A list of the most recent deficiencies for Heron's Key. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-08 | 2024-02-12 | 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 | 2024-01-08 | 2024-02-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-08 | 2024-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-08 | 2024-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-08 | 2024-02-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-08 | 2024-02-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-08 | 2024-02-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-08 | 2024-02-01 | 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 | 2024-01-08 | 2024-02-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-08 | 2024-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-09-28 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-09-20 | 2022-10-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-20 | 2022-10-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-20 | 2022-10-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-20 | 2022-10-29 | 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 | 2022-09-20 | 2022-10-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-20 | 2022-10-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-20 | 2022-10-29 | 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 | 2022-09-20 | 2022-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-20 | 2022-10-29 | 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 | 2022-09-20 | 2022-10-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-20 | 2022-10-29 | 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 | 2022-09-20 | 2022-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-20 | 2022-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-20 | 2022-10-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-20 | 2022-10-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-20 | 2022-10-29 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-09-20 | 2022-10-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-09-16 | 2022-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-04 | 2022-02-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-17 | 2021-07-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-20 | 2020-01-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-20 | 2020-01-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-20 | 2020-01-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-20 | 2020-01-24 | 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 | 2019-12-20 | 2020-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-20 | 2020-01-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-20 | 2020-01-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-10 | 2020-01-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-10 | 2020-01-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-10 | 2020-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2020-01-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-10 | 2020-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2020-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-10 | 2020-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-10 | 2020-01-03 | N |
