Inspection Results » Heritage Healthcare

Health Inspection on May 15, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Implement a program that monitors antibiotic use. (Corrected 2018-06-14)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-14)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-06-14)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-06-14)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-06-14)
   • 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. (Corrected 2018-06-14)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-06-14)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-06-14)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-06-14)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-06-14)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-14)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-14)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2018-06-14)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-06-14)
   • Assess the resident when there is a significant change in condition (Corrected 2018-06-14)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-06-14)
   • Provide or obtain dental services for each resident. (Corrected 2018-06-14)
   • 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 (Corrected 2018-06-14)