Deficiency Records for Heritage Gardens Rehabilitation and Healthcare
Updated as of January 01, 2020
This is not the most recent data for Heritage Gardens Rehabilitation and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Heritage Gardens Rehabilitation and Healthcare. 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-04-17 | 2019-05-30 | 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 ne | Health | 2019-04-17 | 2019-05-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-17 | 2019-05-28 | Y |
| 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 | 2019-04-17 | 2019-05-24 | 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 | 2019-04-17 | 2019-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-17 | 2019-05-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-04-17 | 2019-05-08 | N |
| Keep all essential equipment working safely. | Health | 2019-04-17 | 2019-05-08 | 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 | 2019-04-17 | 2019-05-08 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-04-17 | 2019-05-08 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-16 | 2019-05-02 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2019-04-17 | 2019-04-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-17 | 2019-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-16 | 2019-04-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-11 | 2018-05-15 | 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 | 2018-04-11 | 2018-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-11 | 2018-05-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-11 | 2018-05-04 | 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 | 2018-04-28 | 2018-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-28 | 2018-05-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-15 | 2018-03-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-15 | 2018-03-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-03-15 | 2018-03-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-15 | 2018-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-12 | 2017-07-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-06 | 2017-05-21 | 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 | 2017-04-06 | 2017-05-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-04-06 | 2017-05-21 | 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 | 2017-04-06 | 2017-05-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-06 | 2017-05-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-04-06 | 2017-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-06 | 2017-05-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-06 | 2017-05-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-04-06 | 2017-05-19 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2017-04-06 | 2017-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-06 | 2017-05-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-06 | 2017-05-03 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-06 | 2017-05-03 | N |
| Keep all essential equipment working safely. | Health | 2017-04-06 | 2017-05-03 | N |
