2025-05-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-04-25 | 2025-05-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-25 | 2025-05-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-25 | 2025-05-25 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-13 | 2025-03-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-02-13 | 2025-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-13 | 2025-03-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-02-13 | 2025-03-17 | 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 | 2025-02-13 | 2025-03-17 | 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 | 2025-02-13 | 2025-03-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-13 | 2025-03-17 | 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 | 2025-02-13 | 2025-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-13 | 2025-03-17 | N |
| Keep all essential equipment working safely. | Health | 2025-02-13 | 2025-03-17 | 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 | 2025-02-13 | 2025-03-17 | 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 | 2025-02-13 | 2025-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-02-13 | 2025-03-17 | 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 | 2023-02-10 | 2023-03-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-10 | 2023-03-12 | 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 | 2023-02-10 | 2023-03-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-10 | 2023-03-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-10 | 2023-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-10 | 2023-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-10 | 2023-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-10 | 2023-03-07 | 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 | 2023-02-10 | 2023-03-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-10 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-10 | 2023-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-10 | 2023-03-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-10 | 2023-03-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-10 | 2023-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-20 | 2021-06-20 | N |
| Meet other general requirements. | Fire Safety | 2021-05-20 | 2021-06-20 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-05-20 | 2021-06-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-20 | 2021-06-20 | N |