Deficiency Records for Heritage Hall - Brookneal
Updated as of January 01, 2022
This is not the most recent data for Heritage Hall - Brookneal. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-17 | 2016-11-30 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-10-17 | 2016-11-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-17 | 2016-11-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-17 | 2016-11-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-17 | 2016-11-30 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-10-17 | 2016-11-30 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-10-17 | 2016-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-17 | 2016-11-30 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-10-17 | 2016-11-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-10-17 | 2016-11-30 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-10-17 | 2016-11-30 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-10-17 | 2016-11-30 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-10-17 | 2016-11-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-17 | 2016-11-30 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-10-20 | 2016-11-14 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-10-20 | 2016-11-14 | N |
