Deficiency Records for Heather Hill Healthcare Center
Updated as of May 01, 2021
This is not the most recent data for Heather Hill Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Heather Hill Healthcare 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-15 | 2021-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-01-15 | 2021-02-09 | 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 | 2021-01-15 | 2021-02-09 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-01-15 | 2021-02-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-14 | 2021-02-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-01-14 | 2021-02-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-23 | 2020-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-23 | 2020-10-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-30 | 2019-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-30 | 2019-09-27 | 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 | 2019-08-30 | 2019-09-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-30 | 2019-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-30 | 2019-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-30 | 2019-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-30 | 2019-09-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-08-28 | 2019-09-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-28 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-09 | 2018-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-09 | 2018-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-10 | 2018-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-10 | 2018-07-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-05-10 | 2018-07-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-09 | 2018-06-28 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-05-10 | 2018-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-10 | 2018-06-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-10 | 2018-06-10 | 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 | 2018-05-10 | 2018-06-10 | N |
| Dispose of garbage and refuse properly. | Health | 2018-05-10 | 2018-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-10 | 2018-06-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-10 | 2018-06-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-05-10 | 2018-06-10 | N |
