A list of the most recent deficiencies for Heritage Care Center. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-06-12 | 2023-08-01 | 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 | 2023-06-12 | 2023-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-06-12 | 2023-08-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-16 | 2023-07-17 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-16 | 2023-07-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-13 | 2022-09-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-24 | 2022-06-24 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-05-24 | 2022-06-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-24 | 2022-06-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-24 | 2022-06-24 | 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 | 2022-05-24 | 2022-06-24 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-24 | 2022-06-24 | 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 | 2022-05-24 | 2022-06-24 | 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 | 2022-05-24 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-24 | 2022-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-24 | 2022-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-24 | 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 | 2022-05-23 | 2022-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-23 | 2022-06-17 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-05-23 | 2022-06-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-22 | 2021-04-23 | 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 | 2020-09-29 | 2020-11-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-29 | 2020-11-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-10-01 | 2020-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-01 | 2020-11-15 | 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 | 2020-10-01 | 2020-11-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-10-01 | 2020-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-01 | 2020-11-15 | 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 | 2020-10-01 | 2020-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-01 | 2020-11-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-10-01 | 2020-11-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-10-01 | 2020-11-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-10-01 | 2020-11-15 | N |
