Heritage Care Home of Dials #2

The facility failed to ensure medications were administered according to physician orders for two residents. Specifically, for Resident #1, the facility failed to follow the prescribed frequency for a long-acting mental health injection, leading to increased mental health symptoms and hospital visits.

The facility failed to ensure the environment was free of hazards by allowing a resident to operate a portable electric heater in his room. This is a violation of the rule prohibiting unvented or portable electric heaters.

The facility failed to maintain matching therapeutic menus for food service staff guidance. Specifically, one resident with a physician-ordered Consistent Carbohydrate (CCHO) diet did not have a corresponding therapeutic menu available.

The facility failed to ensure the environment was free of hazards by allowing a resident to operate a portable electric heater in his room. This is prohibited under regulations regarding central heating systems and safety.

The facility failed to provide matching therapeutic menus for food service staff guidance. Specifically, one resident with a physician-ordered Consistent Carbohydrate (CCHO) diet was being served from a regular menu because no appropriate menu existed.

The facility failed to ensure residents were treated with consideration, as evidenced by multiple residents complaining of being too cold. Staff failed to address temperature concerns or provide adequate warmth when residents expressed discomfort.

The facility failed to ensure food storage areas were protected from contamination. An inspection of the food pantry revealed multiple items of expired food, including various bags of dried beans and opened peanut butter. Staff interviews indicated that expiration dates were not being checked prior to serving residents.

The facility failed to maintain a three-day supply of perishable foods. Observations of the refrigerator and freezer showed insufficient quantities of essential items such as milk, eggs, and meat. Management acknowledged awareness of the requirement but failed to ensure the facility was properly stocked.

The facility failed to ensure food storage areas were protected from contamination. Specifically, inspectors found expired milk in the refrigerator and expired bread and hotdog rolls in the kitchen cabinet. Staff interviews indicated that expiration dates were not being consistently checked during grocery delivery or food service.

The facility failed to maintain smoke detectors in the hallway and resident rooms in a safe and operational condition. Specifically, staff failed to replace batteries in the hallway smoke detector despite a chirping alert that had been occurring for at least one month.

The facility failed to maintain water temperatures in the community bathroom between 100 and 116 degrees Fahrenheit. Specifically, the sink was measured at 122 degrees F and the tub was measured at 126 degrees F.

The facility failed to maintain water temperatures in the community bathroom within the required range of 100 to 116 degrees Fahrenheit. Specifically, the sink was measured at 122 degrees F and the tub was measured at 126 degrees F.