Heartland Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Heartland Nursing & Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF677Mar 13, 2025

  Based on observation, interview, and record review, the facility failed to maintain grooming and personal hygiene for 5 of 28 sampled residents, as evidenced by the failure to timely wash the resident's hair for Resident #53 and #17, failure to provide timely incontinence care for Resident #55 and #79, and failure to provide nail care for Resident #80. The findings included: 1.) Review of the record revealed that Resident #53 was admitted to the facility on [DATE] with a primary diagnosis of unspecified Dementia with other behavioral disturbances. Review of the current Minimum Data Set (MDS) assessment dated [DATE] documented Resident #53 had a Brief Interview for Mental Status (BIMS) score of 0, on a 0 to 15 scale, indicating the resident was severely cognitively impaired. […]

• No harm, potential for more than minimal, patternF805Mar 13, 2025

  Based on observations, interview, policy, and record reviews, the facility failed to provide food in a form to meet the individual needs of residents for 2 of 4 sampled residents (Resident #43, Resident #57) reviewed for pureed texture diets. This had the potential to affect 28 residents who were on pureed texture diets. The findings included: A review of the facility's policy for pureed diets, documented that it was used for patients with swallowing and chewing difficulties. It specified that all foods are smooth in texture and free from whole, minced or ground pieces. The policy stated that the pureed diet follows the recommendations for the Level 1 Dysphagia Pureed Diet of the National Dysphagia Diet. 1. During an observation on 03/10/25 at 5:37 PM, Resident #43 was served his dinner. […]

• No harm, potential for more than minimal, patternF880Mar 13, 2025

  Based on policy review, observation, record review, and interview, the facility failed to follow an infection control program to help prevent infections for 5 of 7 sampled residents as evidenced by the failure to ensure physician orders for Enhanced Barrier Precautions (EBP) for Resident #2, #32, and #46, failure to properly maintain the indwelling urinary catheter for Resident #32, and failure to ensure proper hand hygiene and don gloves during eye drop administration for Resident #87. The facility also failed to maintain the laundry area in a manner to prevent the spread of infection. The findings included: 1) Review of the record revealed Resident #2 and #46 had pressure ulcers, and Resident #32 had an indwelling urinary catheter. […]

• No harm, potential for more than minimal, patternF584Jun 17, 2021

  Based on observation and interview, it was determined that the facility failed to provide housekeeping and maintenance service necessary to maintain a sanitary, orderly, and comfortable interior in 6 of 6 residential wings and the laundry area. The findings included: 1) During the Environmental Tours conducted with the Director of Maintenance, on 06/15/21 at 2 PM, 06/16/21 at 10:30 AM, and 06/16/21 at 1 PM, the following were noted: Seashell Lane (Rooms 101-111) Room #101 - Bathroom toilet stained, soiled, rippling and detaching from the floor, toilet requires re-calking to the floor, and window shade was soiled and stained. Room #102- Bathroom ceiling vent dust laden. […]

• No harm, potential for more than minimal, patternF679Jun 17, 2021

  Based on observation and interview, it was determined that the failed to provide an ongoing activities program in 2 of 2 Residential Wings (Seashell Lane and Lighthouse Cove) and failed to provide ongoing activities for 17 of 43 sampled residents (Resident's #7, #9, #11, #15, #22, #31, #36, #45, #64, #67, #74, #85, #92, #93, #95, #101, and 357). The findings included: 1) During routine observations of the 100 (Seashell Lane) and 200 Unit ( Lighthouse Coce) on 06/15/21, 06/17/21, and 06/18/21 from 9 AM through 11 AM and from 1 PM through 3 PM, it was noted that 6-8 residents remained seated after the breakfast meal in their respected POD main room. Observations noted that there were no structured activities during these dates and times except for a music tape being played. […]