Deficiency Records for Heritage Care and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Heritage Care and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-20 | 2023-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-20 | 2023-06-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-20 | 2023-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-20 | 2023-06-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-20 | 2023-06-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-20 | 2023-06-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-20 | 2023-06-20 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-06-20 | 2023-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-30 | 2022-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-30 | 2022-05-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-30 | 2022-05-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-30 | 2022-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-30 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-30 | 2022-04-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-04 | 2022-04-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-04 | 2022-04-28 | 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 | 2022-04-04 | 2022-04-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-04 | 2022-04-28 | 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 | 2022-04-04 | 2022-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-04 | 2022-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-04 | 2022-04-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-04 | 2022-04-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-04-04 | 2022-04-28 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-04-04 | 2022-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-04 | 2022-04-28 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-04-04 | 2022-04-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-04 | 2022-04-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-03-30 | 2022-04-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-30 | 2022-04-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-30 | 2022-03-30 | 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 | 2022-03-30 | 2022-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-30 | 2022-03-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-17 | 2022-01-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-17 | 2022-01-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-17 | 2022-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-17 | 2022-01-04 | 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 | 2021-12-17 | 2022-01-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-17 | 2021-07-22 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-30 | 2019-10-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-30 | 2019-10-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-30 | 2019-10-25 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-09-30 | 2019-10-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-09-30 | 2019-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-30 | 2019-10-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-30 | 2019-10-09 | 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 | 2019-09-26 | 2019-10-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-09-26 | 2019-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-30 | 2019-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-30 | 2019-09-30 | N |
