A list of the most recent deficiencies for Heritage Hall Blacksburg. 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-24 | 2023-10-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-24 | 2023-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-24 | 2023-10-24 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-24 | 2023-04-10 | 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 | 2023-02-24 | 2023-04-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-24 | 2023-04-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-24 | 2023-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-24 | 2023-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-24 | 2023-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-24 | 2023-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-19 | 2023-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-01 | 2021-03-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-10 | 2020-07-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-10 | 2020-07-22 | 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 | 2020-02-10 | 2020-07-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-10 | 2020-07-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-10 | 2020-07-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-10 | 2020-07-22 | 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 | 2020-02-10 | 2020-07-22 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2020-02-10 | 2020-07-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-10 | 2020-07-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-10 | 2020-07-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-02-10 | 2020-07-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-10 | 2020-07-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-02-10 | 2020-07-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-10 | 2020-07-22 | 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 | 2018-09-06 | 2018-10-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-06 | 2018-10-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-06 | 2018-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-06 | 2018-10-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-06 | 2018-10-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-06 | 2018-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-06 | 2018-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-10-19 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-06 | 2018-10-19 | N |
