Deficiency Records for Hearthstone Nursing and Rehabilitation Center
Updated as of October 01, 2020
This is not the most recent data for Hearthstone Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Hearthstone Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-06 | 2019-10-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-06 | 2019-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-10-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-06 | 2019-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-06 | 2019-10-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-10 | 2019-10-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-10 | 2019-10-14 | 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 | 2019-09-10 | 2019-10-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-10 | 2019-10-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-10 | 2019-10-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-09-10 | 2019-10-14 | 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 | 2019-09-10 | 2019-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-10 | 2019-10-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-10 | 2019-10-14 | 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 | 2019-09-10 | 2019-10-14 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-09-10 | 2019-10-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-10 | 2019-10-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-10 | 2019-10-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-10 | 2019-10-14 | 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 | 2019-09-10 | 2019-10-14 | 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 | 2019-09-10 | 2019-10-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-10 | 2019-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-10 | 2019-10-14 | N |
| Dispose of garbage and refuse properly. | Health | 2019-09-10 | 2019-10-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-10 | 2019-10-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-09-10 | 2019-10-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-10 | 2019-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-10 | 2019-10-14 | Y |
| Post nurse staffing information every day. | Health | 2019-09-10 | 2019-10-14 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-10 | 2019-10-14 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-04-23 | 2019-06-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-23 | 2019-06-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-23 | 2019-06-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-23 | 2019-06-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-23 | 2019-06-11 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-04-23 | 2019-06-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-23 | 2019-06-11 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-23 | 2019-06-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-23 | 2019-06-11 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-04-23 | 2019-06-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-23 | 2019-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-23 | 2019-06-11 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-04-23 | 2019-06-11 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-04-23 | 2019-06-11 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-04-23 | 2019-06-11 | 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 | 2019-04-23 | 2019-06-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-23 | 2019-06-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-23 | 2019-05-23 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-04-23 | 2019-05-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-24 | 2018-06-20 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-24 | 2018-06-20 | Y |
| 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 | 2018-05-24 | 2018-06-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-24 | 2018-06-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-01 | 2018-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-01 | 2018-03-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-02 | 2018-03-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-02 | 2018-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-02 | 2018-03-24 | N |
| Maintain comfortable sound levels. | Health | 2016-11-04 | 2016-12-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-04 | 2016-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-04 | 2016-12-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-04 | 2016-12-09 | N |
