Heatherfield Inn

This was a POC case management visit to clear deficiencies cited on August 28, 2025, during the annual inspection. The deficiencies cited previously (87303(a) and 87355(e)) were noted as cleared during today's visit. No deficiencies were cited during this current inspection.

The inspection revealed multiple deficiencies across several areas, including immediate safety hazards and recordkeeping issues. Specifically, expired fire equipment and unauthorized volunteers were cited as Type A deficiencies, indicating immediate risks. Additionally, issues with window screens and inaccurate medication records were noted as Type B deficiencies.

This report details a complaint investigation conducted on 04/01/2025 regarding allegations of restricted visitor access, medication administration issues, failure to address weight loss, and lack of resident telephone access. Following interviews and document reviews, all allegations were deemed unsubstantiated.

The unannounced case management visit identified deficiencies related to staff compliance with criminal record clearance requirements. Specifically, one staff member (S2) was found working without the necessary criminal record clearance. This constitutes a Type A deficiency, posing an immediate risk, and resulted in a Type B citation regarding the associated civil penalty.

The inspection was an unannounced visit conducted as part of a complaint investigation, leading to a case management review. The primary deficiency found relates to the maintenance and accessibility of staff personnel records. Specifically, the facility failed to keep a complete staff file for one employee on-site, which was cited as a potential risk to residents.

The inspection revealed multiple deficiencies across several critical areas, including improper storage of hazardous materials in the backyard, inadequate maintenance of the outdoor environment, and significant lapses in resident medical record keeping. Specific concerns were noted regarding outdated medical assessments for residents with dementia, discrepancies in medication logs, and missing required documentation for volunteers.

The facility underwent an unannounced Collateral visit as part of a complaint investigation for another facility. The Licensing Program Analyst interviewed a resident during this visit. No deficiencies were cited at this time according to the report.