CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Heritage Villa Care and Rehab Center
View the most recent health deficiencies and inspection results for Heritage Villa Care and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Heritage Villa Care and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-14 | 2025-08-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-14 | 2025-08-28 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-14 | 2025-08-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-14 | 2025-08-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-08-14 | 2025-08-28 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-14 | 2025-01-28 | 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 | 2025-01-14 | 2025-01-28 | 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 | 2025-01-14 | 2025-01-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-01-14 | 2025-01-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-14 | 2025-01-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-14 | 2025-01-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-01-14 | 2025-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-22 | 2024-03-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-22 | 2023-11-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-22 | 2023-11-02 | Y |
| 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 | 2023-09-22 | 2023-11-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-22 | 2023-11-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-22 | 2023-11-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-22 | 2023-11-02 | Y |
| 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 | 2023-09-22 | 2023-11-02 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-22 | 2023-11-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-11-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-22 | 2023-11-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-11-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-09-22 | 2023-11-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-22 | 2023-11-02 | 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 | 2023-09-22 | 2023-11-02 | 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 | 2021-04-28 | 2021-07-07 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-28 | 2021-07-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-04-28 | 2021-07-07 | 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 | 2021-04-28 | 2021-07-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-28 | 2021-07-07 | 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 | 2021-04-28 | 2021-07-07 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2021-04-28 | 2021-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-28 | 2021-07-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-28 | 2021-07-07 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-04-28 | 2021-07-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-28 | 2021-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-28 | 2021-07-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-28 | 2021-07-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-28 | 2021-07-07 | 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 | 2021-04-28 | 2021-07-07 | 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 | 2021-04-28 | 2021-07-07 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-04-28 | 2021-07-07 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-28 | 2021-07-07 | 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 | 2021-04-28 | 2021-07-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-28 | 2021-07-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-28 | 2021-07-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-28 | 2021-07-07 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-04-28 | 2021-07-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-04-28 | 2021-07-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-28 | 2021-07-07 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-04-28 | 2021-07-07 | N |