Inspection visit
Health inspection
4 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 4 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Level of Harm - Potential for
minimal harm
Based on observations and interviews, the facility failed to post in a place readily accessible to residents,
family members, and legal representatives of residents, the results of the most recent survey of the facility
and failed to post notice of the availability of such reports in areas of the facility that are prominent and
accessible to the public for 1 of 1 facilities, for 2 of 4 days during survey.
Residents Affected - Many
The facility did not have a sign posted indicating where the survey results were and did not have the survey
results available and accessible to residents and visitors on 2/20/24 and 2/21/24.
This failure resulted in residents, family members, and legal representatives of residents being unable to
access prior survey results.
The findings were:
In an observation on 2/20/24 at 9:10 a.m. there were no signs indicating where the survey results were and
no survey results were observed in the entrance, or common area lobby.
In an observation on 2/20/24 at 11:45 a.m. at the nurse's station and entrance to the dining area, there
were no signs indicating where the survey results were, and no survey results observed.
In the resident council group meeting on 2/21/24 at 10:30 a.m. the residents stated they were not aware of
being able to read previous survey results and denied knowledge of a binder in the facility or an area where
they could read the previous survey results. The residents stated they would like to read previous survey
results and not have to ask to read them.
In an observation and interview on 2/21/24 at 4:45 p.m. at the entrance to the facility, no sign indicating
where the survey results were, and no survey results binder or book was observed. The Administrator
stated he thought they were at the nursing station and went to the nursing station and the staff and the
Administrator were unable to locate the survey results. At 4:48 p.m. the Administrator was observed at the
reception desk at the facility entrance and the survey results binder was on the counter. The Administrator
stated he located it behind the receptionist's desk.
In an observation on 2/22/24 at 8:57 a.m. there was no sign indicating where the survey results were
located and no survey results binder observed at the entrance, at the reception desk, or at the nursing
station.
In an observation on 2/22/24 at 1:30 p.m. a sign and metal pocket hanger were on the wall to the
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 8
Event ID:
675858
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675858
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/23/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Heritage Nursing & Rehabilitation
5437 Eisenhauer Rd
San Antonio, TX 78218
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0577
Level of Harm - Potential for
minimal harm
Residents Affected - Many
left across from the facility entrance. The sign indicated the survey results were in the pocket hanger. The
survey binder with survey results were in the pocket hanger.
In an observation and interview on 2/23/24 at 1:45pm a sign and metal pocket hanger were on the wall to
the left across from the facility entrance. The sign indicated the survey results were in the pocket hanger.
The survey binder with survey results were in the pocket hanger. The Administrator stated the survey
results binder was previously on the wall in the lobby but due to construction it was taken down and put at
the nurse's station. He was unsure of how it got behind the receptionist desk but that the survey binder and
sign were back up where they had been previously. The Administrator further stated the construction lasted
7 to 10 days and he was unsure of start and end dates without looking it up. The Administrator stated the
harm could be that the residents and visitors would not be able to read the survey results and not know the
facility's performance during surveys .
Review of facility examination of survey results policy revised January 2023 revealed . The community will
make the results available for examination in a place readily accessible to residents and will post a notice of
their availability Residents will have access to these statements directly and will not be required to ask team
members for them.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675858
If continuation sheet
Page 2 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675858
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/23/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Heritage Nursing & Rehabilitation
5437 Eisenhauer Rd
San Antonio, TX 78218
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0755
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a
licensed pharmacist.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interviews and record reviews, the facility failed to provide pharmaceutical services, including procedures
that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to
meet the needs of each resident for 1 of 3 residents (Resident #71) reviewed for pharmaceutical services.
The facility failed to follow up on a medication order resulting in the medication not being available for 10
days 02/13/2024-02/22/2024 and did not supply the medication out of the emergency kit for Resident #71.
This failure could result in discomfort and pain, diminishing the resident's well-being and quality of life.
The findings were:
Record review of Resident #71's admission record dated 2/14/2024 revealed the resident was a [AGE] year
old man readmitted to the facility on [DATE] (initial admission date 04/15/2023) with diagnoses that
included: Type 2 Diabetes, below the knee amputation of the right leg, and hypertension .
Record review of Resident #71's physician orders revealed a start date of 2/13/2024 for Tramadol 50mg 1
tab to be given by mouth every 6 hours as needed.
Record review of Resident #71's Quarterly MDS assessment dated [DATE] revealed the resident had a
BIMS score of 15.
Record review of Resident #71's Care Plan dated 1/19/2024 revealed resident had a person -centered care
plan that revealed he had therapy for his back pain and Tramadol as needed.
Record review of Resident #71's physician orders revealed a start date of 2/13/2024 for, Tramadol 50mg 1
tab to be given by mouth every 6 hours as needed.
Record review of Resident #71's progress note dated 2/20/2024 at 3:44 PM written by LVN G stated in part:
resident c/o pain #6, unable to locate Tramadol in narcotic box,contacted pharmacy to order medication
stat, code from pharmacy given to pull med. from pixel, medication was given to resident at 3:38pm, cont. to
assess . (Narcotic box is on the medication cart and pain #6 is pain level 6/10)
Record review of Resident #71's progress note dated 2/22/2024 at 12:27 PM written by the DON stated in
part: Spoke with NP regarding Tramadol order, confirmed that should be ordered with 1 tab q 6 prn.
During an interview with Resident #71 on 2/20/2024 at 11:25 AM He stated he rceived Tylenol for his
backache but it was not working. He stated he asked for his Tramadol because it worked better, but he was
told it was not there. Resident #71 stated he always asked for it, for several days, but when he was told it
was not there, he just accepted what he could get.
During an interview with LVN G on 02/20/24 at 03:20 PM he stated he checked narcotic sign out book
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675858
If continuation sheet
Page 3 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675858
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/23/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Heritage Nursing & Rehabilitation
5437 Eisenhauer Rd
San Antonio, TX 78218
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0755
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
for Resident #71's narcotic sheet for Tramadol 50mg, there was no sheet. He checked the orders, and the
order was dated 2/13/2024 to start, and it was not ordered from pharmacy nor given to the resident for his
pain as needed.
During an interview on 2/20/2024 at 3:40 PM with LVN G, he stated there was an issue with Resident #71's
insurance paying for the Tramadol. He stated the insurance would cover Tramadol HCL. He stated he did
not know why no one followed up on the medication not being in the cart to be available to the resident.
During an interview on 2/22/2024 at 11:46 AM with the DON about the process for ordering medications for
re-admissions, she said the nurses should call the physician to verify and review the orders. Once that was
done, medications were put into PCC and it was integrated with pharmacy and that was how medication
was ordered. Once pharmacy receives the medication orders, they send it out to the facility, and deliver the
medication to the nurses station. The DON stated the nurses did not follow up with the order and the
medication was not in the facility to make available for the resident when he needed it. She stated she did
not know why no one got the medication out of the emergency box.
During an interview on 2/21/2024 at 10:15 AM with Resident #71, the surveyor asked if he had received his
Tramadol, he stated, yes and I feel much better. They gave it to me the first time yesterday. Thank you for
your help.
Review of the pharmacy's policy for the ordering process (4.1) and new orders (4.1.1) (no date) stated the
facility will transmit new orders via the facility's EHRPoint (Electronic Health Record) that is integrated with
PCC.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675858
If continuation sheet
Page 4 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675858
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/23/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Heritage Nursing & Rehabilitation
5437 Eisenhauer Rd
San Antonio, TX 78218
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted
professional principles; and all drugs and biologicals must be stored in locked compartments, separately
locked, compartments for controlled drugs.
Based on observations, interviews, and record review the facility failed to, in accordance with State and
Federal laws, store all drugs and biologicals in locked compartments and permit only authorized personnel
to have access to the keys for 1 of 7 (Nurse cart 100) medication carts reviewed for drug storage.
The facility failed to ensure staff locked the nurse 100 hall medication cart when it was left unattended.
This failure could result in harm due to unauthorized access to medications, misappropriation, and drug
diversion.
The findings were:
In an observation and interview on 2/22/24 at 2:10 p.m. the nurse medication cart 100 was against the wall
across from the nursing station and around the corner to the entrance to 100 hall. The cart was unlocked,
the computer was open, and the sleep screen was up. There was a password list on a piece of paper taped
next to the keyboard. All drawers to the cart were unlocked and able to be opened by the state surveyor.
Over the counter medications and resident prescription medication cards were visible. The narcotic box was
locked. The Administrator notified a nurse. She locked the cart, and stated the cart was LVN F's and she
would get her. At 2:13 p.m. LVN F came from the 100 hall, which was not in line of sight of the medication
cart, and stated, I'm sorry, I know we're not supposed to leave the cart unlocked, and I can't believe I did
that. LVN F further stated the harm could be that anyone could take medications and could take too much
of even over the counter medications.
In an interview on 2/22/24 at 2:45 p.m. the DON stated she was in-servicing the nurses because leaving the
cart unlocked and unattended was not acceptable.
In an interview on 2/23/24 at 1:38pm the DON stated when the cart is left unlocked anyone could have
access to the medications, could take too much, and/or could have allergies to the medications.
Record review of the facility provided resident roster dated 2/19/24 revealed 100 hall had 31 residents.
Review of facility Medication cart use and storage policy revised January 2023 revealed . The medication
cart and its storage bins should be kept closed, secured, and/or in the line of sight when not in use.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675858
If continuation sheet
Page 5 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675858
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/23/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Heritage Nursing & Rehabilitation
5437 Eisenhauer Rd
San Antonio, TX 78218
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, interviews, and record review, the facility failed to ensure that each resident received food
that was served at a safe and appetizing temperature for 6 (Resident # 4, #8, #15, #19, #44, and #80) of 21
Residents reviewed for palatable food in that:
Residents Affected - Some
Residents #4, #8, #15, #19, #44, and #80 reported receiving cold food at mealtimes.
This failure could place residents at risk of not being satisfied with their food or encouraged to increase
their personal food intake with an outcome of weight loss and a diminshed quality of life.
The findings were:
Record review of Resident #4's face sheet, dated 2/23/24, revealed the resident was last admitted to the
facility on [DATE] with diagnoses including cerebrovascular disease with hemiplegia (a condition of
impaired blood flow to the brain with body paralysis), major depressive disorder( a condition of persistent
low mood), and hypertension( a condition of elevated blood pressure).
Record review of Resident # 4's Quarterly MDS, dated [DATE], revealed a BIMS score of 15 which
indicated intact cognition.
Record review of Resident #8's face sheet, dated 2/23/24, revealed the resident was admitted to the facility
on [DATE] with diagnoses including unspecified dementia( a condition of cognitive impairment without a
definite diagnosis), major depressive disorder (a condition of persistent low mood), and anxiety disorder( a
condition that includes strong feelings of worry or fear).
Record review of Resident # 8's Quarterly MDS, dated [DATE], revealed a BIMS score of 14 which
indicated intact cognition.
Record review of Resident # 15's face sheet, dated 2/23/24, revealed the resident was last admitted to the
facility on [DATE] with diagnoses of hypertension( a condition of elevated blood pressure), central pain
syndrome ( a condition in which the central nervous system was damaged), and age-related osteoporosis(
a condition in which the bones become weaker with age).
Record review of Resident # 15's Quarterly MDS, dated [DATE], revealed a BIMS score of 11 which
indicated moderate cognitive impairment.
Record review of Resident# 19's face sheet, dated 2/23/24, revealed the resident was last admitted to the
facility on [DATE] with diagnoses of atrial fibrillation(a condition with irregular heart rate), anxiety disorder( a
condition that includes strong feeling or worry or fear), and end stage renal disease (a condition of
progressive damage to the kidney function).
Record review of Resident # 19's Annual MDS, dated [DATE], revealed a BIMS score of 11 which indicated
moderate cognitive impairment.
Record review of Resident # 44's face sheet, dated 2/23/24, revealed the resident was admitted to the
facility on [DATE] with diagnoses of hypertension ( a condition of elevated blood pressure), superficial
mycosis( a condition of skin or hair fungal infection), and dysphagia( a condition of
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675858
If continuation sheet
Page 6 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675858
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/23/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Heritage Nursing & Rehabilitation
5437 Eisenhauer Rd
San Antonio, TX 78218
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0804
difficulty with swallowing) .
Level of Harm - Minimal harm
or potential for actual harm
Record review of Resident # 44's Annual MDS, dated [DATE], revealed a BIMS score of 12 which indicated
moderate cognitive impairment.
Residents Affected - Some
Record review of Resident # 80's face sheet, dated 2/23/24, revealed the resident was admitted to the
facility on [DATE] with diagnoses of cellulitis of the neck( a bacterial skin infection of the nexk), type 2
diabetes( a condition in which the blood sugar is not controlled), and polyneuropathy( a condition in which
the nervous system is not functioning well).
Record review of Resident # 80's Quarterly MDS, dated [DATE], revealed a BIMS score of 13 which
indicated intact cognition.
During an interview with Resident #4 on 2/21/24 at 9:15am she stated that the food was served to her cold
at times with the last time being on 2/18/24. She stated she was very pissed off about this and felt she had
to wait until the next meal to eat.
During an interview with Resident # 44 on 2/21/24 at 9:20am she stated that on 2/16/24 all of her meals
tasted cold when they were served.
During an interview with Resident # 8 on 2/21/24 at 9:35am she stated food was served cold to her at times
and several days ago she did ask for one of her meals to be re-heated by the staff.
During an interview with Resident # 19 on 2/21/24 at 9:45am she stated she fetl all of her meals were
served cold and she had decided to just stop eating most of the food served to her.
During an interview with Resident # 80 and Resident #15 on 2/21/24 at 11:50 am Resident #80 stated her
breakfast on 2/19/24 was served to her cold. Resident # 80 stated that many of her meals tasted cold to
her.
During an interview with C.N.A.-A and C.N.A. -B on 2/21/24 at 1:55pm they stated that if Residents on the
100 hallway stated their food was cold they offered to re-heat the food with the micro-wave on the 300
hallway or offered an alternative meal. They stated that the eggs at breakfast seemed to cool off quickly.
During an observation of the breakfast meal service on 2/22/24 at 715am on the 400 hallway noted that the
food serving rack holding the breakfast trays was an open-type rack with no attached closing door.
During an observation of the breakfast meal service on 2/22/24 at 7:40am on the 100 hallway, noted that
there was a breakfast tray placed on top of the serving rack itself. It was not placed inside the closed door
rack space. The food temperatures taken from one of the resident trays on this rack revealed a temperature
of 103.5 for the pureed sausage. On another resident's tray a temperature of 102.4 was revealed for the
sausage portion and 103.5 for the egg portion.
During an interview on 2/22/24 at 745am with the Medical Records Director who was assisting with tray
delivery to the residents on the 100 hallway stated she was not sure why a resident breakfast tray had been
placed on top to the food serving rack when it was brought out from the kitchen.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675858
If continuation sheet
Page 7 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675858
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
02/23/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Heritage Nursing & Rehabilitation
5437 Eisenhauer Rd
San Antonio, TX 78218
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0804
Level of Harm - Minimal harm
or potential for actual harm
During an interview on 2/22/24 at 145 pm with LVN-C she stated that she worked on the 100 hallway and
did hear from residents at times that their food was cold. She stated that she had seen the food trays
placed on top of the food serving rack at times before tray service to the Residents. She stated she was
aware that this practice could affect the food temperatures being served. She stated the Aides do work hard
to re-heat the food in the micro-waves on the 300 and 100 hallways when requested to do so.
Residents Affected - Some
During an interview on 2/22/24 at 230pm with the Activity Director she stated that the issue of the resident's
food being cold had been brought up previously in the morning meetings before the current food service
director was hired.
Record review of FDA Food Code 2022 Annex 2. Reference 3-501.16-Time/Temperature Control for Safety
Food Hot and Cold Holding. Referenced the temperature (160 degrees) that hot foods such as eggs should
be served at in a long- term care setting.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675858
If continuation sheet
Page 8 of 8
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Back to topCitations
4 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F755 - Pharmacy Services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F761 - Labeling of Drugs and Biologicals
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F804 - Food and drink
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F577 - The resident has the right to-
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
FAQ · About this visit
Common questions about this visit
What happened during the February 23, 2024 survey of Avir at Heritage?
This was a inspection survey of Avir at Heritage on February 23, 2024. The surveyor cited 4 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Avir at Heritage on February 23, 2024?
Yes, 4 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharm..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.