Deficiency Records for Heritage Ridge Senior Living at Johnstown
Updated as of March 01, 2024
A list of the most recent deficiencies for Heritage Ridge Senior Living at Johnstown. 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? |
|---|---|---|---|---|
| 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 | 2023-03-02 | 2023-04-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-02 | 2023-04-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-02 | 2023-04-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-02 | 2023-04-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-02 | 2023-04-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-02 | 2023-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-02 | 2023-04-15 | 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 | 2023-03-02 | 2023-04-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-02 | 2023-04-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-02 | 2023-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-02 | 2023-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-04-15 | 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 | 2023-03-02 | 2023-04-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-02 | 2023-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-02 | 2023-04-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-02 | 2023-04-15 | 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 | 2023-03-02 | 2023-04-15 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-03-02 | 2023-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-04-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-02 | 2023-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-04-15 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-03-02 | 2023-04-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-02 | 2023-03-31 | 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 | 2023-03-02 | 2023-03-31 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-03-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-13 | 2022-05-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-13 | 2022-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-13 | 2022-05-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-04-13 | 2022-05-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-13 | 2022-05-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-13 | 2022-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-13 | 2022-05-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-13 | 2022-05-25 | 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 | 2022-04-13 | 2022-05-25 | 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 | 2022-04-13 | 2022-05-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-04-13 | 2022-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-13 | 2022-05-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-04-13 | 2022-05-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-04-13 | 2022-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-13 | 2022-05-25 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-13 | 2022-05-25 | 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 | 2022-04-14 | 2022-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-14 | 2022-05-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-28 | 2022-03-29 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-28 | 2022-03-29 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-02-28 | 2022-03-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-28 | 2022-03-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-28 | 2022-03-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-28 | 2022-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-28 | 2022-03-29 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-02-28 | 2022-03-29 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-09-13 | 2021-10-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-13 | 2021-10-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-13 | 2021-10-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-13 | 2021-10-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-13 | 2021-10-20 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-13 | 2021-10-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-10-16 | 2020-12-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-10-16 | 2020-12-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-10-16 | 2020-12-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-10-16 | 2020-12-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-16 | 2020-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-16 | 2020-12-07 | 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 | 2020-10-16 | 2020-12-07 | 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 | 2020-10-16 | 2020-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-16 | 2020-12-07 | 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 | 2020-10-16 | 2020-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-16 | 2020-12-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-10-16 | 2020-12-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-10-16 | 2020-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-16 | 2020-12-07 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-10-16 | 2020-12-07 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2020-10-19 | 2020-11-05 | N |
