Inspection Report — Oct 26, 2024
Citations: 26
Date: Oct 26, 2024
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State-compiled facility profile showing 25 citations across 2 inspection dates with deficiency history and enforcement actions.
Findings
The Heritage at Twin Creeks had 25 violations cited across two inspection dates, including 13 health code citations and 12 life safety code citations. One enforcement action with an administrative penalty was also recorded.
Citations (26)
The facility failed to ensure each resident was free from abuse, neglect, and exploitation.
The facility failed to follow its internal policies regarding the prevention, detection, and reporting of abuse, neglect, or exploitation.
The facility failed to conduct and document a risk assessment for potential emergencies or disasters.
The facility's emergency preparedness and response plan failed to address the eight core functions of emergency management.
The facility's plan failed to document the contact information for the EMC for the area.
The facility failed to document that staff were competent and trained prior to assuming their responsibilities.
The facility failed to conduct criminal history checks of employees and applicants.
The facility failed to search the employee misconduct registry and nurse aide registry before hiring to determine if the individual is unemployable.
The facility failed to prepare and serve food in the manner required to prevent cross- contamination.
The facility failed to ensure that all employees providing services were screened for tuberculosis within two weeks of employment and annually.
The facility failed to ensure each resident was treated with respect and dignity, and accorded the right to make his/her own choices about care, etc.
The facility failed to ensure that all staff members received four hours of dementia-specific orientation prior to assuming any job responsibilities.
The facility failed to employ a qualified activity director for a minimum of 20 hours weekly.
State violation cited on 2022-07-07 — deficiency details not yet published by the state (correction status: Pending).
The facility failed to obtain an inspection by the fire marshal every year and to keep documentation showing the outcome of the last inspection. (cited 2022-07-07)
The facility failed to conduct required fire drills and document fire drills on the required form. (cited 2022-07-07)
The facility failed to ensure doors in the facility met the referenced codes and standards. (cited 2022-07-07)
The facility failed to provide required exit signs. (cited 2022-07-07)
The facility failed to provide required emergency lighting. (cited 2022-07-07)
The facility failed to provide smoke compartmentation where required. (cited 2022-07-07)
The facility failed to provide a fire sprinkler system that met the referenced codes and standards. (cited 2022-07-07)
The facility failed to provide portable fire extinguishers that met the referenced codes and standards. (cited 2022-07-07)
The facility failed to protect cooking operations according to the Life Safety Code. (cited 2022-07-07)
The facility failed to document any reviews and updates made to the plan. (cited 2022-07-07)
The facility failed to provide proper locking devices (cited 2022-07-07)
Enforcement action (2026-06-12): The facility failed to make arrangements for emergency care or transfer to an appropriate place for treatment.
Report Facts
Inspections on page: 2
Total citations: 25
Health Code citations: 13
Life Safety Code citations: 12
Enforcement actions: 1
Total fines: 2250
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