Deficiency Records for Heritage Village Rehab and Skilled Nursing Inc.
Updated as of April 01, 2024
A list of the most recent deficiencies for Heritage Village Rehab and Skilled Nursing Inc.. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-12 | 2022-10-12 | 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 | 2022-08-12 | 2022-10-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-08-12 | 2022-10-12 | 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 | 2022-08-12 | 2022-10-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-12 | 2022-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-12 | 2022-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-12 | 2022-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-12 | 2022-08-29 | 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 | 2022-08-12 | 2022-08-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-12 | 2022-08-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-03 | 2022-01-13 | N |
| 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 | 2019-09-23 | 2019-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-23 | 2019-11-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-23 | 2019-11-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-23 | 2019-11-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-23 | 2019-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-23 | 2019-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-23 | 2019-11-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-15 | 2018-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-15 | 2018-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-15 | 2018-08-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-15 | 2018-08-10 | N |
| Keep all essential equipment working safely. | Health | 2018-06-15 | 2018-08-10 | 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 | 2018-06-15 | 2018-08-10 | 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 | 2018-06-15 | 2018-08-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-15 | 2018-08-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-15 | 2018-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-15 | 2018-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-15 | 2018-08-10 | N |
