Deficiency Records for Heritage Healthcare
Updated as of September 01, 2018
This is not the most recent data for Heritage Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Heritage Healthcare. 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 | 2018-05-30 | 2018-07-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-05-30 | 2018-07-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-30 | 2018-07-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-30 | 2018-07-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-30 | 2018-07-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-05-30 | 2018-07-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-30 | 2018-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-30 | 2018-07-29 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-05-15 | 2018-06-14 | N |
| 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 | 2018-05-15 | 2018-06-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-05-15 | 2018-06-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-05-15 | 2018-06-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-15 | 2018-06-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-05-15 | 2018-06-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-05-15 | 2018-06-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-15 | 2018-06-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-05-15 | 2018-06-14 | 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 ne | Health | 2018-05-15 | 2018-06-14 | 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 | 2018-05-15 | 2018-06-14 | N |
| Provide or obtain dental services for each resident. | Health | 2018-05-15 | 2018-06-14 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-05-15 | 2018-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-15 | 2018-06-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-15 | 2018-06-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-15 | 2018-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-15 | 2018-06-14 | 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 | 2018-05-15 | 2018-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-08 | 2017-12-01 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-08 | 2017-12-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-03 | 2017-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-03 | 2017-11-02 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-08-16 | 2017-09-15 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-24 | 2017-05-24 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-24 | 2017-05-24 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-24 | 2017-05-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-24 | 2017-05-24 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-04-24 | 2017-05-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-24 | 2017-05-24 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-03 | 2017-03-19 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-03 | 2017-03-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-03 | 2017-03-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-03 | 2017-03-19 | Y |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-04-06 | 2016-04-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-02-09 | 2016-03-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-09 | 2016-03-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-09 | 2016-03-10 | N |
