A list of the most recent deficiencies for Heritage Manor. 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 | 2023-03-09 | 2023-04-17 | 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 | 2023-03-09 | 2023-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-04-17 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-09 | 2023-04-17 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-05-19 | 2022-06-03 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-16 | 2022-01-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-01-24 | 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 | 2021-12-16 | 2022-01-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-16 | 2022-01-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-20 | 2022-01-24 | 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 | 2021-12-20 | 2022-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-20 | 2022-01-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-20 | 2022-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-01-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-20 | 2022-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-20 | 2022-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-20 | 2022-01-24 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-12-20 | 2022-01-24 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-10-01 | 2019-11-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-04 | 2019-11-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-04 | 2019-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-04 | 2019-11-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-04 | 2019-11-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-04 | 2019-11-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-04 | 2019-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-04 | 2019-11-11 | 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 | 2019-10-01 | 2019-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-01 | 2019-11-11 | N |
