Heritage Residential Care

Based on observation and interview, the licensee did not comply with the section cited above in Resident #1 (R1)'s trash can contained used gloves and did not have a tight-fitting cover which posed a potential health and safety risk to persons in care.

Based on interview and record review, the licensee did not comply with the section cited above in Staff #1 (S1) did not have current cardiopulmonary resuscitation (CPR) training and first aid training and was the only staff on duty and on the premises during their shift which posed a potential health andl rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that night lights were maintained in hallways and passages to non-private bathroomsi which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensurimng that the facility has the required emergency suppliles, food and water which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #2 (R2) has a completed Preplacement Needs and Services Plan which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the hot water temperature controls were maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C) which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that the outdoor passageways are kept free of obstructions which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that Resident #1 (R1) and Resident #3 (R3) have Pre-Admission Appraisal and Resident #2 (R2) pre-admission appraisal has the required R2's responsible person signature which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not developing the required Infection Control Plan for the facility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by allowing Resident #4 (R4) to have a half bed rail and R4 has no written order from R4 physician indicating the need for half bed rail for mobility which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that a staff's scheduled to work the night shift, awake and on duty as required for facility with dementia residents which poses an immediate health, safety or personal rights risk to persons in care.

This requirement is not met as evidenced by interview and document review, the licensee did not comply with the section cited above evidenced by not conducting a quarterly drill which poses a potential health, safety, or personal rights risk to persons in care.

This requirement is not met as evidenced by interview and observation, the licensee did not comply with the section cited above evidenced by having holes in the ceiling in the laundry room covered with trash bags and tape and having holes in the wall and ceiling in the staff room covered with trash bags and tape which poses a potential health, safety, or personal rights risk to persons in care.

This requirement is not met as evidenced by interview and observation, the licensee did not comply with the section cited above evidenced by the bathroom sink water being measured at 129.3 degrees F which poses a potential health, safety, or personal rights risk to persons in care.

This requirement is not met as evidenced based on interview and observation, the licensee did not comply with the section cited above evidenced by not having an auditory devices on the facility exits in the living room, laundry room, staff room #1, bedroom #2, and bedroom #3 which poses a potential health, safety, or personal rights risk to persons in care.

This requirement is not met as evidenced by interview and document review, the licensee did not comply with the section cited above evidenced by posting a Disaster Plan, LIC610E, which poses a potential health, safety, or personal rights risk to persons in care.

This requirement is not met as evidenced by interview and document review, the licensee did not comply with the section cited above evidenced by not completing a needs and services plan, LIC625, for residents R1, R2, R4, and R5 which poses a potential health, safety, or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not having cleaned window seals in the living room and kitchen area. There is a buildup of dirt and debris as well as a black colored substance which poses a potential health, safety, or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above by not having a toilet tank cover on back of the toilet. The licensee covered the toilet with a wet piece of dirty cardboard and a pink and white incontinence disposable pad which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation and interview, the licensee did not comply with the section cited above by storing and labeling resident's medications in a plastic containers that are not the original prescription bottle from the pharmacy which poses an immediate health, safety or personal rights risk to persons in care.