Heartland Villa Nursing And Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Heartland Villa Nursing And Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF684Dec 16, 2024

  Based on interview, record review and review of the facility's policy, the facility failed to ensure residents received prompt assessment and care for 1 of 3 sampled residents, Resident #2 (R2). On [DATE] at 8:30 PM, staff heard R2 yelling out and when Certified Nursing Assistant (CNA) 5 entered the resident's room she found R2 sitting on the floor near the foot of the bed. Staff lifted R2 from the floor and placed the resident on the bed. However, the facility failed to ensure nursing neurological (neuro) assessments and change in condition assessments (CIC) were completed for R2 after the unwitnessed fall. At approximately 12:00 AM (about 3.5 hours after the fall), R2 was screaming and yelling out with pain stating, call the ambulance, my legs are broke. […]

• No harm, potential for more than minimal, isolatedF550Sep 6, 2024

  Based on observation, interview, and record review, the facility failed to maintain dignity for one (Resident (R) 10) of 13 sampled residents. R10, who had a urinary catheter, was not provided a dignity cover for the urine drainage bag, leaving the bag visible to others. The findings include: Review of an admission record revealed the facility admitted R10 on 08/14/2024 with diagnoses including chronic kidney disease. Review of an Admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 08/17/2024, revealed the facility assessed R10 to have a Brief Interview for Mental Status (BIMS) score of 15/15, indicating she was cognitively intact. […]