Deficiency Records for The Hearthstone
Updated as of September 01, 2020
This is not the most recent data for The Hearthstone. For the most recent information, click here.
A list of the most recent deficiencies for The Hearthstone. 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? |
|---|---|---|---|---|
| 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 | 2020-02-19 | 2020-03-14 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2020-02-19 | 2020-03-14 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-06 | 2019-09-13 | 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 | 2019-08-06 | 2019-09-13 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-06 | 2019-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-06 | 2019-09-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-08-06 | 2019-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-06 | 2019-09-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-13 | 2018-10-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-09-13 | 2018-10-03 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-07-13 | 2018-08-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-07-13 | 2018-08-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-13 | 2018-08-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-13 | 2018-08-20 | 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 | 2018-07-13 | 2018-08-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-07-13 | 2018-08-20 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-13 | 2018-08-20 | N |
| Post nurse staffing information every day. | Health | 2018-07-13 | 2018-08-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-13 | 2018-08-20 | 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 | 2018-07-13 | 2018-08-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-07-13 | 2018-08-20 | 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 | 2018-07-13 | 2018-08-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-13 | 2018-08-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-13 | 2018-08-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-07-13 | 2018-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-13 | 2018-08-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-13 | 2018-08-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-13 | 2018-08-20 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-26 | 2018-08-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-26 | 2018-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-26 | 2018-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-26 | 2018-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-26 | 2018-08-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-01-12 | 2018-02-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-06-08 | 2017-07-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-08 | 2017-07-31 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-06-08 | 2017-07-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-08 | 2017-07-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-08 | 2017-07-31 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-08 | 2017-07-31 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-06-08 | 2017-07-31 | 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 | 2017-06-08 | 2017-07-31 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-08 | 2017-07-31 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-06-08 | 2017-07-31 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-06-08 | 2017-07-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-08 | 2017-07-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-07-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-06-14 | 2017-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-14 | 2017-07-18 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-06-14 | 2017-07-18 | N |
