A list of the most recent deficiencies for Heritage Place of Decatur. 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-21 | 2023-07-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-21 | 2023-07-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-21 | 2023-07-22 | 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 | 2023-02-06 | 2023-02-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-11 | 2023-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-11-09 | Y |
| 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 | 2022-04-28 | 2022-06-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-29 | 2022-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-05-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-28 | 2022-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-06-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-25 | 2021-04-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-29 | 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 | 2019-10-18 | 2019-11-29 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-10-18 | 2019-11-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-18 | 2019-11-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-16 | 2019-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-16 | 2019-10-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-16 | 2019-10-25 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-10-16 | 2019-10-25 | N |
