A list of the most recent deficiencies for Heritage The. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-01-22 | 2024-02-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-21 | 2022-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-21 | 2022-08-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-21 | 2022-08-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-21 | 2022-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-21 | 2022-08-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-21 | 2022-08-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-21 | 2022-08-13 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2022-07-21 | 2022-08-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-21 | 2022-08-13 | 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 | 2022-07-18 | 2022-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-18 | 2022-08-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-04-29 | 2022-05-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-29 | 2022-05-13 | 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 | 2022-04-29 | 2022-05-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-21 | 2022-04-01 | 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 | 2022-03-21 | 2022-04-01 | Y |
| 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 | 2019-08-08 | 2019-09-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-08-08 | 2019-09-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-08 | 2019-09-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-08 | 2019-09-17 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-08-08 | 2019-09-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-08 | 2019-09-17 | 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 | 2019-08-08 | 2019-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-06 | 2019-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-09-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-06 | 2019-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-09-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-06 | 2019-09-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-06-28 | 2018-08-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-28 | 2018-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-28 | 2018-08-10 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-28 | 2018-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-28 | 2018-08-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-28 | 2018-08-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-28 | 2018-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-28 | 2018-08-10 | 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 | 2018-06-28 | 2018-08-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-06-27 | 2018-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-27 | 2018-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-27 | 2018-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-27 | 2018-08-10 | N |
