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Deficiency Records for Heritage Healthcare of Lyndhurst
View the most recent health deficiencies and inspection results for Heritage Healthcare of Lyndhurst. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Heritage Healthcare of Lyndhurst. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-04-07 | 2025-04-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-07 | 2025-04-28 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-04-07 | 2025-04-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-07 | 2025-04-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-04-07 | 2025-04-28 | 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 | 2025-04-07 | 2025-04-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-07 | 2025-04-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-04-07 | 2025-04-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-07 | 2025-04-28 | 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 | 2025-04-07 | 2025-04-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-04-07 | 2025-04-28 | 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 | 2025-04-07 | 2025-04-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-07 | 2025-04-28 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-04-07 | 2025-04-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-07 | 2025-04-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-04-07 | 2025-04-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-07 | 2025-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-07 | 2025-04-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-07 | 2025-04-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-04-07 | 2025-04-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-07 | 2025-04-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-07 | 2025-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-07 | 2025-04-28 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2025-04-07 | 2025-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-07 | 2025-04-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-07 | 2025-04-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-07 | 2025-04-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-07 | 2025-04-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-16 | 2025-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-16 | 2025-01-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-12-05 | 2024-12-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-16 | 2024-11-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-16 | 2024-11-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-30 | 2024-08-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-30 | 2024-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-30 | 2024-08-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-30 | 2024-08-23 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-04-23 | 2024-05-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-23 | 2024-05-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-05 | 2024-05-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-23 | 2024-05-14 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-04-23 | 2024-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-23 | 2024-05-14 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-05 | 2024-05-14 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-03-05 | 2024-05-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-05 | 2024-05-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-05 | 2024-05-14 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-03-05 | 2024-05-14 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-03-05 | 2024-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-05 | 2024-05-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-05 | 2024-05-14 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-03-05 | 2024-05-14 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-03-05 | 2024-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-05 | 2024-05-14 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-16 | 2024-05-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-05-14 | Y |
| 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 | 2024-04-16 | 2024-05-14 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-23 | 2024-01-12 | 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 | 2023-11-23 | 2024-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-23 | 2024-01-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-23 | 2024-01-12 | 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 | 2023-11-23 | 2024-01-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-23 | 2024-01-12 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-11-23 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-10-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-22 | 2023-10-26 | Y |
| 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 | 2023-09-22 | 2023-10-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-12 | 2023-10-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-27 | 2023-07-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-06 | 2023-07-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-07-06 | 2023-07-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-06 | 2023-07-29 | Y |
| Provide appropriate foot care. | Health | 2023-07-06 | 2023-07-29 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-07-06 | 2023-07-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-06 | 2023-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-07-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-05-14 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-02-27 | 2020-03-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-27 | 2020-03-27 | 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 | 2020-02-27 | 2020-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-27 | 2020-03-27 | 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 | 2020-02-27 | 2020-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-03-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-02-27 | Not Fixed | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-27 | Not Fixed | N |