Heritage Healthcare of Hammond

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Jun 7, 2024

  Based on interviews and record review, the facility failed to ensure residents were free of significant medication errors for 1(#78) of 33 residents reviewed in the final sample. The facility failed to ensure Resident #78 received Eliquis as ordered by the physician. This deficient practice resulted in an Immediate Jeopardy situation for Resident #78, a resident with a history of Pulmonary Embolism and Acute Embolism and Thrombus of the Lower Extremity, on [DATE] at 08:00 a.m. when S5LPN discontinued his order for Eliquis without a physician's order. Resident #78 did not receive Eliquis as ordered from [DATE] through [DATE]. Resident #78 was found on [DATE] at 12:00 a.m., lying on the right side of the floor, unresponsive, pulseless and not breathing. […]

• No harm, potential for more than minimal, patternF759Apr 15, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the medication error rate was less than 5% for 1 (#70) of 11 residents observed during medication administration. A total of 52 opportunities were observed with 20 medication errors, which resulted in a medication error rate of 38.46%. Findings: Review of the facility's policy titled Medication Administration with an effective date of 10/04/2024 revealed the following, in part:Medication Administration: Prior to administration, the Nursing staff member administering the medication shall ensure that the following steps are accomplished.d. […]

• No harm, potential for more than minimal, patternF725Sep 10, 2025

  Based on observations, interviews and record reviews, the facility failed to ensure there was sufficient numbers of direct care staff to provide timely assistance with baths/showers for 4 of 4 (#5, #8, #9, and #10) residents reviewed for baths/showers. This deficient practice had the potential to affect any of the 81 residents residing in the facility. Findings: Review of the facility's Bath, Shower Policy and Procedure, effective 09/04/2014, revealed, in part, the following:Policy: Showers are to be given as scheduled and/or as needed. Procedure: NOTE: Never leave the resident alone in the shower room. Review of the facility's Resident Council Meeting Minutes, dated 09/09/2025, revealed, in part, Resident #5, #8, #9, and #10 participated in the meeting. […]

• No harm, potential for more than minimal, patternF636May 21, 2025

  Based on record reviews and interviews, the facility failed to ensure that each resident's comprehensive and non-comprehensive Minimum Data Set (MDS) assessments were completed in a timely manner for 5 of 20 (#24, #29, #37, #57, and #60) resident records reviewed in the final sample. The facility failed to submit Resident assessments within 14 calendar days as required. Findings: Resident #24 Review of Resident #24's Discharge-return anticipated Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/23/2025, revealed a complete by date of 05/07/2025. Further review of the MDS revealed the MDS had a status of in progress. […]

• No harm, potential for more than minimal, patternF725May 21, 2025

  Based on observations, interviews, and record reviews, the facility failed to provide sufficient nursing staff to attain or maintain each resident's highest practicable physical, mental, and psychosocial well-being. The facility failed to ensure: 1. Staff assisted resident's request for assistance with ADLs timely for 3 (#6, #31, and #60) of 13 residents reviewed on Hall B; and 2. S7LPN was aware Resident #32 was at the facility for a time period of 3-4 hours when she refused to go to dialysis. Findings: Review of the facility's PBJ Staffing Data Report for Fiscal Year Quarter 1 revealed a one-star staffing rating. Review of the facility's census dated 05/18/2025 revealed there was a total census of eighty-four residents and seven halls. […]