Heritage Hall Wise

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF641Aug 1, 2024

  Based on staff interview and clinical record review, the facility staff failed to accurately complete Minimum Data Set (MDS) assessments for 2 of 23 residents (Residents #32 and #85). The findings included: 1. For Resident #32, the facility staff coded the MDS assessment to indicate this resident was receiving anticoagulant medications when in fact they were receiving antiplatelet medications. Resident #32's diagnoses included hemiplegia and hemiparesis following cerebral infarction and heart failure. Section C (cognitive patterns) of Resident #32's annual MDS assessment with an assessment reference date (ARD) of 05/01/24 included a brief interview for mental status (BIMS) score of 15 out of a possible 15 points. Per the MDS manual a score of 15=cognitively intact. […]

• No harm, potential for more than minimal, isolatedF657Aug 1, 2024

  Based on staff interview and clinical record review, the facility staff failed to review and revise the comprehensive care plan (CCP) for 2 of 23 residents (Residents #35 and #63). The findings included: 1. For Resident #35, the facility staff failed to review and revise the CCP to capture the current treatment orders to the residents lower legs. Resident #35's diagnoses included type 2 diabetes, edema, and hypertension. Section C (cognitive patterns) of Resident #35's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 07/03/24 included a brief interview for mental status (BIMS) score of 8 out of a possible 15 points. Per the MDS manual a score of 8=moderately impaired. […]

• No harm, potential for more than minimal, isolatedF695Aug 1, 2024

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to ensure that 1 of 23 residents were utilizing provider ordered Oxygen (Resident #63). The findings included: The facility staff failed to follow the providers orders for Oxygen administration. Resident #63's diagnoses included acute respiratory failure with hypoxia and hypercapnia, chronic obstructive pulmonary disease, and history of other malignant neoplasm of bronchus and lung. Section C (cognitive patterns) of Resident #63's quarterly minimum data set (MDS) assessment with an assessment reference date (ARD) of 07/03/24 included a brief interview for mental status (BIMS) summary score of 4 out of a possible 15 points. […]

• No harm, potential for more than minimal, isolatedF580Feb 10, 2022

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to notify a resident's responsible party of changes in condition for one of eight sampled residents, Resident #6. Resident #6's responsible party was not notified of significant weight losses. The findings include: Resident #6's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #6's minimum data set (MDS) assessment, with an assessment reference date (ARD) of 8/27/21, was dated as being completed on 8/30/21. Resident #6 was assessed as sometimes being able to make themself understood and as usually able to understand others. Resident #6 was assessed as having problems with short-term memory and as having problems with long-term memory. […]

• No harm, potential for more than minimal, isolatedF842Feb 10, 2022

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to maintain a complete an accurate clinical record for 2 of 8 residents, Residents #5 and #1. For Resident #5, the facility staff failed to document a decline in condition. Resident #1 tested positive for COVID-19 on [DATE]. Resident #1's clinical record failed to include vital signs for [DATE], [DATE], and [DATE] per facility policy for COVID-19 monitoring. The findings included: 1. Resident #5's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Section C (cognitive patterns) of Resident #5's quarterly MDS (minimum data set) assessment with an ARD (assessment reference date) of [DATE] included a BIMS (brief interview for mental status) summary score of 15 out of a possible 15 points. […]