A list of the most recent deficiencies for Heardmont Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-15 | 2024-01-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-15 | 2024-01-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-15 | 2024-01-27 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-12-15 | 2024-01-27 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-12-15 | 2024-01-27 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-12-15 | 2024-01-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-15 | 2024-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-27 | 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 | 2023-12-15 | 2024-01-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-12-15 | 2024-01-27 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-15 | 2024-01-27 | Y |
| 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 | 2022-04-10 | 2022-05-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-10 | 2022-05-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-10 | 2022-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-10 | 2022-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-10 | 2022-05-25 | N |
| 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 | 2022-04-10 | 2022-05-25 | 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 | 2021-11-05 | 2021-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-12-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-11-05 | 2021-12-10 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-01-09 | 2020-02-23 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2020-01-09 | 2020-02-23 | 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 | 2020-01-09 | 2020-02-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-23 | 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 | 2020-01-09 | 2020-02-23 | 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 | 2020-01-09 | 2020-02-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-09 | 2020-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-09 | 2020-02-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-17 | 2020-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-17 | 2020-01-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-17 | 2020-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-17 | 2020-01-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-17 | 2020-01-31 | 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 | 2018-07-29 | 2018-09-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-29 | 2018-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-29 | 2018-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-29 | 2018-09-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-27 | 2018-09-12 | N |
