A list of the most recent deficiencies for Heather Hill Care Communities. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-01-19 | 2023-02-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-19 | 2023-02-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-19 | 2023-02-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-02-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-19 | 2023-02-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-06 | 2022-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-06 | 2022-10-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-06 | 2022-10-28 | 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 | 2022-10-03 | 2022-10-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-03 | 2022-10-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-20 | 2022-06-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-30 | 2021-07-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-30 | 2021-07-22 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2019-11-21 | 2020-06-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-21 | 2020-01-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-21 | 2020-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2020-01-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-21 | 2020-01-17 | 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 | 2019-11-21 | 2020-01-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-11-21 | 2020-01-17 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-27 | 2018-10-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-09-27 | 2018-10-31 | 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 | 2018-09-27 | 2018-10-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-09-27 | 2018-10-31 | 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 | 2018-09-27 | 2018-10-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-27 | 2018-10-31 | N |
