Deficiency Records for Heritage Ridge Senior Living at Johnstown
Updated as of July 01, 2022
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 | 2022-04-13 | 2022-05-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | 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 |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-09-13 | 2021-10-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-13 | 2021-10-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-13 | 2021-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-13 | 2021-10-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-13 | 2021-10-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-13 | 2021-10-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-19 | 2021-03-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-19 | 2021-03-26 | Y |
| 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 |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 requirements for the installation and maintenance of electrical systems. | 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 |
