A list of the most recent deficiencies for Heritage Health Services. 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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-12-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-26 | 2023-03-10 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-26 | 2023-03-10 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-26 | 2023-03-10 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-03-10 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Install proper backup exit lighting. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-25 | 2023-03-10 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-12 | 2021-11-10 | N |
Respond appropriately to all alleged violations. | Health | 2021-10-12 | 2021-11-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-12 | 2021-11-10 | 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 | 2021-10-12 | 2021-11-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-12 | 2021-11-10 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-12 | 2021-11-10 | 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 | 2021-10-12 | 2021-11-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-12 | 2021-11-10 | N |
Dispose of garbage and refuse properly. | Health | 2021-10-12 | 2021-11-10 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-12 | 2021-11-10 | N |
Establish emergency prep training and testing. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Use approved construction type or materials. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Install proper backup exit lighting. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-12 | 2021-11-10 | 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 | 2021-10-12 | 2021-11-10 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-24 | 2021-07-23 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2021-06-24 | 2021-07-23 | 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 | 2021-06-24 | 2021-07-23 | 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 | 2021-06-24 | 2021-07-23 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-24 | 2021-07-23 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-24 | 2021-07-23 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-24 | 2021-07-23 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-24 | 2021-07-23 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-06-24 | 2021-07-23 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-21 | 2019-09-21 | 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 | 2019-08-21 | 2019-09-21 | N |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-08-21 | 2019-09-21 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-21 | 2019-09-21 | 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 | 2019-08-21 | 2019-09-21 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-21 | 2019-09-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-21 | 2019-09-21 | 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 | 2019-08-21 | 2019-09-21 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-08-21 | 2019-09-21 | 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 | 2019-08-21 | 2019-09-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-21 | 2019-09-21 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-08-21 | 2019-09-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-21 | 2019-09-21 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-21 | 2019-09-21 | 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 | 2019-08-21 | 2019-09-21 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-21 | 2019-09-21 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-08-21 | 2019-09-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-21 | 2019-09-21 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-21 | 2019-08-27 | N |