Heartland Rehabilitation and Care Center

In the surveyor’s words

From the most serious findings on record at Heartland Rehabilitation and Care Center, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jul 2, 2021

  Based on observation, record review, and interview, the facility failed to ensure the facility maintained quarantine/isolation precautions, including cohorting and that an effective method was in place to alert staff and visitors of the need for isolation/quarantine precautions prior to entering the isolation/quarantine room to prevent the potential cross contamination and the development and transmission of COVID -19 for 4 (Residents #9, #10, #11, & #12) of 4 sampled residents who required quarantine/isolation precautions. […]

• Immediate jeopardy, isolatedF678Dec 8, 2021

  Based on record review and interview, the facility failed to ensure Cardiopulmonary Resuscitation (CPR) was provided for 1 (Resident #76) of 1 sampled resident who was found without vital signs and had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This failed practice resulted in immediate jeopardy, which caused or could have caused serious harm, injury, or death to Resident #76, who was found unresponsive and without vital signs, did not receive CPR from facility staff, and subsequently expired, and the potential to cause more than minimal harm to 34 residents who had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The Administrator was informed of the Immediate Jeopardy condition on [DATE] at 5:20 PM. […]

• Immediate jeopardy, isolatedF684Dec 8, 2021

  Based on record review and interview, the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice, as evidenced by failure to ensure Cardiopulmonary Resuscitation (CPR) was provided for 1 (Resident #76) of 1 sampled resident who was found without vital signs and had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . This failed practice resulted in immediate jeopardy, which caused or could have caused serious harm, injury, or death to Resident #76, who was found unresponsive and without vital signs, did not receive CPR from facility staff, and subsequently expired, and the potential to cause more than minimal harm to 34 residents who had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2024

  Based on observation, interview, and record review, the facility failed to ensure foods stored in the freezer and dry storage area were covered, sealed, dated, and were stored in to prevent potential food borne illness for resident who received meals from 1 of 1 kitchen, expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchens, and dietary staff washed their hands before handling clean equipment and food items to prevent potential food borne illness for residents. The failed practices had the potential to affect 66 residents who receive meals from the kitchen. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Dec 8, 2021

  Based on observation, record review and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items; kitchen equipment was maintained in clean condition; food items were stored covered, sealed, labeled, and dated; and dented cans were removed from stock to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The findings are: 1. On 12/06/21 at 9:54 AM, during the initial rounds of the kitchen with Dietary Employee (DE) #1, the following observations were made in the dry storage area: a. There was sugar, corn meal and flour in unsealed, thin, black, plastic bags that were stored in storage bins with no lids. […]