Deficiency Records for Heritage Center For Rehab and Speciality Care
Updated as of April 01, 2024
A list of the most recent deficiencies for Heritage Center For Rehab and Speciality Care. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-04 | 2024-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2024-01-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-04 | 2024-01-12 | Y |
| 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 | 2023-12-04 | 2024-01-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-12 | 2023-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-12 | 2023-02-22 | 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 | 2023-01-12 | 2023-02-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-12 | 2023-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-02-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-12 | 2023-02-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-11 | 2023-02-22 | 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 | 2023-01-11 | 2023-02-22 | 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 | 2023-01-11 | 2023-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-11 | 2023-02-22 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-09-26 | 2022-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-26 | 2022-10-19 | Y |
| 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 | 2022-09-26 | 2022-10-19 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-09-26 | 2022-10-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-26 | 2022-10-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-26 | 2022-10-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-26 | 2022-10-19 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-28 | 2019-11-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-08-28 | 2019-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-11-15 | N |
| Develop a communication plan. | Fire Safety | 2019-08-26 | 2019-11-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-26 | 2019-11-15 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-08-26 | 2019-11-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-26 | 2019-11-15 | 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 | 2019-08-26 | 2019-11-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-08-26 | 2019-11-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-26 | 2019-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-26 | 2019-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-26 | 2019-11-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-08-26 | 2019-11-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-26 | 2018-09-11 | 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 | 2018-07-26 | 2018-09-11 | 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 | 2018-07-26 | 2018-09-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-26 | 2018-09-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-26 | 2018-09-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-26 | 2018-09-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-07-26 | 2018-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-27 | 2018-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-27 | 2018-09-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-07-27 | 2018-09-10 | N |
