Deficiency Records for Heritage Ridge Senior Living at Johnstown
Updated as of September 01, 2021
This is not the most recent data for Heritage Ridge Senior Living at Johnstown. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-23 | 2021-01-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-12-23 | 2021-01-29 | N |
| 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 |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2020-10-19 | 2020-11-05 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-18 | 2019-06-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-04-18 | 2019-06-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-18 | 2019-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-18 | 2019-06-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-18 | 2019-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-06-10 | 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 | 2019-04-18 | 2019-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-18 | 2019-06-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-18 | 2019-06-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-04-18 | 2019-06-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-18 | 2019-06-10 | 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 | 2019-04-18 | 2019-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-06-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-18 | 2019-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-24 | 2019-06-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-24 | 2019-06-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-24 | 2019-06-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-24 | 2019-06-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-23 | 2018-12-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-23 | 2018-12-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-07 | 2018-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-07 | 2018-08-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-07 | 2018-07-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-07 | 2018-07-06 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-05-07 | 2018-07-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-07 | 2018-07-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-07 | 2018-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-07 | 2018-07-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-05-07 | 2018-07-06 | 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 | 2018-05-07 | 2018-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-07 | 2018-07-06 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-05-08 | 2018-06-04 | N |
