A list of the most recent deficiencies for Heritage Hall Clintwood. 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 | 2023-03-14 | 2023-05-01 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-20 | 2022-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-20 | 2022-07-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-05-20 | 2022-07-15 | 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 | 2022-05-05 | 2022-06-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-20 | 2019-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-20 | 2019-09-13 | 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 | 2019-06-20 | 2019-09-13 | 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 | 2019-06-20 | 2019-09-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-06-20 | 2019-09-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-20 | 2019-08-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-20 | 2019-08-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-06-20 | 2019-08-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-27 | 2019-07-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-27 | 2019-07-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-02-26 | 2018-03-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-26 | 2018-03-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-02 | 2018-03-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-02 | 2018-03-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-02 | 2018-03-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-02-02 | 2018-03-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-02 | 2018-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-02 | 2018-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-02 | 2018-03-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-02 | 2018-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-02 | 2018-03-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-02 | 2018-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-02 | 2018-03-19 | N |
