Deficiency Records for Heritage Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Heritage Healthcare and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-07 | 2024-01-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-07 | 2024-01-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-07 | 2024-01-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-07 | 2024-01-07 | 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 | 2023-12-07 | 2024-01-07 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-07 | 2024-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-05 | 2024-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2024-01-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-06-12 | 2023-07-24 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-06-12 | 2023-07-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-06-12 | 2023-07-24 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-06-12 | 2023-07-24 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-06-14 | 2023-07-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-14 | 2023-07-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-14 | 2023-07-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-14 | 2023-07-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-06-14 | 2023-07-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-14 | 2023-07-14 | N |
| 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 | 2023-06-14 | 2023-07-14 | N |
| Provide or obtain dental services for each resident. | Health | 2023-06-14 | 2023-07-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-14 | 2023-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-07-14 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-12 | 2023-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-15 | 2023-01-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-12-15 | 2023-01-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-15 | 2023-01-13 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-12-15 | 2023-01-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-26 | 2022-11-26 | 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 | 2022-10-26 | 2022-11-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-15 | 2022-05-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-15 | 2022-05-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-15 | 2022-05-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-15 | 2022-05-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-15 | 2022-05-15 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-04-15 | 2022-05-15 | Y |
| 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 | 2022-04-15 | 2022-05-15 | Y |
| 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 | 2022-04-15 | 2022-05-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-05-15 | Y |
| 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 | 2022-04-15 | 2022-05-15 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-15 | 2022-05-15 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-15 | 2022-05-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-05 | 2021-05-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-05 | 2021-05-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-05 | 2021-05-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-05 | 2021-05-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-05 | 2021-05-04 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2021-04-05 | 2021-05-04 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-05 | 2021-05-04 | Y |
