Deficiency Records for Heritage Hall Big Stone Gap
Updated as of May 01, 2024
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Deficiency Records for Heritage Hall Big Stone Gap
A list of the most recent deficiencies for Heritage Hall Big Stone Gap. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Heritage Hall Big Stone Gap. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-10-11 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-10 | 2023-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-10 | 2023-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-10 | 2023-04-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-10 | 2023-04-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-10 | 2023-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-01 | 2023-02-07 | 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 | 2023-02-01 | 2023-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-01 | 2023-02-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-01 | 2023-02-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-01 | 2023-02-07 | 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 | 2021-05-12 | 2021-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-12 | 2021-07-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-12 | 2021-07-08 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2021-05-12 | 2021-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-12 | 2021-07-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-12 | 2021-07-08 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2021-05-12 | 2021-07-08 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-05-12 | 2021-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-12 | 2021-07-08 | 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 | 2021-05-12 | 2021-07-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-12 | 2021-07-08 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-05-12 | 2021-07-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-12 | 2021-07-08 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-05-13 | 2021-07-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-05-13 | 2021-07-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-13 | 2021-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-13 | 2021-07-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-13 | 2021-07-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-13 | 2021-07-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-13 | 2021-07-01 | 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 | 2019-06-27 | 2019-08-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-27 | 2019-08-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-27 | 2019-08-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-06-27 | 2019-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-27 | 2019-08-11 | 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 | 2019-06-27 | 2019-08-11 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-06-27 | 2019-08-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-27 | 2019-08-11 | 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 | 2019-06-27 | 2019-08-11 | 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 | 2019-06-27 | 2019-08-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-27 | 2019-08-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-27 | 2019-08-11 | 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 | 2019-06-27 | 2019-08-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-27 | 2019-08-11 | 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 | 2019-06-27 | 2019-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-27 | 2019-08-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-06-27 | 2019-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-27 | 2019-08-11 | N |
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