Heritage Hall Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Aug 14, 2025

  Based on interview and record review, facility staff failed to implement appropriate infection control procedures to prevent the spread of communicable diseases when staff failed to screen seven staff (Certified Medication Technician (CMT) B, [NAME] D, Certified Nurse Aide (CNA) E, CNA F, Licensed Practical Nurse (LPN) G, Homemaker H and the Employee Experience Coordinator) out of 10 staff for tuberculosis (TB), a contagious, air-borne bacterial infection primarily affecting the lungs, in accordance with facility policy. The facility census was 38. 1. […]

• No harm, potential for more than minimal, widespreadF801Jun 14, 2024

  Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. This failure has the potential to affect all residents. The facility census was 87. 1. Review of the facility provided policies, showed the records did not contain a policy related to the qualifications for Director of Food and Nutrition Services. Review of the dietary manager's (DM) personnel records showed a hire date for the DM position listed as 04/20/23. […]

• No harm, potential for more than minimal, widespreadF812Jun 14, 2024

  Based on observation, interview and record review, facility staff failed to thaw frozen meat using approved methods to prevent the growth of food-borne pathogens. Facility staff failed to store food in a manner to prevent contamination and out-dated use. Facility staff failed to reheat pureed food in accordance with the standardized recipes to prevent the growth of food-borne pathogens and potential for food-borne illness. These failures have the potential to affect all residents. The facility census was 41. 1. Review of the facility's Food Storage (Dry, Refrigerated and Frozen) policy, dated 2020, showed Food shall be stored at appropriate temperatures and using appropriate methods to ensure the highest level of food safety. […]

• No harm, potential for more than minimal, widespreadF812Aug 18, 2021

  Based on observation, interviews, and record review, the facility staff failed to perform hand hygiene appropriately when moving from a dirty task to a clean task. This failure had the potential to affect all residents who ate at the facility. The census was 29. 1. Review of the facility's Proper Hand Washing and Glove Use policy, dated 2020, showed: - All employees will use proper hand washing procedures and glove usage in accordance with state and federal sanitation guidelines; - All employees will wash hands upon entering the kitchen from any other location, after all breaks, and between all tasks; - Hand washing should occur at a minimum of every hour; - Employees will wash hands before and after handling foods, after touching any part of the uniform, face, or hair; - Hands are washed… […]

• No harm, potential for more than minimal, patternF568Aug 14, 2025

  Based on interview, and record review, facility staff failed to maintain a system that assured full, complete, and separate accounting of each resident's personal funds to preclude the commingling of resident funds with facility funds for three residents (Residents #23, #49 and #50) out of 102 sampled residents. The facility census was 38. 1. Review of the facility's policy titled Resident Personal Fund, revised [DATE], showed: -If the resident chooses to deposit personal funds with the facility, upon written authorization of a resident, the facility must act as a fiduciary of the resident's funds and hold, safeguard, manage, and account for the personal funds of the resident deposited with the facility;-The facility will deposit any resident's personal funds in excess of $50 in an… […]