A list of the most recent deficiencies for Heritage Specialty Care. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-30 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2023-12-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-02 | 2023-12-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-02 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-12-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-02 | 2023-12-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-02 | 2023-12-21 | Y |
| 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 | 2023-11-02 | 2023-12-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-12-21 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-02 | 2023-12-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-07 | 2023-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-07 | 2023-11-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-07 | 2023-11-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-07 | 2023-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-07 | 2023-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-07 | 2023-11-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-07 | 2023-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-07 | 2023-11-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-07 | 2023-11-15 | 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 | 2023-08-16 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-09-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-16 | 2023-09-14 | 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 | 2023-08-16 | 2023-09-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-16 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-09-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-08-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-01 | 2023-07-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-01 | 2023-07-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-01 | 2023-07-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-01 | 2023-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-09 | 2023-02-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-15 | 2022-12-28 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-12-15 | 2022-12-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-01 | 2022-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-01 | 2022-11-30 | 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 | 2022-11-01 | 2022-11-30 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-11-01 | 2022-11-30 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-01 | 2022-11-30 | Y |
| 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 | 2022-09-07 | 2022-10-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-07 | 2022-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-07 | 2022-10-05 | 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 | 2022-09-07 | 2022-10-05 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-09-07 | 2022-10-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-07 | 2022-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-07 | 2022-10-05 | 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 | 2022-04-06 | 2022-05-06 | 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 | 2022-04-06 | 2022-05-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-06 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-06 | 2022-05-06 | 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 | 2022-04-06 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-06 | 2022-05-06 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-06 | 2022-05-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-06 | 2022-05-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-06 | 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 | 2022-04-06 | 2022-05-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-06 | 2022-05-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-05-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-05 | 2022-05-05 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-06 | 2022-04-19 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-04-06 | 2022-04-19 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-05 | 2022-04-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-05 | 2022-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-01 | 2022-02-10 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-01 | 2022-02-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-23 | 2021-12-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-08 | 2021-03-01 | 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 | 2021-02-08 | 2021-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-08 | 2021-02-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-08 | 2021-02-12 | N |
| 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 | 2021-01-28 | 2021-02-10 | N |
