Heritage Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF695Mar 28, 2025

  Based on interview, and record review, the facility failed to provide the necessary respiratory care and interventions in accordance with the resident's respiratory care needs, care plan, facility policy and professional standards of practice, the physician's order and facility's policy and procedure for one of three closed record sampled residents (Resident 98) diagnosed of acute respiratory failure with hypoxia (a life-threatening condition where the lungs fail to deliver enough oxygen to the blood, leading to dangerously low oxygen levels in the body), chronic obstructive pulmonary disease exacerbation (worsened COPD, sudden severe symptoms of a lung disease characterized by poor airflow to the lungs that results in shortness of breath, difficulty breathing and respiratory distress) and… […]

• Actual harm, isolatedF689Dec 5, 2024

  Based on interview and record review the facility failed to ensure one (1) of five (5) sampled residents (Resident 1), who was assessed at risk for falls and diagnoses of dementia (a progressive state of decline in mental abilities) and age-related osteoporosis (weak and brittle bones due to lack of calcium and Vitamin D) was free from falls and injury in accordance with the resident ' s care plan by failing to: 1. Ensure Certified Nursing Assistant (CNA) 1 prevented Resident 1, who was assessed as totally dependent to staff for bathing/showers, from falling in the Shower Room while sitting on the shower chair. […]

• No harm, potential for more than minimal, widespreadF921Aug 19, 2022

  Based on observation and interview, the facility failed to provide a safe and sanitary environment for residents and staff. - The facility failed to maintain sanitary conditions in basement. The facility failed to clean and maintain the floor in the kitchen room, in cleaning agent ' s room, laundry room, employee break room, and hallway located in the basement. This deficient practice created an unsanitary environment which encourages pest activity and has the potential to result in contamination of food, food contact surfaces, equipment, and clean linen by pests or other environmental sources. - The facility failed to maintain a safe environment in the basement to discourge cockroach activity. […]

• No harm, potential for more than minimal, widespreadF925Aug 19, 2022

  Based on observation, interview and record review, the facility failed to maintain an effective pest control program so that the facility is free of pests (cockroaches, rodents, flies, other pests). The facility failed to maintain the basement free of cockroaches (a flat, brown, or black insect sometime found in warm places and where the food is stored). The basement includes the kitchen, dry food storage room, an employee break room, an employee restroom, cleaning agent storage room, mop basin closet, the laundry room, and the hallway. Cockroaches in the facility's environment are a health hazard because they can carry disease-causing germs. […]

• No harm, potential for more than minimal, patternF620May 1, 2026

  Based on interview and record review, the facility failed to ensure two of two sampled resident (Resident 1 and 2) received services in accordance with the facility's capabilities and available resources when the facility admitted and retained the residents requiring peritoneal dialysis (PD, a type of dialysis [a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney(s) have failed] that uses the lining of the abdomen {peritoneum} as a natural filter to remove waste, toxins, and extra water from the body]) services without having an established peritoneal dialysis program and the necessary services to safely provide PD care as approved by the State Agency. […]