Deficiency Records for The Heights Rehabilitation and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for The Heights Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-18 | 2023-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-18 | 2023-11-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-18 | 2023-11-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-27 | 2023-11-01 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-09-14 | 2023-11-01 | 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 | 2023-09-14 | 2023-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-11-01 | 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 | 2023-09-14 | 2023-11-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-11-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-14 | 2023-11-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-14 | 2023-11-01 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-09-12 | 2023-11-01 | 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 | 2023-09-12 | 2023-11-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-12 | 2023-11-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-14 | 2023-10-05 | 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 | 2023-09-14 | 2023-10-05 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-07 | 2023-03-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-07 | 2023-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-27 | 2023-01-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-22 | 2023-01-11 | 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 | 2021-12-30 | 2022-01-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-30 | 2022-01-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-30 | 2020-04-16 | 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 | 2020-01-30 | 2020-04-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-01-30 | 2020-04-16 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-01-30 | 2020-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-04-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-30 | 2020-04-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-28 | 2020-04-16 | 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 | 2020-01-28 | 2020-04-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-28 | 2020-04-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-28 | 2020-03-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-28 | 2020-03-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-30 | 2020-02-28 | 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 | 2020-01-30 | 2020-02-28 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2018-11-08 | 2019-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-08 | 2019-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-08 | 2019-01-11 | N |
| Provide or obtain dental services for each resident. | Health | 2018-11-08 | 2019-01-11 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
| Meet other general requirements. | Fire Safety | 2018-11-08 | 2019-01-11 | 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 | 2018-11-08 | 2019-01-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-08 | 2019-01-11 | N |
