Deficiency Records for Heron's Key
Updated as of March 01, 2021
This is not the most recent data for Heron's Key. For the most recent information, click here.
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-12-04 | 2020-12-28 | 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 |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-31 | 2019-11-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-31 | 2019-11-22 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Develop a communication plan. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
List the names and contact information of those in the facility. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Provide emergency officials' contact information. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Provide primary/alternate means for communication. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Establish methods for sharing information. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Provide family notifications of emergency plan. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2018-11-14 | 2019-02-01 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-20 | 2019-01-04 | 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 | 2018-11-20 | 2019-01-04 | 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 | 2018-11-20 | 2019-01-04 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-20 | 2019-01-04 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-20 | 2019-01-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-20 | 2019-01-04 | 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 | 2018-11-20 | 2019-01-04 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-20 | 2019-01-04 | 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 | 2018-11-20 | 2019-01-04 | 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 | 2018-11-20 | 2019-01-04 | 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 | 2018-11-20 | 2019-01-04 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2019-01-04 | N |
Respond appropriately to all alleged violations. | Health | 2018-09-26 | 2018-11-01 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-26 | 2018-11-01 | Y |