A list of the most recent deficiencies for Heritage Hall Dillwyn. 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? |
|---|---|---|---|---|
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2022-07-28 | 2022-09-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-28 | 2022-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-28 | 2022-09-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-28 | 2022-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-09-09 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-28 | 2022-09-09 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-07-28 | 2022-09-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-14 | 2021-06-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-14 | 2021-06-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-14 | 2021-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-14 | 2021-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-31 | 2021-05-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-03-31 | 2021-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-31 | 2021-05-10 | 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 | 2021-03-31 | 2021-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-31 | 2021-05-10 | 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 | 2021-03-31 | 2021-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-31 | 2021-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-31 | 2021-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-31 | 2021-05-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-27 | 2019-08-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-27 | 2019-08-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-27 | 2019-08-10 | 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 | 2019-08-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-06-27 | 2019-08-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-27 | 2019-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-27 | 2019-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-27 | 2019-08-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-27 | 2019-08-10 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-06-27 | 2019-08-10 | 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 | 2019-08-10 | N |
