Heritage Hills Senior Living

The facility failed to provide a matching therapeutic diet menu for staff guidance. While a list of resident diets was posted, there were no specific therapeutic diet menus available for dietary staff to reference when preparing meals.

The facility failed to ensure therapeutic diets were served as ordered by physicians. Specifically, a resident requiring a minced and moist level 5 diet was served large pieces of meat, and a resident requiring finger foods was served an uncut chicken breast.

The facility failed to maintain matching therapeutic diet menus for residents with physician-ordered diets. Specifically, during a kitchen observation, no therapeutic diet menus were available for staff reference, and residents were observed being served foods that did not align with their documented dietary needs, such as uncut meats for a resident ordered finger foods.

The facility failed to maintain matching therapeutic diet menus for all physician-ordered therapeutic diets to guide food service staff. During an inspection, it was observed that no therapeutic menus were available in the kitchen for reference, despite residents having documented needs for pureed, gluten-free, and small portion diets.

The facility failed to maintain matching therapeutic diet menus for all physician-ordered therapeutic diets to guide food service staff. Specifically, three sampled residents with orders for pureed, gluten-free, and small portion diets did not have corresponding therapeutic menus available for reference in the kitchen.

The facility failed to ensure one of three sampled residents had an updated annual FL-2 medical examination. A review of Resident #2's record showed no current FL-2 was available for review despite the resident being admitted in 2017.

The facility failed to administer medications as ordered by a physician for one of three sampled residents regarding potassium and vitamin B12 supplements. Specifically, vitamin B12 was not available for administration and was missed for 8 out of 14 opportunities, and potassium chloride was not properly managed.

The document indicates a deficiency regarding the assurance that medication preparation and administration are in accordance with orders by a licensed prescribing practitioner, though the specific finding details are truncated in the provided text.

The facility failed to ensure one of three sampled residents had an updated annual FL-2 medical examination. Specifically, Resident #2's most recent examination was dated 04/06/18, and no current FL-2 was available for review despite the resident being admitted in 2017.

The facility failed to ensure Special Care Unit (SCU) residents were served eight ounces of milk at least twice a day. Observations and record reviews showed that the facility's regular menu did not include required milk servings, and multiple residents were not provided milk during lunch and breakfast services.