Deficiency Records for Mooreland Heritage Manor
Updated as of June 01, 2023
This is not the most recent data for Mooreland Heritage Manor. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Provide and implement an infection prevention and control program. | Health | 2020-09-01 | 2021-01-04 | N |
Keep residents' personal and medical records private and confidential. | Health | 2020-02-02 | 2020-03-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-02 | 2020-03-09 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-02 | 2020-03-09 | 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 | 2020-02-02 | 2020-03-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-02 | 2020-03-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-29 | 2020-03-09 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-29 | 2020-03-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-11 | 2019-05-09 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-03-11 | 2019-05-06 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-03-11 | 2019-05-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-11 | 2019-05-06 | 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 | 2019-03-11 | 2019-05-06 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-11 | 2019-05-06 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-11 | 2019-05-06 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-11 | 2019-05-06 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-03-11 | 2019-05-06 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-03-11 | 2019-05-06 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-11 | 2019-05-06 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-05 | 2019-05-03 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-05 | 2019-05-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-05 | 2019-05-03 | N |