Adams Heritage

In the surveyor’s words

From the most serious findings on record at Adams Heritage, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812May 28, 2025

  Based on observation, interview and record review the facility failed to ensure food items were labeled and dated in the kitchen. 37 of 37 residents residing in the facility were served food prepared in the kitchen. Findings include: During an observation, on 5/21/25 at 9:10 AM, about 20 salad dressing packets were observed in a cooler in the dining room. No expiration dates were observed on the packets. Two open boxes of assorted cheesecake slices, an open box of carrot cake, a plastic container of cupcakes and an open box of cookie dough were observed in the walk-in cooler with no labels or dates. An open bag of shredded cheese had an open date of 4/13/25 with instructions marked on the package to discard on 4/20/25. […]

• No harm, potential for more than minimal, widespreadF812Sep 1, 2021

  Based on observation, interview, and record review, the facility failed to ensure sanitary practices were followed in the kitchen. 39 of 39 residents residing in the facility ate their meals from the facility kitchen. Findings include: On 8/30/2021 between 10:45 a.m. and 1:05 p.m. in a continuous observation, lunch meal tray preparation and service was observed. At 11:05 a.m., Dietary Aide 1 moved a 3 tiered cart from the dish room to the area where paper products were stored. then sprayed the shelves of the cart. Dietary Aide 1 indicated the spray was a disinfectant used to clean the carts, but needed to be used away from food. Dietary Aide 1 was observed to spray the top shelf of the cart, then wiped immediately with a cloth. […]

• No harm, potential for more than minimal, patternF880Sep 1, 2021

  Based on observation, interview, and record review, the facility failed to implement and maintain infection control practice to properly prevent COVID-19 for 6 of 39 residents. (Resident 17, Resident 13, Resident 26, Resident 21, Resident 89 and Resident 84) Findings include:Based on [observations/interviews/record review], the facility failed to [properly prevent and/or contain - or other appropriate statement] . 1.During an observation of the lunch meal service on [DATE] at 11:44 a.m., CNA 7 was wearing an N95 mask and goggles. CNA 7 preformed hand hygiene, then retrieved a meal tray from the cart. CNA 7 was observed to walk down the hallway to a room with Transmission Based Precautions (TBP). The room door was identified with a Yellow Zone TBP sign. […]

• No harm, potential for more than minimal, isolatedF656Jun 1, 2026

  Based on interview and record review the facility failed to ensure a care plan was initiated for 1 of 1 residents reviewed. (Resident 3)Findings include:Resident 3's record was reviewed on 05/26/2026 at 10:10 AM. Diagnoses included major depressive disorder, obesity, and history of falling.A review of Resident 3's current quarterly MDS indicated their BIMS (Basic Interview for Mental Status) score was 15 (cognitively intact).There was no care plan related or interventions for major depressive disorder.In an interview, on 05/29/2026 at 12:51 PM, the Administrator indicated Resident 3's care plan was personalized, and they are monitoring behaviors related to depression.In an interview, on 05/29/2026 at 1:33 PM, the DON stated they did not have any care plans specific to major depressive… […]

• No harm, potential for more than minimal, isolatedF761Jul 30, 2024

  Based on observation, interview, and record review; the facility failed to separate oral medications from external medications for 1 of 1 cart reviewed affecting 1 resident. (100 hall, Resident 28). On 07/24/24, at 09:45 AM, during an observation and interview with RN 2; Resident 28's oral medications were obsered stored in locked medication cart (100 Hall) alongside his external medication Triad hydrophilic wound dressing paste and Bengay. RN 2 denied any problem mixing orals with externals. RN 2 explained all the medications were for Resident 28. RN 2 explained one of the creams was Bengay and the other was a topical for a wound. RN 2 offered to move external medications to the treatment cart. […]