Deficiency Records for Heritage Skilled Nursing and Therapy
Updated as of May 01, 2024
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Deficiency Records for Heritage Skilled Nursing and Therapy
A list of the most recent deficiencies for Heritage Skilled Nursing and Therapy. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Heritage Skilled Nursing and Therapy. 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? |
|---|---|---|---|---|
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-11-16 | 2023-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-16 | 2023-12-12 | 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 | 2023-11-16 | 2023-12-12 | Y |
| 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 | 2023-11-16 | 2023-12-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2022-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-17 | 2022-12-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-17 | 2022-12-20 | 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 | 2022-11-17 | 2022-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-17 | 2022-12-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-17 | 2022-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-17 | 2022-12-20 | 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 | 2022-11-17 | 2022-12-20 | 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 | 2022-11-17 | 2022-12-20 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-11-17 | 2022-12-20 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-15 | 2022-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-15 | 2022-12-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-11-15 | 2022-12-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-15 | 2022-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-15 | 2022-12-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-15 | 2022-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-29 | 2022-03-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-22 | 2022-01-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-22 | 2022-01-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-22 | 2022-01-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-22 | 2021-11-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-10 | 2021-09-29 | 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 | 2021-09-10 | 2021-09-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-10 | 2021-09-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-10 | 2021-09-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-10 | 2021-09-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-09-29 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-05-19 | 2021-06-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-19 | 2021-06-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-19 | 2021-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-19 | 2021-06-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-19 | 2021-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-19 | 2021-06-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-19 | 2021-06-09 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2021-05-19 | 2021-06-09 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-05-19 | 2021-06-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-19 | 2021-06-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-05-19 | 2021-06-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-19 | 2021-06-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-19 | 2021-06-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-19 | 2021-06-09 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-05-19 | 2021-06-09 | Y |
| 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 | 2021-05-19 | 2021-06-09 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-29 | 2019-02-27 | 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 | 2019-01-29 | 2019-02-27 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
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