Inspection Reports for Heritage Springs Memory Care

The visit was incident-related, triggered by an abuse allegation involving a staff member and a resident. The facility reported the incident, suspended and terminated the staff member, and conducted an internal investigation.

The submitted plan of correction was determined to be fully implemented by 08/06/2025. The facility demonstrated compliance with abuse prevention requirements after an incident involving a staff member causing skin tears to a resident during care. The staff member was terminated and abuse policies reinforced.

The facility was found to have fully implemented the submitted plan of correction. Two deficiencies were noted related to combustible storage and fire drill evacuation procedures, both of which were corrected and staff were re-educated.

The visit was complaint-related, investigating an incident of resident abuse and an incomplete support plan. The facility self-reported the abuse incident and implemented corrective actions including staff retraining and audits. The complaint was addressed with accepted plans of correction and full implementation by June 11, 2024.

Two deficiencies were identified: one related to abuse where a staff member failed to separate residents engaged in inappropriate physical contact, and another related to incomplete documentation in a resident's support plan regarding medical and physical assistance needs after a fall. Both deficiencies had plans of correction accepted and were implemented by June 2024.

The visit was complaint-related, involving an incident where a staff member yelled at a resident. The facility self-reported the incident, took immediate action by suspending and then terminating the staff member, and conducted staff education on resident rights.

The submitted plan of correction was determined to be fully implemented, with continued compliance required. The report details a resident rights violation involving a staff member who was terminated following an internal investigation and staff education was conducted.

The facility was found to have fully implemented the submitted plan of correction regarding a privacy violation incident involving a staff member taking a video/picture of a resident and posting it on social media. The facility took immediate corrective actions including termination of the employee and policy reinforcement.

The submitted plan of correction was determined to be fully implemented, with continued compliance required. The report details resident-to-resident altercations involving aggressive behavior, with corrective actions including medication changes, staff education, and ongoing audits.

The inspection found multiple deficiencies including failure to post the current license inspection summary, outdated batteries in carbon monoxide monitors, unlabeled leftover food, outdated frozen food, improper medication labeling, failure to follow prescriber's orders, incomplete pre-admission screening forms, unsigned support plans, and incomplete support plan revisions. Plans of correction were accepted and implemented by mid-December 2023.

The submitted plan of correction was determined to be fully implemented, with continued compliance required. A violation was found involving a staff member using vulgar language during care, violating a resident's right to dignity and respect.

The facility was found to have fully implemented the submitted plan of correction related to abuse, treatment of residents, and support plan revisions. Specific deficiencies involved resident altercations, mistreatment by staff, and incomplete support plan updates, all of which were addressed with corrective actions and staff terminations.

The inspection found deficiencies related to fire safety testing and medication record keeping. The facility failed to test smoke detectors and fire alarms monthly and did not sound the fire alarm during fire drills on specified dates. Additionally, medication administration records lacked required diagnosis or purpose information for a resident's medication order. Plans of correction were accepted and follow-up submissions were made.

The visit was complaint-related, focusing on medication refusal and support plan issues for resident #1. The plan of correction was accepted and fully implemented as of the follow-up dates.

The facility failed to notify the resident's physician of multiple medication refusals over several days and did not include behavioral information related to medication refusals or aggression in the resident's support plan. The facility submitted and implemented a plan of correction including policy revision, staff training, and audits.