Deficiency Records for Heritage Gardens Rehabilitation and Healthcare
Updated as of March 01, 2022
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 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 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-12-03 | 2020-12-26 | 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 | 2020-12-03 | 2020-12-26 | Y |
| 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 |
| 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 necessary and PRN use is limited. | 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 |
