CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Heritage LLC
View the most recent health deficiencies and inspection results for Complete Care at Heritage LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Heritage LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2026-02-25 | 2026-03-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-25 | 2026-03-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-25 | 2026-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-25 | 2026-03-31 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-16 | 2025-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-16 | 2025-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-16 | 2025-12-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-09-16 | 2025-12-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-09-16 | 2025-12-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-09-16 | 2025-12-29 | 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 | 2025-09-16 | 2025-12-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-09-16 | 2025-10-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-16 | 2025-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-16 | 2025-10-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-09-16 | 2025-10-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-16 | 2025-10-29 | 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 | 2025-09-16 | 2025-10-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-09-16 | 2025-10-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-16 | 2025-10-29 | 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 | 2025-09-16 | 2025-10-29 | N |
| Post nurse staffing information every day. | Health | 2025-09-16 | 2025-10-29 | 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 | 2025-09-16 | 2025-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-16 | 2025-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-16 | 2025-10-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-09-16 | 2025-10-29 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-09-16 | 2025-10-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-09-16 | 2025-10-29 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-09-16 | 2025-10-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-16 | 2025-10-29 | 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 | 2025-09-16 | 2025-10-29 | 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 | 2025-09-16 | 2025-10-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-16 | 2025-10-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-16 | 2025-10-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-02-26 | 2025-05-02 | Y |
| 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 | 2023-08-22 | 2023-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-22 | 2023-11-14 | 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 | 2023-08-22 | 2023-11-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-22 | 2023-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-11-14 | 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 | 2023-08-22 | 2023-10-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-22 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-22 | 2023-10-06 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-22 | 2023-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-10-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-22 | 2023-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-22 | 2023-10-06 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-08-22 | 2023-10-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-22 | 2023-10-06 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-08-22 | 2023-10-06 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-08-22 | 2023-10-06 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-08-22 | 2023-10-06 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-22 | 2023-10-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-22 | 2023-10-06 | N |
| Post nurse staffing information every day. | Health | 2023-08-22 | 2023-10-06 | N |
| 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 | 2023-08-22 | 2023-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-22 | 2023-10-06 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-22 | 2023-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-22 | 2023-10-06 | 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 | 2023-08-22 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-22 | 2023-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-22 | 2023-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-22 | 2023-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-22 | 2023-09-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-22 | 2023-09-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-22 | 2023-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-22 | 2023-09-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-22 | 2023-09-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-22 | 2023-09-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-22 | 2019-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-22 | 2019-04-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-22 | 2019-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-22 | 2019-03-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-22 | 2019-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-22 | 2019-03-08 | 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 | 2019-01-22 | 2019-03-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-22 | 2019-03-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-22 | 2019-03-08 | 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 | 2019-01-22 | 2019-03-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-01-22 | 2019-03-08 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-01-22 | 2019-03-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-22 | 2019-03-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-22 | 2019-03-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-22 | 2019-03-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-22 | 2019-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-22 | 2019-03-08 | 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 | 2019-01-22 | 2019-03-08 | 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 | 2019-01-22 | 2019-03-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-22 | 2019-03-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-22 | 2019-03-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-25 | Not Fixed | Y |