Deficiency Records for Heritage Center
Updated as of May 01, 2024
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Deficiency Records for Heritage Center
A list of the most recent deficiencies for Heritage Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Heritage Center. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-25 | 2023-11-02 | Y |
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 | 2023-09-25 | 2023-11-02 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-11 | 2023-10-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-11 | 2023-10-03 | Y |
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 | 2023-04-19 | 2023-05-16 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-19 | 2023-05-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-19 | 2023-05-16 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-19 | 2023-05-16 | Y |
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 | 2023-04-19 | 2023-05-16 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-19 | 2023-05-16 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-19 | 2023-05-16 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-09 | 2022-09-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-09 | 2022-09-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-09 | 2022-09-26 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-09 | 2022-09-26 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-09 | 2022-09-26 | 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 | 2022-08-10 | 2022-09-15 | 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 | 2022-08-10 | 2022-09-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-08-10 | 2022-09-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-10 | 2022-09-15 | 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 | 2022-08-10 | 2022-09-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-10 | 2022-09-15 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-10 | 2022-09-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-10 | 2022-09-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-10 | 2022-09-15 | 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 | 2022-08-10 | 2022-09-15 | N |
Dispose of garbage and refuse properly. | Health | 2022-08-10 | 2022-09-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-10 | 2022-09-15 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-10 | 2022-09-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-10 | 2022-09-15 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-10 | 2022-09-15 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-10 | 2022-09-15 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-09-15 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-10 | 2022-09-15 | Y |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-21 | 2021-06-11 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-21 | 2021-06-11 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-21 | 2021-05-27 | N |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-04-21 | 2021-05-27 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-04-21 | 2021-05-27 | 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 | 2021-04-21 | 2021-05-27 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-21 | 2021-05-27 | N |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-04-21 | 2021-05-27 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-21 | 2021-05-27 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-21 | 2021-05-27 | N |
Respond appropriately to all alleged violations. | Health | 2021-04-21 | 2021-05-27 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-04-21 | 2021-05-27 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-21 | 2021-05-27 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-05-27 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-21 | 2021-05-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-21 | 2021-05-27 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-21 | 2021-05-27 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-21 | 2021-05-27 | 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 | 2021-04-21 | 2021-05-27 | 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 | 2021-04-21 | 2021-05-27 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-05-27 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-04-21 | 2021-05-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-21 | 2021-05-20 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-21 | 2021-05-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-02 | 2019-07-17 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-02 | 2019-07-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-02 | 2019-07-17 | 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 | 2019-05-02 | 2019-07-17 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-02 | 2019-07-17 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-02 | 2019-07-17 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-02 | 2019-07-17 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-02 | 2019-07-17 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-02 | 2019-07-17 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-05-02 | 2019-07-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-02 | 2019-07-17 | 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 | 2019-05-02 | 2019-07-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-02 | 2019-07-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-02 | 2019-07-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-02 | 2019-07-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-07-17 | 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 | 2019-05-02 | 2019-07-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-02 | 2019-07-17 | 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 | 2019-05-02 | 2019-07-17 | 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 | 2019-05-02 | 2019-07-17 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-02 | 2019-07-17 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-02 | 2019-07-17 | 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 | 2019-05-02 | 2019-07-17 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-02 | 2019-07-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-02 | 2019-07-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-02 | 2019-07-17 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-05-02 | 2019-07-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-07-17 | N |
Implement a program that monitors antibiotic use. | Health | 2019-05-02 | 2019-07-17 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-30 | 2019-06-13 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-30 | 2019-06-13 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-30 | 2019-06-13 | 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 | 2019-04-30 | 2019-06-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-30 | 2019-06-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-30 | 2019-06-13 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-30 | 2019-06-13 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-30 | 2019-06-13 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-30 | 2019-06-13 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-30 | 2019-06-13 | N |
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