A list of the most recent deficiencies for Heritage Hall - Brookneal. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-23 | 2022-04-04 | 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 | 2021-12-23 | 2022-02-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-23 | 2022-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-23 | 2022-02-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-23 | 2022-02-15 | 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 | 2021-12-16 | 2022-01-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-16 | 2022-01-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-16 | 2022-01-26 | 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 | 2021-12-16 | 2022-01-26 | N |
| Post nurse staffing information every day. | Health | 2021-12-16 | 2022-01-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-16 | 2022-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-26 | 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 | 2019-02-07 | 2019-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-07 | 2019-03-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-07 | 2019-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-07 | 2019-03-25 | 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 | 2019-01-24 | 2019-03-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-24 | 2019-03-07 | 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 | 2019-01-24 | 2019-03-07 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-01-24 | 2019-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-24 | 2019-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-24 | 2019-03-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-01-24 | 2019-03-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-24 | 2019-03-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-11-02 | 2017-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-02 | 2017-12-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-02 | 2017-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-02 | 2017-12-27 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-19 | 2017-11-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-19 | 2017-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-19 | 2017-11-29 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-19 | 2017-11-29 | 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 | 2017-10-19 | 2017-11-29 | N |
