Deficiency Records for Heritage Green Rehab and Skilled Nursing
Updated as of June 01, 2019
This is not the most recent data for Heritage Green Rehab and Skilled Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Heritage Green Rehab and Skilled Nursing. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-29 | 2019-05-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-29 | 2019-05-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-29 | 2019-05-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-29 | 2019-05-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-03-29 | 2019-05-28 | 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 ne | Health | 2019-03-29 | 2019-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-05-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-10-26 | 2017-12-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-10-26 | 2017-12-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-10-26 | 2017-12-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-10-26 | 2017-12-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-26 | 2017-12-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-26 | 2017-12-25 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-26 | 2017-12-25 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-08-26 | 2016-10-25 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-08-26 | 2016-10-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-26 | 2016-10-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-26 | 2016-10-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-26 | 2016-10-25 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-08-26 | 2016-10-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-26 | 2016-10-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-08-26 | 2016-10-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-26 | 2016-10-25 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-08-26 | 2016-10-10 | N |
