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Deficiency Records for Heartwood Extended Healthcare
View the most recent health deficiencies and inspection results for Heartwood Extended Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Heartwood Extended Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-03-30 | 2026-05-05 | 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 | 2026-03-30 | 2026-05-05 | 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 | 2026-03-30 | 2026-05-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-03-30 | 2026-05-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-03-30 | 2026-05-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-30 | 2026-05-05 | N |
| Respond appropriately to all alleged violations. | Health | 2026-03-30 | 2026-05-05 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-30 | 2026-05-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-30 | 2026-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-30 | 2026-05-05 | 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 | 2026-03-30 | 2026-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-30 | 2026-05-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-30 | 2026-05-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-03-30 | 2026-05-05 | 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 | 2026-03-30 | 2026-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-30 | 2026-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-30 | 2026-05-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-03-30 | 2026-05-05 | N |
| Post nurse staffing information every day. | Health | 2026-03-30 | 2026-05-05 | 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 | 2026-03-30 | 2026-05-05 | N |
| Provide or obtain dental services for each resident. | Health | 2026-03-30 | 2026-05-05 | 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 | 2026-03-30 | 2026-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-30 | 2026-05-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2026-03-30 | 2026-04-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-03-30 | 2026-04-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2026-03-30 | 2026-04-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2026-03-30 | 2026-04-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2026-03-30 | 2026-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-30 | 2026-04-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-03-30 | 2026-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-17 | 2025-06-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-13 | 2025-03-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-02-13 | 2025-03-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-13 | 2025-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide or obtain dental services for each resident. | Health | 2025-02-13 | 2025-03-21 | 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 | 2025-02-13 | 2025-03-21 | N |
| Post nurse staffing information every day. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-13 | 2025-03-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-13 | 2025-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-13 | 2025-03-21 | 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 | 2025-02-13 | 2025-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-13 | 2025-03-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-02-13 | 2025-03-21 | 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 | 2025-02-13 | 2025-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-13 | 2025-03-21 | 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 | 2025-02-13 | 2025-03-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-02-13 | 2025-03-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-13 | 2025-03-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-02-13 | 2025-03-17 | 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 | 2024-10-29 | 2024-11-29 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-29 | 2024-11-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-12 | 2024-07-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-12 | 2024-07-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-12 | 2024-05-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-12 | 2024-05-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-04-12 | 2024-05-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-12 | 2024-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-12 | 2024-05-24 | 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 | 2024-04-12 | 2024-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-12 | 2024-05-24 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-12 | 2024-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-12 | 2024-05-24 | 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 | 2024-04-12 | 2024-05-24 | 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 | 2024-04-12 | 2024-05-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-12 | 2024-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-05-24 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-12 | 2024-05-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-12 | 2024-05-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-12 | 2024-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-24 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-04-12 | 2024-05-24 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-04-12 | 2024-05-24 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-04-12 | 2024-05-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-04-12 | 2024-05-24 | 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 | 2024-04-12 | 2024-05-24 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-12 | 2024-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-12 | 2024-05-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-12 | 2024-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-12 | 2024-05-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-12 | 2024-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-12 | 2024-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-27 | 2024-04-17 | Y |
| 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 | 2023-12-13 | 2024-01-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-13 | 2024-01-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-13 | 2024-01-12 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-13 | 2024-01-12 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-12-13 | 2024-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-13 | 2024-01-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-13 | 2024-01-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-25 | 2023-11-13 | Y |
| 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 | 2023-10-25 | 2023-11-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-10-25 | 2023-11-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-07 | 2023-09-20 | Y |