Deficiency Records for Heritage Gardens Rehabilitation and Healthcare
Updated as of April 01, 2024
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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-19 | 2023-05-05 | Y |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-04-19 | 2023-05-05 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-19 | 2023-05-05 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-04-19 | 2023-05-05 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-10-20 | 2022-11-15 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-16 | 2022-09-09 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-16 | 2022-09-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-09-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-17 | 2022-09-01 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-16 | 2022-08-18 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-23 | 2021-07-25 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-07-22 | Y |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-06-23 | 2021-06-25 | 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 | 2021-06-23 | 2021-06-25 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-24 | 2021-06-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-04-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-12 | 2020-04-17 | 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 | 2020-03-12 | 2020-04-17 | N |
Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-12 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-11 | 2020-04-10 | 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 | 2020-03-11 | 2020-04-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-11 | 2020-04-10 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-11 | 2020-04-10 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-11 | 2020-04-04 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2020-03-11 | 2020-04-04 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-03-11 | 2020-04-04 | N |
Establish emergency prep training and testing. | Fire Safety | 2020-03-11 | 2020-04-04 | 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 | 2020-03-11 | 2020-04-04 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-11 | 2020-04-04 | N |
Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2020-03-11 | 2020-04-04 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-11 | 2020-04-04 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2020-03-11 | 2020-04-04 | 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 | 2020-03-12 | 2020-03-13 | N |