Deficiency Records for Heritage Rehab and Living Ctr
Updated as of May 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? |
---|---|---|---|---|
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 |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-10 | 2021-10-12 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2021-08-10 | 2021-09-27 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-08-10 | 2021-09-27 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-08-10 | 2021-09-27 | 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 | 2021-08-10 | 2021-09-27 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-08-10 | 2021-09-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-09-27 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-10 | 2021-09-27 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-10 | 2021-09-27 | 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 | 2021-08-10 | 2021-09-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-10 | 2021-09-24 | 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 | 2021-08-10 | 2021-09-24 | 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 | 2021-08-10 | 2021-09-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-10 | 2021-09-24 | N |
Report COVID19 data to residents and families. | Health | 2023-03-23 | Not Fixed | Y |
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