Heritage Nursing Center - Skilled Nursing by Ameri

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all components of the call light system was functioning correctly. The facility also failed to ensure call lights were placed within reach to meet resident needs. This deficient practice had the potential to affect all the residents in the facility. The facility census was 48. Review of the facility's policy titled, Call Lights: Accessibility and Timely Response, revised 2025, showed:- The purpose of this policy is to assure the facility is adequately equipped with a call light at each resident's bedside, toilet, and bathing facility to allow residents to call for assistance. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a clean and homelike environment by not finding the source of a persistent, lingering, foul odor inside the building. This deficient practice had the potential to affect all residents. The facility census was 48. Review of the facility's policy titled, Safe and Homelike Environment, not dated, showed:- In accordance with resident's rights, the facility will provide a safe, clean, comfortable and homelike environment;- Housekeeping and maintenance services will be provided as necessary to maintain a sanitary, orderly and comfortable environment. [...]

Inspectors wroteBased on interview and record review, the facility failed to follow per the facility policy to complete a criminal background check (CBC) for one employee of eight sampled employees prior to hire. The facility census was 48. Review of the facility policy titled, Criminal Background Checks, not dated, showed:- The facility representative shall be responsible for processing a criminal background check on each employee, prior to the employee starting the job, in which they have been hired;- The purpose is to comply with Criminal Records Review Law (House [NAME] 1362) requiring criminal background checks be done on all applicants through a qualified agency;- Once the information on the applicant is received by the facility, and no pertinent criminal history is indicated, the applicant may begin work. 1. [...]

Inspectors wroteBased on interview and record review, the facility failed to provide resident care for activities of daily living (ADLs) when the residents did not receive scheduled showers for six residents (Residents #1, #2, #4, #8, #37 and #43) out of 12 sampled residents. The facility census was 48. Review of the facility's policy titled, Resident Showers, not dated, showed:- It is the practice of this facility to assist residents with bathing to maintain proper hygiene, stimulate circulation, and help prevent skin issues as per current standards of practice;- Resident will be provided showers as per request, or as per facility schedule and based upon resident safety;- Partial baths may be given between regular shower schedules;- Did not address residents receiving shower/baths given by hospice staff. 1. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician's orders for one resident (Resident #37) out of one sampled resident with a PureWick (a type of external catheter). The facility census was 48. Review of the facility's policy titled, External Catheter for Urinary Incontinence Management, undated, showed:- The Interdisciplinary Team (IDT) will review and determine along with the practitioner which resident(s) would be appropriate for the use of an external catheter to manage urinary incontinence;- The nurse will obtain and verify the physician's order for use of the external catheter. 1. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to reconcile the overflow (extra, not currently in use) narcotics (a process to count and document the exact narcotic inventory on hand) for one out of two observed medication carts. This practice affected one resident (Resident #16) and could potentially affect all residents. The facility census was 48. Review of the facility's policy titled, Controlled Substance Administration and Accountability, not dated, showed:- Two licensed nurses or a licensed nurse and Certified Medication Technician (CMT) account for all controlled substances and access keys at the end of each shift. Observation on 02/16/26 at 3:15 P.M., of the Northwest Hall medication cart showed: [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a safe, clean, comfortable and homelike environment. This deficient practice had the potential to affect all residents at the facility. The facility census was 48. Review of the facility's policy titled, Safe and Homelike Environment, revised August 2024, showed: - In accordance with residents' rights, the facility will provide a safe, clean comfortable and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. This includes ensuring that the resident can receive care and services and that the physical layout of the facility maximizes resident independence and does not pose a safety risk; [...]

Inspectors wroteBased on interview and record review, the facility failed to complete a significant change Minimum Data Set (MDS - a federal mandated assessment to be filled out by the facility staff) on or within 14 days of a resident's admission to hospice (healthcare focused on the quality of life of a terminally ill person) for one resident (Resident #4) out of three sampled residents. The facility census was 48. Review of the facility's policy titled, Care Plan Policy, revised May 2024, showed: - The purpose of the policy is to set out the values and framework within which the individuals care is completed and updated; - Care planning is critical to the quality of service in any care home; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a medication error rate of less than five percent (%). There were 28 opportunities with five errors made, resulting in an error rate of 17.86% for five residents (Residents #7, #8, #19, #22 and #28) out of eleven sampled residents. The facility's census was 48. Review of the facility's policy titled, Insulin Pen, dated 2024, showed: - Insulin pens will be primed prior to each use to avoid collection of air in the insulin reservoir; - Procedure to prime the insulin pen: dial two units by turning the dose selector clockwise; with the needle pointing up, push the plunger, and watch to see that at least one drop of insulin appears on the tip of the needle. If not, repeat until at least one drop appears. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to implement Enhanced Barrier Precautions (EBP) and proper infection control practices during wound care and when staff were accessing and administering medications through a central venous access device (CVAD - a thin, soft, flexible tube that is placed in a vein that leads to the heart) for one resident (Resident #1) out of one sampled resident. The facility also failed to use proper hand hygiene during wound care for one resident (Resident #1) out of four sampled residents. This deficient practice had the potential to affect all residents in the facility. The facility census was 48. Review of the facility's policy, titled, Clean Dressing Change, dated 2023, showed: - Loosen the tape and remove the existing dressing. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This has the potential to affect all residents. The facility census was 42. Review of the facility's policy titled, Food Safety Requirements, revised February 2023, showed: - It is the policy of the facility to procure food from sources approved or considered satisfactory by federal, state and local authorities; - Food will also be stored, prepared, distributed and served in accordance with professional standards for food service safety; - Food safety practices shall be followed throughout the facility's entire food handling process; - This process begins when food is received from the vendor and ends with delivery of the food to the resident; - Elements of the process include the following; [...]