Deficiency Records for The Heritage Rehabilitation and Health Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for The Heritage Rehabilitation and Health 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? |
|---|---|---|---|---|
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-08-17 | 2023-09-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-13 | 2023-09-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-26 | 2022-02-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-26 | 2022-01-21 | 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 | 2021-11-26 | 2022-01-21 | 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 | 2021-11-26 | 2022-01-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-26 | 2022-01-21 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-26 | 2022-01-21 | 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 | 2021-11-26 | 2022-01-21 | 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 | 2021-11-26 | 2022-01-21 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-11-26 | 2022-01-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-26 | 2022-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-26 | 2022-01-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-26 | 2022-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-26 | 2022-01-21 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-11-26 | 2022-01-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-11-26 | 2022-01-15 | 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 | 2021-11-26 | 2022-01-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-26 | 2022-01-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-31 | 2019-07-29 | 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 | 2019-05-31 | 2019-07-29 | 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 | 2019-05-31 | 2019-07-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-05-31 | 2019-07-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-31 | 2019-07-29 | 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 | 2019-05-31 | 2019-07-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-31 | 2019-07-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-31 | 2019-07-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-31 | 2019-07-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-31 | 2019-07-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-31 | 2019-07-29 | N |
