Heritage Hills Living & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Heritage Hills Living & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF678Sep 29, 2022

  On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to ensure Resident #1 received CPR, staff was CPR certified and a policy regarding CPR certification of staff was developed and implemented. On [DATE] at 5:20 p.m., The Oklahoma State Department of Health was notified and verified the existence of the IJ situation. On [DATE] at 5:38 p.m., the administrator was notified of the IJ situation. On [DATE] at 3:27 p.m., an acceptable plan of removal was submitted to the Oklahoma State Department of Health. The plan of removal sent via email on [DATE] at 3:19 p.m. documented: CPR Certification: There are currently 15 out of 61 CPR certified staff members. […]

• Actual harm, isolatedF600Oct 31, 2024

  Based on observation, record review, and interview, the facility failed to ensure residents were free from abuse for two (#33 and #59) of three sampled residents reviewed for abuse. The administrator identified 58 residents who resided in the facility. Findings: An Investigation of Abuse, Neglect and Exploitation policy, undated, read in parts, .The facility prohibits mistreatment, neglect or abuse of residents. The resident has the right to be free from verbal, sexual, physical, or mental abuse .Physical abuse includes hitting, slapping, pinching, and kicking .In the event there is an allegation or incidents involving resident to resident abuse, the individuals involved in the abuse should be immediately separated by staff .Once safety is established, the Administrator and Director of… […]

• No harm, potential for more than minimal, widespreadF812Oct 31, 2024

  Based on observation and interview, the facility failed to maintain the physical environment of the kitchen and ensure employees with facial hair wore a beard guard in the kitchen. The administrator identified 58 residents who resided in the facility. Findings: On 10/28/24 at 8:30 a.m., the kitchen was observed to have: a. a broken paper towel dispenser at the handwashing sink, b. missing trim on the exterior door, c. a broken cover on a fluorescent light fixture, d. build up of brown sticky substance on the walls around the grill area, and e. […]

• No harm, potential for more than minimal, widespreadF880Oct 31, 2024

  Based on record review and interview, the facility failed to implement a water management program to prevent the growth of Legionella and other opportunistic waterborne pathogens in the building water system. The administrator identified 58 residents who resided in the facility. Findings: CMS memo 17-30, revised date 06/09/17, documented CMS expects long term care facilities to have water management policies and procedures to reduce the risk of growth and the spread of Legionella and other opportunistic pathogens in the facility water system. No documentation of water management policies and procedures were found from record review. On 10/29/24 at 1:00 p.m., the maintenance supervisor was asked to provide documentation of water management policies and procedures. […]

• No harm, potential for more than minimal, widespreadF812Aug 10, 2023

  Based on observation and interview the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility. Findings: On 08/03/23 at 6:56 p.m., an initial tour of the kitchen was conducted. DA #1 was observed to enter the kitchen and was not observed to wash their hands. On 08/03/23 at 7:00 a.m., DA #1 was observed to take the silverware to the dining room and started passing the silverware to the residents in the dining room. The DA was then observed to return to the kitchen and retrieved coffee cups without washing their hands and returned to the dining room. […]