Heritage Healthcare of Euclid

In the surveyor’s words

From the most serious findings on record at Heritage Healthcare of Euclid, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 11, 2024

  Based on observation, interview, record review, and review of the facility policy the facility failed to ensure individualized care planned interventions were developed and followed to prevent Resident #17 from developing pressure ulcers, and failed to ensure the pressure ulcers were timely identified, properly treated, and interventions were initiated to promote healing. Actual Harm occurred on 01/06/24 when Resident #17 who was cognitively impaired, at risk for pressure ulcer development, and required assistance with bed mobility, developed new, in-house acquired bilateral heel pressure ulcers that were first assessed to be unstageable (a type of bed sore that occurred due to prolonged pressure on a specific area of the skin, resulting in the lack of blood flow and oxygen to the tissue. […]

• No harm, potential for more than minimal, widespreadF880Jun 28, 2024

  Based on record review, staff interview, and review of the Centers for Disease Control and Prevention (CDC) guidance for water management, the facility failed to provide evidence of water testing conducted to monitor and prevent the growth of Legionella (a bacteria that causes Legionnaire's disease) in the building water system. This had the potential to affect all 65 residents in the facility. The census was 65. Findings Include: During the entrance conference, the facility was asked to provide a copy of the Legionella water management program and evidence of water testing being conducted. […]

• No harm, potential for more than minimal, widespreadF921Jun 28, 2024

  Based on observation, staff interview, review of a State Fire Marshal report, and policy review, the facility failed to maintain a safe, clean, sanitary, and well maintained environment and equipment. This had the potential to affect all 65 residents residing in the facility. The facility census was 65. Findings Include: 1. An environmental tour was conducted on 06/26/24 between 9:30 A.M. and 9:45 A.M. with Maintenance Director (MD) #915. Observation of the carpeting throughout the facility was significant discolored and stained. The ceiling in the 400 hall dining room area was completely ripped off and plastic sheeting was covering the ceiling to prevent debris from falling. One of the walls of the dinning room was completely taken down to the wooden studs. […]

• No harm, potential for more than minimal, widespreadF804Mar 21, 2023

  Based on observation, interview, and policy review the facility failed to serve food at a safe/palatable temperature. This had the potential to affect 56 residents who ate meals from the facility's kitchen. No residents were identified as receiving nothing by mouth. The facility census was 56. Findings include: Observation of tray line on 03/16/23 from 7:30 A.M. through 8:10 A.M. revealed food was above 165 degrees Fahrenheit (F) on the tray line, preferences were honored, condiments were available, and every tray had appropriate silverware including adaptive equipment. Observation of test tray and interview on 03/16/23 at 8:21 A.M. with Administrator revealed scrambled eggs were 105 degrees F, grits were 118 degrees F and milk was 60 degrees F. Eggs tasted cold and grits tasted lukewarm. […]

• No harm, potential for more than minimal, widespreadF725Apr 20, 2022

  Based on record review, resident interview, and staff interview the facility failed to ensure it was sufficiently staffed to meet the needs of the residents. This had the potential to affect all 54 residents residing in the facility. Findings include: 1. Interview with State tested Nursing Assistant (STNA) #801 on 04/10/22 at 10:10 A.M. revealed the facility has no idea how to staff correctly and it's a struggle to get work completed. 2. Interview with Resident #47 on 04/10/22 at 12:33 P.M. revealed there is not enough staff, and staff just sits at the desk and ignores what the resident needs. 3. Interview with Resident #45 on 04/10/22 at 2:20 P.M. revealed the facility is understaffed, and call light response is poor. 4. Interview with Resident #40 on 04/10/22 at 2:34 P.M. […]