Federal Nursing-Home Survey Record
HERITAGE VILLA CARE & REHAB CENTER
Does HERITAGE VILLA CARE & REHAB CENTER have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), HERITAGE VILLA CARE & REHAB CENTER (CCN 375109), in BARTLESVILLE, OK, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 10 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $8,278 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Civil money penalties on file
$8,278
CMS has $8,278 in civil money penalties on file against this facility.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 3 · CMS state average: 2.7
Deficiency timeline — full federal history
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Respond appropriately to all alleged violations.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
40 citations from earlier inspection cycles — historical, not current (expand)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide enough food/fluids to maintain a resident's health.
Ensure that residents are free from significant medication errors.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Keep residents' personal and medical records private and confidential.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Have a plan that describes the process for conducting QAPI and QAA activities.
Perform COVID19 testing on residents and staff.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure the activities program is directed by a qualified professional.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Observe each nurse aide's job performance and give regular training.
Assure that each resident’s assessment is updated at least once every 3 months.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Provide and implement an infection prevention and control program.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ensure each resident receives an accurate assessment.
Provide activities to meet all resident's needs.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Document what happened
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