The Heritage Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 28, 2024

  Based on facility policy review, observation, and interview, the facility failed to maintain sanitary kitchen equipment which had the potential to effect 118 of 120 residents in the facility. The findings include: Review of the facility policy titled, Cleaning Schedule, revised 12/17/2021, showed .The Director of Food and Nutrition Services develops a cleaning schedule .to ensure that the Food and Nutrition Services department remains clean and sanitary at all times .A potential cause of foodborne outbreaks is improper cleaning [washing and sanitizing] of equipment and protecting equipment from contamination via splash, dust, grease .The Director of Food and Nutrition Services monitors the cleaning schedule to ensure the tasks are completed timely and appropriately . […]

• No harm, potential for more than minimal, patternF698Jun 4, 2025

  Based on facility contract review, medical record review, and interviews, the facility failed to ensure the dialysis communication records were completed for 2 residents (Resident #57 and Resident #94) of 3 residents reviewed for dialysis. The findings include: Review of the facility's dialysis contract dated 1/21/2009, revealed .facility shall .have primary responsibility for maintaining all resident records . Review of the facility's policy titled, Hemodialysis Offsite Policy, revised 9/6/2024, revealed .The facility assures that each resident receives care and services .consistent with professional standards of practice .care of the resident receiving dialysis services must reflect ongoing communication, coordination and collaboration between the facility and dialysis staff .Obtain… […]

• No harm, potential for more than minimal, isolatedF641Jun 4, 2025

  Based on Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, medical record review, and interview, the facility failed to accurately complete a Minimum Data Set (MDS) assessment for 1 resident (Resident #94) of 25 residents reviewed. The findings include: Review of the CMS Long-Term Care Facility RAI 3.0 User's Manual, dated 10/2024, revealed .Check all treatments, procedures, and programs that the resident received or performed after admission/entry .to the facility and within the last 14 days .Dialysis .Code .renal dialysis which occurs at the nursing home or at another facility . […]

• No harm, potential for more than minimal, isolatedF656Jun 4, 2025

  Based on facility policy review, medical record review, and interview, the facility failed to develop a person-centered,comprehensive care plan for 1 resident (Resident #57 ) of 25 residents reviewed for care plans. The findings include: Review of the facility's policy titled Care Planning-Baseline, Comprehensive and Routine Updates dated 11/25/2024, revealed .facility to develop and implement a comprehensive person centered care plan for each resident .that includes measurable objectives .to meet a residents medical nursing .needs that are identified . […]

• No harm, potential for more than minimal, isolatedF761Jun 4, 2025

  Based on facility policy review, observation, and interviews, the facility failed to ensure expired intravenous (IV) medications were discarded and not available for resident use in 1 of 3 medication storage rooms observed. The findings include: Review of the facility's policy titled, Delivery & Storage of Medications and Supplies, revised [DATE], revealed .to be performed by licensed nurses .expiration dates will be checked . During an observation in the Unit 3 medication storage room on [DATE] at 9:18 AM, revealed twenty-one, 5-milliliter (ml) syringes of Heparin lock flush (IV medication used to prevent the formation of blood clots) with an expiration date of [DATE]. Further observation revealed ten syringes (5-ml) of Heparin lock flush with an expiration date of [DATE]. […]