Inspection Reports for
Heartland Care and Rehabilitation Center

The facility was found deficient in maintaining a safe, clean, and homelike environment due to maintenance issues such as broken tiles, holes in walls, and doors that could not be opened. Additionally, infection control practices were inadequate during catheter care and blood sugar checks, with staff failing to use gowns and gloves appropriately, potentially exposing residents to infection risks.

The facility was found deficient in multiple areas including accounting and records of personal funds, professional standards for services provided, respiratory/tracheostomy care, medication error rates, communicable disease employee screening, medication labeling and storage, and nursing care per resident condition. The facility census was 74 at the time of the survey.

The facility failed to maintain exit egress doors in functioning order, maintain smoke walls free of penetrations, and ensure the sprinkler system was properly maintained and free of corrosion and dust. These deficiencies potentially affected all residents and staff.

The facility was found deficient in managing resident trust fund accounts accurately, following physician's orders for weights, insulin administration, and oxygen therapy, maintaining medication error rates below 5%, and ensuring proper labeling and storage of medications. Several residents were affected by these deficiencies, with potential for minimal to actual harm.

The facility was found deficient in multiple areas including failure to ensure accurate and consistent documentation of residents' code status, unsafe and unsanitary environmental conditions, inadequate discharge planning process, and ineffective pest control program. Several deficiencies were cited related to resident care, environment, and regulatory compliance.

The facility failed to maintain exit egress free of obstructions, failed to provide emergency lighting with battery backup, and failed to restrict the use of temporary wiring such as extension cords. These deficiencies potentially affected all residents and staff.

The facility was found deficient in accurately documenting residents' code status, maintaining a safe and clean environment, ensuring proper discharge planning, and controlling pest infestations, specifically flies in the secure unit. These deficiencies had the potential to affect multiple residents but were generally rated as minimal harm or potential for harm.

The inspection was conducted in response to Complaint #M000179919. The complaint involved concerns about resident care, including significant change assessments, care planning, medication storage, and laboratory services. The complaint was substantiated based on the findings.

The facility was found deficient in completing significant change assessments, baseline care plans, comprehensive care plans, activities of daily living care, medication storage, and laboratory services. Multiple residents' care plans and assessments were incomplete or not updated, and medication storage practices did not meet regulatory standards.

The facility failed to maintain adequate exit illumination and had temporary wiring issues, potentially affecting all residents and staff. Observations included lack of secondary power for exit illumination and use of power strips in employee breakroom.

The facility was found deficient in multiple areas including surety bond security for residents' personal funds, advance directives documentation, notification of changes in resident condition, freedom from physical restraints, bed hold policy compliance, comprehensive care plan updates, pressure ulcer prevention and treatment, nurse staffing information posting, food safety, and infection control practices.

The facility failed to maintain clear means of egress, maintain monthly fire extinguisher inspections, properly seal smoke barriers, prohibit combustible decorations and candles, and prevent use of unapproved power strips. These deficiencies potentially affected all residents and staff.

The facility was found deficient in multiple areas including failure to respond to resident grievances, improper Medicaid/Medicare notification documentation, failure to follow physician orders for medication administration, inadequate activities program, inaccurate feeding tube management, failure to post nurse staffing information, improper labeling and storage of drugs, and inadequate infection prevention and control practices.

The facility failed to meet several fire safety requirements including discharge from exits, kitchen range hood maintenance, sprinkler system maintenance, and smoke barrier doors. These deficiencies affected all residents, staff, and occupants in the event of a fire.