A list of the most recent deficiencies for Heartland Nursing and Rehab. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-08 | 2023-12-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-08 | 2023-11-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-08 | 2023-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-08 | 2023-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-08 | 2023-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-08 | 2023-11-30 | 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 | 2023-11-08 | 2023-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-11-30 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-11-08 | 2023-11-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-11-08 | 2023-11-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-08 | 2023-11-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-18 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-03-03 | 2023-03-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-03 | 2023-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-03 | 2023-03-15 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-19 | 2022-12-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-19 | 2022-12-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-27 | 2022-11-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-27 | 2022-11-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-28 | 2022-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-11-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-14 | 2022-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-19 | 2022-05-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-04-19 | 2022-05-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-17 | 2022-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-17 | 2022-03-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-17 | 2022-03-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-02 | 2021-12-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-02 | 2021-12-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-02 | 2021-12-17 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-19 | 2021-11-04 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-26 | 2021-09-10 | N |
| Post nurse staffing information every day. | Health | 2021-08-13 | 2021-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-13 | 2021-09-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-07-14 | Y |
