Hegg Memorial Health Center

In the surveyor’s words

From the most serious findings on record at Hegg Memorial Health Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 13, 2021

  Based on observation, chart review, review of the alarm reports and interviews with staff and administration, the facility failed to properly supervise residents and failed to follow up on interventions to keep them safe from accidents and hazards for 1 resident reviewed, ( Resident #55). Resident #55 had episodes of agitation and confusion and threatened to leave the facility unattended. On February 26, 2021 the resident eloped from the facility undetected and was discovered on the ground in the parking lot by community members. The elopement findings caused an Immediate Jeopardy (IJ) situation to the residents' health and safety. […]

• No harm, potential for more than minimal, patternF812Nov 6, 2025

  Based on observation, staff interview, and policy review the facility failed to prepare food in accordance with professional standards by not completing appropriate hand hygiene during meal service to prevent cross contamination and by placing serving utensils on contaminated surfaces then using them. The facility reported a census of 58 residents.Findings include:A continuous observation on 11/5/25 at 9:01 AM of Staff A, [NAME] revealed pureed ham placed in food processor, ham processed, 3 metal steam table containers removed from shelf, containers placed on the table top, ham measured into each container, scoop placed in measuring cup, metal steam table containers placed in oven, green handled scoop removed from drawer, scoop placed on the metal counter where metal steam table containers… […]

• No harm, potential for more than minimal, patternF585Sep 28, 2023

  Based on observation, facility policy, and staff interview, the facility failed to provide a process in which grievance may be anonymously submitted. The facility reported a census of 52 residents. Findings include: Tour of the facility's main lobby and each of the 3 neighborhoods on 9/25/23 at 2:31 PM lacked observation of posted information about how to file a grievance or how to file an anonymous grievance. In an Electronic Mail (email) on 9/26/23 at 4:40 PM, the Director of Nursing (DON) reported that no grievances were filed since the last survey (June 2022). In a concurrent facility tour, Grievance Policy review, and interview on 9/27/23 at 3:17 PM, the DON located a binder in the main lobby that contained 2 grievance forms and the grievance policy. […]

• No harm, potential for more than minimal, patternF812Sep 28, 2023

  Based on observations and staff interviews the facility failed to ensure food was discarded after product expiration date. The facility identified a census of 52 residents. Findings include: An initial kitchen tour conducted on 9/25/23 at 1:12 p.m., during the initial tour of the kitchen revealed the following items ready for service in the pantry: a. Two boxes of pancake mix unopened with best by date of 9/11/23. b. One box of pancake mix with an open date of 9/21/23 and a best by date of 9/11/23. c. Mango sauce unopened with an expiration date of 2/23. Dietary Manager (DM) discarded the items immediately except for the Mango sauce as the food representative had just brought the item for the facility to try. […]

• No harm, potential for more than minimal, patternF657Jul 13, 2021

  Based on clinical record review, observation, staff, resident, and family interviews, the facility failed to follow, review and revise the Plan of Care for 4 of 16 residents reviewed (Residents #47, #35, #55 and #20). The facility reported a census of 57 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] documented Resident #47 with a Brief Interview for Mental Status (BIMS) score of 8, indicating moderate cognitive impairment. The MDS also documented diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . The MDS revealed the resident needed the extensive assistance of one staff member with transfers and the limited assistance of one staff member to walk in either his room or the corridor. […]