Our Promise Care Homes at Heritage Hill

The facility failed to ensure appropriate referral and follow-up for a resident's acute health care needs following a fall. Specifically, a resident who experienced a fall and complained of right shoulder pain was not sent for hospital evaluation for approximately 48 hours.

The facility failed to ensure necessary medical follow-up for a resident who experienced a fall and reported shoulder pain. Specifically, the resident was not sent to the hospital for evaluation for approximately 48 hours following the incident, and neither EMS nor the physician were contacted by staff.

The facility failed to ensure that one of three sampled staff members who administered medications had completed the required 5, 10, or 15-hour training or had verified employment as a medication aide within the previous 24 months. Specifically, documentation for Staff A's medication aide verification of previous employment was found to be incomplete.

The facility failed to ensure that one of the sampled staff members who administered medications had completed the required 5, 10, or 15-hour training program or had verified employment as a medication aide within the previous 24 months. Specifically, documentation for the staff member's medication aide training course was missing, and the verification of previous employment was incomplete.