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Deficiency Records for Heartwood Avenue Healthcare
View the most recent health deficiencies and inspection results for Heartwood Avenue Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Heartwood Avenue Healthcare. Stay informed about quality of care issues.
| 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 | 2026-04-14 | 2026-04-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-25 | 2026-03-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-29 | 2025-11-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-08 | 2025-09-02 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-02-27 | 2025-03-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-27 | 2025-03-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-02-27 | 2025-03-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-02-27 | 2025-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-27 | 2025-03-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-02-27 | 2025-03-17 | 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 | 2025-02-27 | 2025-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-27 | 2025-03-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-27 | 2025-03-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-27 | 2025-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-27 | 2025-03-11 | 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 | 2025-02-27 | 2025-03-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-02-27 | 2025-03-08 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-02-27 | 2025-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-10 | 2025-02-20 | 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 | 2024-06-04 | 2024-07-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-03 | 2024-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-06 | 2024-04-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-09 | 2024-01-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-09 | 2024-01-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-09 | 2024-01-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-09 | 2024-01-22 | 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 | 2024-01-09 | 2024-01-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-13 | N |
| Dispose of garbage and refuse properly. | Health | 2023-02-09 | 2023-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-09 | 2023-03-13 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-09 | 2023-03-13 | 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 | 2023-02-09 | 2023-03-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-03-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-09 | 2023-03-13 | 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 | 2023-02-09 | 2023-03-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-09 | 2023-03-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-09 | 2023-03-08 | 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 | 2023-02-09 | 2023-03-08 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-02-09 | 2023-03-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-05 | 2019-11-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-05 | 2019-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-05 | 2019-11-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-05 | 2019-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-05 | 2019-11-14 | 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 | 2019-09-05 | 2019-11-14 | 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 | 2019-09-05 | 2019-11-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-09-05 | 2019-11-14 | 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 | 2019-09-05 | 2019-11-14 | N |
| 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 | 2019-09-05 | 2019-11-14 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-05 | 2019-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-05 | 2019-11-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-09-05 | 2019-11-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-05 | 2019-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-10-29 | N |