Heritage Health Care Center

July 14, 2026 · Standard inspection · 21 citations

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Residents were harmed, a few residents (level G)Quality of Life and CarePlan to fix it accepted

• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesPlan to fix it accepted

• Provide and implement an infection prevention and control program.

  Risk of harm, no one hurt, widespread (level F)Infection ControlPlan to fix it accepted

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Risk of harm, no one hurt, a pattern (level E)EnvironmentalPlan to fix it accepted

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintPlan to fix it accepted

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Reasonably accommodate the needs and preferences of each resident.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryPlan to fix it accepted

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Risk of harm, no one hurt, a few residents (level D)Pharmacy ServicePlan to fix it accepted

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationPlan to fix it accepted

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintPlan to fix it accepted

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintPlan to fix it accepted

• Help the resident with transportation to and from laboratory services outside of the facility.

  Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintPlan to fix it accepted

• Respond appropriately to all alleged violations.

  Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationPlan to fix it accepted

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted

• Ensure that residents are free from significant medication errors.

  Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintPlan to fix it accepted

• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted

August 21, 2025 · Complaint investigation · 1 citation

• Provide and implement an infection prevention and control program.

  Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Aug 29, 2025