A list of the most recent deficiencies for Heritage Health-Hoopeston. 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 | 2023-05-12 | 2023-05-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-12 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-11 | 2023-05-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-11 | 2023-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-03-29 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-08 | 2023-03-29 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-08 | 2023-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-06-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-27 | 2022-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-27 | 2022-06-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-27 | 2022-06-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-27 | 2022-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-27 | 2022-06-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-27 | 2022-06-01 | N |
| 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 | 2022-04-27 | 2022-06-01 | 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 | 2022-04-27 | 2022-06-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-27 | 2022-06-01 | 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 | 2022-04-27 | 2022-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-27 | 2022-06-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-27 | 2022-06-01 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-05-13 | 2022-05-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-13 | 2022-05-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-13 | 2022-05-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-13 | 2022-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-13 | 2022-05-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-12 | 2022-04-22 | 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 | 2022-04-12 | 2022-04-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-25 | 2022-04-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-25 | 2022-04-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-20 | 2022-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-28 | 2022-01-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-20 | 2022-01-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-29 | 2021-11-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-29 | 2021-11-26 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-17 | 2021-04-08 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-03-17 | 2021-04-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-03-17 | 2021-04-08 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-03-17 | 2021-04-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-17 | 2021-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-18 | 2021-04-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-03-18 | 2021-04-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-18 | 2021-04-05 | N |
| 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 | 2021-03-18 | 2021-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-17 | 2021-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-17 | 2021-04-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-03-18 | 2021-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-18 | 2021-04-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-03-18 | 2021-04-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-03-18 | 2021-04-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-17 | 2021-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-17 | 2021-03-19 | N |
