A list of the most recent deficiencies for Heritage Park Nursing 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-02-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-08 | 2023-05-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-04 | 2022-12-16 | 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 | 2022-11-04 | 2022-12-16 | 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 | 2022-11-04 | 2022-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-04 | 2022-12-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-04 | 2022-12-16 | 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 | 2022-11-04 | 2022-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-04 | 2022-12-16 | N |
| Dispose of garbage and refuse properly. | Health | 2022-11-04 | 2022-12-16 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-04 | 2022-12-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-10 | 2022-11-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-10 | 2022-11-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-10 | 2022-11-29 | 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 | 2022-11-10 | 2022-11-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-10 | 2022-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-10 | 2022-11-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-02 | 2022-02-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2021-10-20 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-14 | 2019-07-24 | 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 | 2019-06-14 | 2019-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-14 | 2019-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-14 | 2019-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-14 | 2019-07-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-14 | 2019-07-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-14 | 2019-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-14 | 2019-07-24 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-04-26 | 2019-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-26 | 2019-05-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-26 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-26 | 2019-05-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-05-30 | 2018-06-15 | N |
| Develop a communication plan. | Fire Safety | 2018-05-30 | 2018-06-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-30 | 2018-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-30 | 2018-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-30 | 2018-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-30 | 2018-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-30 | 2018-06-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-30 | 2018-04-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-30 | 2018-04-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-30 | 2018-04-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-30 | 2018-04-25 | 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 | 2018-03-30 | 2018-04-25 | N |
