CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Heartwood Lodge Trinity Health
View the most recent health deficiencies and inspection results for Heartwood Lodge Trinity Health. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Heartwood Lodge Trinity Health. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-26 | 2025-09-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-23 | 2025-07-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-13 | 2025-07-30 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-13 | 2025-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-13 | 2025-07-30 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-06-13 | 2025-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-23 | 2025-07-10 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-06-13 | 2025-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-13 | 2025-07-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-06-13 | 2025-07-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-06-13 | 2025-07-10 | 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 | 2025-06-13 | 2025-07-10 | 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 | 2025-06-13 | 2025-07-10 | N |
| 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 | 2025-06-13 | 2025-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-13 | 2025-07-10 | 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 | 2025-06-13 | 2025-07-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-13 | 2025-07-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-06-13 | 2025-07-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-13 | 2025-07-10 | 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 | 2025-06-13 | 2025-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-13 | 2025-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-13 | 2025-07-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-06-13 | 2025-07-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-13 | 2025-07-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-13 | 2025-07-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-13 | 2025-07-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-06-13 | 2025-07-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-06-13 | 2025-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-13 | 2025-07-10 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-06-13 | 2025-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-13 | 2025-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-29 | 2024-12-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-27 | 2024-08-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-08-05 | 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 | 2024-06-27 | 2024-08-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-27 | 2024-08-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-27 | 2024-08-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-27 | 2024-08-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-27 | 2024-08-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-27 | 2024-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-08-11 | 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 | 2023-06-29 | 2023-08-11 | N |