A list of the most recent deficiencies for Mooreland Heritage Manor. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-02-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-11 | 2023-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-11 | 2023-08-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-11 | 2023-08-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-11 | 2023-08-25 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-07-11 | 2023-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-11 | 2023-08-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-11 | 2023-08-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-07-11 | 2023-08-25 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-21 | 2023-03-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-21 | 2023-03-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-21 | 2023-03-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-21 | 2023-03-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-12-21 | 2023-03-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-21 | 2023-03-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-21 | 2023-03-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-21 | 2023-03-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-21 | 2023-02-03 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-12-21 | 2023-02-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-02-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-21 | 2023-02-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-20 | 2022-08-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-20 | 2022-08-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-20 | 2022-07-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-05-20 | 2022-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-20 | 2022-07-01 | 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 | 2022-05-20 | 2022-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-20 | 2022-07-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-20 | 2022-07-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-20 | 2022-07-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-20 | 2022-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-20 | 2022-07-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-20 | 2022-07-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-20 | 2022-07-01 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-05-20 | 2022-07-01 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-11 | 2022-07-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-11 | 2022-07-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-20 | 2022-06-30 | 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 | 2022-05-20 | 2022-06-29 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-05-20 | 2022-06-22 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-09-22 | 2022-02-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-22 | 2022-02-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-22 | 2022-02-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-09-22 | 2022-02-18 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-09-22 | 2022-02-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-22 | 2021-10-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-22 | 2021-10-13 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-09-22 | 2021-10-13 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-09-22 | 2021-10-13 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-09-22 | 2021-10-13 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-20 | 2021-06-28 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-05-20 | 2021-06-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-20 | 2021-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-28 | Y |
