A list of the most recent deficiencies for Patriot Heights Health Care 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-23 | 2024-01-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-25 | 2023-11-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-10-19 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-05 | 2023-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-20 | 2023-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-10-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-26 | 2023-06-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-05-26 | 2023-06-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-26 | 2023-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-06-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-25 | 2023-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-02-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-25 | 2022-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-23 | 2022-04-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-25 | 2022-03-28 | 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 | 2022-03-25 | 2022-03-28 | 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 | 2022-03-25 | 2022-03-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-03-25 | 2022-03-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-16 | 2022-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-08 | 2021-05-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-08 | 2021-05-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-17 | 2020-01-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-12-17 | 2020-01-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-12-17 | 2020-01-24 | 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 | 2019-12-17 | 2020-01-24 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-12-17 | 2020-01-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-17 | 2020-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-17 | 2020-01-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-19 | 2019-12-31 | 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 | 2019-12-19 | 2019-12-31 | 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 | 2019-12-19 | 2019-12-31 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-12-19 | 2019-12-31 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-25 | Not Fixed | N |
