Heritage Place of Decatur

In the surveyor’s words

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

• Immediate jeopardy, patternF880Sep 23, 2022

  Based on observation, interview and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 4 (Resident #1, Resident #2, Resident #3, and Resident #4) of 7 residents reviewed for infection control. 1. The facility failed to ensure that Resident #1, who was COVID-19 positive, was not cohorting with a COVID-19 negative Resident #2 who both shared a bathroom. 2. The facility failed to ensure that Resident #3, who was C-Diff positive, was isolated and not cohorted with Resident #4 in which they shared a bathroom. Resident #4 had 4 episodes of diarrhea on 9/22/22. 3. […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2021

  Based on observation, interview and record review the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety. The facility failed to hold food at proper temperatures. This could affect residents who receive meals from the kitchen and place them at risk for food borne illnesses. Findings included: An observation on 03/25/21 at 12:00 PM, revealed no thermometers were available in room 103 where the facility meals were being prepared for distribution. The Dietary Manager had to leave the room to go to the kitchen to retrieve thermometers and when he returned, he had two electronic thermometers, one resembling an oral thermometer and the other a standard kitchen thermometer. […]

• No harm, potential for more than minimal, patternF812Nov 21, 2025

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen and failed to ensure food, subject to spoilage and removed from its original container, was kept sealed, labeled, and dated for food service safety in the facility's only kitchen. 1. The facility failed to ensure the deep fryer was cleaned in accordance with professional standards. 2. The facility failed to ensure food items was properly labeled, dated, and thawed in accordance with professional standards. 3. The facility failed to ensure food items stored in the freezer were properly discarded. These failures could place residents at risk from food contamination and food-borne illness. […]

• No harm, potential for more than minimal, patternF565Aug 8, 2024

  Based on observation, interview, and record review the facility failed to provide a private meeting space for the residents' monthly group meeting for 12 of 12 confidential residents reviewed for resident council. The facility failed to provide a private space for resident group meetings. This failure could place residents, who attended resident group meetings, at risk of not being able to voice concerns due to a lack of privacy. Findings included: Observation and interview on 08/07/24 beginning at 10:05 AM, during a confidential resident group meeting with 12 residents, revealed the meeting was held in the front lobby of the facility near the front door and the Administrator's office door. During this meeting, there were two signs posted. […]

• No harm, potential for more than minimal, patternF803Aug 8, 2024

  Based on observation, interview, and record review, the facility failed to ensure that menus were followed for 1 of 5 meals (breakfast [08/07/24]) reviewed for meal accuracy. The facility failed to follow the menu for breakfast on 08/07/24. This failure could place residents at risk for poor intake and weight loss. Findings included: Record review for breakfast menu for 08/07/24 reflected the following: Choice of juice, hot or cold cereal, fresh pasteurized eggs, bacon or sausage, breakfast bread, margarine/jelly, milk, coffee. Interview on 08/07/24 beginning at 10:05 AM, during a confidential resident group meeting with 12 residents, revealed residents were told they could not have eggs for breakfast on 08/07/24 because the kitchen was out of eggs. […]