A list of the most recent deficiencies for Heritage Manor of Franklinton. 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 each resident receives an accurate assessment. | Health | 2023-07-26 | 2023-08-09 | 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 | 2023-06-01 | 2023-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-07-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-01 | 2023-07-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-01 | 2023-07-05 | 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 | 2023-06-05 | 2023-07-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-05 | 2023-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-04-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-23 | 2023-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-23 | 2023-04-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-23 | 2023-04-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-04-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-14 | 2023-03-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-14 | 2023-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-14 | 2023-03-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-03-14 | 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 | 2023-02-14 | 2023-03-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-14 | 2023-03-14 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-14 | 2023-03-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-11 | 2023-02-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-11 | 2023-02-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-02 | 2022-12-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-02 | 2022-12-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-03 | 2022-09-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-03 | 2022-09-08 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-05-18 | 2022-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-18 | 2022-06-29 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-05-18 | 2022-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-18 | 2022-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-18 | 2022-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-18 | 2022-06-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-18 | 2022-06-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-05-18 | 2022-06-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-18 | 2022-06-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-05-18 | 2022-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-04-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-08 | 2022-04-06 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-08 | 2022-04-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-30 | 2022-02-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-30 | 2022-02-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-24 | 2022-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-24 | 2022-01-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-24 | 2022-01-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-09-12 | 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 | 2020-10-27 | 2020-12-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-10-27 | 2020-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-27 | 2020-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-27 | 2020-12-15 | 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 | 2020-10-27 | 2020-12-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-10-27 | 2020-12-15 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2020-10-27 | 2020-12-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-10-27 | 2020-12-15 | 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 | 2020-10-27 | 2020-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-27 | 2020-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-27 | 2020-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-10-27 | 2020-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-19 | 2020-12-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-19 | 2020-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-10-19 | 2020-11-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-05 | Not Fixed | 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 | 2023-10-05 | Not Fixed | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-10-05 | Not Fixed | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-19 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-19 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-19 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-19 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-19 | Not Fixed | N |
