Deficiency Records for Heritage Rehab and Living Ctr

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Updated as of June 01, 2024

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Deficiency Records for Heritage Rehab and Living Ctr

A list of the most recent deficiencies for Heritage Rehab and Living Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Heritage Rehab and Living Ctr. 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?
Establish staff and initial training requirements. Fire Safety 2024-02-20 2024-04-09 N
Meet other general requirements. Fire Safety 2024-02-20 2024-04-09 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-02-20 2024-04-09 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 2024-02-20 2024-04-09 N
Provide properly protected cooking facilities. Fire Safety 2024-02-20 2024-04-09 N
Install an approved automatic sprinkler system. Fire Safety 2024-02-20 2024-04-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-20 2024-04-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-02-20 2024-04-09 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2024-02-20 2024-04-09 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-02-20 2024-04-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-20 2024-04-09 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-22 2024-04-08 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-02-22 2024-04-08 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 2024-02-22 2024-04-08 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-02-22 2024-04-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-22 2024-04-08 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-02-22 2024-04-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-22 2024-04-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-22 2024-04-08 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 2024-02-22 2024-04-08 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 2024-02-20 2024-04-08 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-02-20 2024-04-08 N
Construct fire resistant interior walls. Fire Safety 2024-02-20 2024-04-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-20 2024-04-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-20 2024-04-08 N
Have proper medical gas storage and administration areas. Fire Safety 2024-02-20 2024-04-08 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 2023-06-05 2023-07-20 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-06-05 2023-07-20 Y
Keep all essential equipment working safely. Health 2023-06-05 2023-07-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-11-08 2022-12-23 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 2022-11-08 2022-12-23 Y
Establish policies and procedures including evacuation. Fire Safety 2022-09-12 2022-11-01 N
Establish policies and procedures for volunteers. Fire Safety 2022-09-12 2022-11-01 N
List the names and contact information of those in the facility. Fire Safety 2022-09-12 2022-11-01 N
Establish methods for sharing information. Fire Safety 2022-09-12 2022-11-01 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 2022-09-12 2022-11-01 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-09-12 2022-11-01 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 2022-09-12 2022-11-01 N
Provide properly protected cooking facilities. Fire Safety 2022-09-12 2022-11-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-12 2022-11-01 N
Have proper medical gas storage and administration areas. Fire Safety 2022-09-12 2022-11-01 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-09-14 2022-10-29 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 2022-09-14 2022-10-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-04-13 2022-05-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-04-13 2022-05-28 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-04-13 2022-05-28 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-04-13 2022-05-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-13 2022-05-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-04-13 2022-05-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-13 2022-05-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-13 2022-05-28 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-04-13 2022-05-28 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-04-13 2022-05-28 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-04-13 2022-05-28 N
Address subsistence needs for staff and patients. Fire Safety 2022-04-11 2022-05-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-04-11 2022-05-16 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 2022-04-11 2022-05-16 N
Provide properly protected cooking facilities. Fire Safety 2022-04-11 2022-05-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-04-11 2022-05-16 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2022-04-11 2022-05-16 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2022-04-11 2022-05-16 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-04-11 2022-05-16 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 2021-12-15 2022-01-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-15 2022-01-06 Y
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Health 2021-12-15 2022-01-06 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2021-12-15 2022-01-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-22 2021-12-17 Y
Report COVID19 data to residents and families. Health 2023-03-23 Not Fixed Y

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