Inspection Results: THE LODGE AT HERITAGE ESTATES

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THE LODGE AT HERITAGE ESTATES

2325 LODGE DRIVE, Gering, Nebraska 69341, (308) 436-5007

Inspection Results: May 23, 2007
Type	Corrected	Category	Severity	Deficiency
Fire Safety	No Issues Reported
Health	07/12/2007	Pharmacy Service Deficiencies	Actual harm	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
Health	07/12/2007	Quality Care Deficiencies	Actual harm	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
Health	07/12/2007	Administration Deficiencies	Actual harm	Set up or keep a group of people to review and ensure quality.
Health	07/12/2007	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.
Health	07/12/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give each resident care and services to get or keep the highest quality of life possible.
Health	07/12/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give professional services that follow each resident's written care plan.
Health	07/12/2007	Environmental Deficiencies	Minimal harm or potential for actual harm	Have a program to keep infection from spreading.
Health	07/12/2007	Administration Deficiencies	Minimal harm or potential for actual harm	Keep accurate and appropriate medical records.
Health	07/12/2007	Environmental Deficiencies	Minimal harm or potential for actual harm	Provide needed housekeeping and maintenance.
Health	07/12/2007	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	Store, cook, and give out food in a safe and clean way.
Health	07/12/2007	Resident Assessment Deficiencies	Minimal harm or potential for actual harm	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.
Health	07/12/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give professional services that meet a professional standard of quality.
Health	07/12/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Health	07/12/2007	Resident Rights Deficiencies	Minimal harm or potential for actual harm	Keep each resident's personal and medical records private and confidential.
Health	07/12/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that each resident's nutritional needs were met.
Health	07/12/2007	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	Make sure that the attending doctor orders special diets.
Health	07/12/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Health	07/12/2007	Resident Assessment Deficiencies	Potential for minimal harm	Make a complete assessment that covers all questions for areas that are listed in official regulations.
Inspection Results: May 04, 2006
Type	Corrected	Category	Severity	Deficiency
Fire Safety	No Issues Reported
Health	06/18/2006	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	Store, cook, and give out food in a safe and clean way.
Health	05/05/2006	Environmental Deficiencies	Minimal harm or potential for actual harm	Provide needed housekeeping and maintenance.
Health	06/08/2006	Resident Assessment Deficiencies	Minimal harm or potential for actual harm	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.
Health	06/18/2006	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give professional services that follow each resident's written care plan.
Health	06/08/2006	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give professional services that meet a professional standard of quality.
Health	06/02/2006	Administration Deficiencies	Minimal harm or potential for actual harm	Keep accurate and appropriate medical records.
Health	06/18/2006	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.
Health	06/08/2006	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
Inspection Results: April 14, 2005
Type	Corrected	Category	Severity	Deficiency
Fire Safety	No Issues Reported
Health	05/06/2005	Mistreatment Deficiencies	Minimal harm or potential for actual harm	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

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