A list of the most recent deficiencies for Heritage Place. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-31 | 2024-02-19 | Y |
| 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 | 2024-01-31 | 2024-02-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-27 | 2024-02-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-27 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-27 | 2024-02-01 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-12-27 | 2024-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-27 | 2024-02-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-31 | 2024-01-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-21 | 2024-01-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-21 | 2024-01-29 | 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 | 2023-12-21 | 2024-01-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-21 | 2024-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-01-29 | 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 | 2023-12-21 | 2024-01-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-21 | 2024-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-21 | 2024-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-21 | 2024-01-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-21 | 2024-01-29 | N |
| Provide or obtain dental services for each resident. | Health | 2023-12-21 | 2024-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-29 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-21 | 2024-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-27 | 2024-01-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-27 | 2024-01-29 | 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 | 2023-10-12 | 2023-11-03 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-12 | 2023-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-30 | 2023-09-20 | 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 | 2023-08-30 | 2023-09-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-08 | 2023-07-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-08 | 2023-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-08 | 2023-07-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-07-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-08 | 2023-07-07 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-06-08 | 2023-07-07 | 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 | 2023-06-08 | 2023-07-07 | Y |
| Post nurse staffing information every day. | Health | 2023-06-08 | 2023-07-07 | Y |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2022-12-28 | 2023-02-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-28 | 2023-01-20 | 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 | 2022-12-22 | 2023-01-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-22 | 2023-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-22 | 2023-01-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-22 | 2023-01-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-22 | 2023-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-22 | 2023-01-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-22 | 2023-01-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-21 | 2022-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-21 | 2022-02-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-21 | 2022-02-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-21 | 2022-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-01-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-27 | 2022-01-20 | 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 | 2021-12-27 | 2022-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-27 | 2022-01-20 | N |
