Inspection Results » Heritage Hall West

Health Inspection on February 6, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-04-19)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-03-20)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-03-20)

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

   • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Corrected 2018-03-20)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-03-20)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-03-20)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-03-20)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-03-20)

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

   • Provide or obtain dental services for each resident. (Corrected 2018-03-20)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-03-20)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-03-20)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-03-20)
   • Respond appropriately to all alleged violations. (Corrected 2018-03-20)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-03-20)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-04-19)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-03-20)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-04-19)
   • 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. (Corrected 2018-03-20)
   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2018-03-20)
   • Provide activities to meet all resident's needs. (Corrected 2018-04-19)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-03-20)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-03-20)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-03-20)