Inspection Reports for The Village at Heritage Point

WV, 26505

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Deficiencies per Year

4 3 2 1 0
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

0 20 40 60 Aug '04 Sep '07 Oct '11 Sep '16 Aug '20 May '23 Nov '25
Inspection Report Annual Inspection Census: 39 Deficiencies: 0 Nov 20, 2025
Visit Reason
The inspection was conducted as an annual survey of the facility to assess compliance with regulatory requirements.
Findings
The annual survey found no deficiencies cited at the facility during the inspection period from 11/17/25 to 11/20/25.
Report Facts
Census: 39
Inspection Report Annual Inspection Census: 39 Deficiencies: 0 Nov 19, 2025
Visit Reason
The inspection was an annual environmental survey conducted to assess compliance with health and safety regulations at the facility.
Findings
The inspection found no deficiencies cited during the visit, indicating compliance with applicable standards.
Report Facts
Census: 39
Inspection Report Plan of Correction Census: 6 Deficiencies: 2 Sep 30, 2024
Visit Reason
The document is a plan of correction review related to a behavioral health survey conducted to address deficiencies in the facility environment and safety.
Findings
The facility was found to have safety issues including lack of alarms on outside doors and insufficient awake staff supervision on weekends. The plan of correction was reviewed and the citation was cleared as of 09/30/2024.
Deficiencies (2)
Description
The adolescent girls' bedrooms have outside doors without alarms or alert devices, and staff are not awake on weekend nights to monitor safety.
An outside door in the TV room does not lock.
Report Facts
Center census: 6 Sample size: 3
Inspection Report Annual Inspection Census: 40 Deficiencies: 2 Aug 21, 2024
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements, including record accuracy and facility maintenance.
Findings
The licensee failed to maintain accurate resident records, specifically Death Information Forms for five of eight closed records, and the facility had deficiencies in housekeeping and maintenance such as damaged carpet, missing bathroom fixtures, and cleanliness issues.
Severity Breakdown
Class II: 1
Deficiencies (2)
DescriptionSeverity
Failure to ensure accuracy of resident Death Information Forms, with Executive Director signing as Estate Administrator or Executor for five residents.Class II
Inadequate housekeeping and maintenance including personal belongings left behind furniture, carpet damage (iron burn and bleach spots), torn chair, missing towel bar and toilet paper holder, and dirty sink.
Report Facts
Census: 40 Closed records reviewed: 8 Records with deficient Death Information Forms: 5 Plan of Correction Completion Date: Sep 11, 2024
Employees Mentioned
NameTitleContext
ED #62Executive DirectorNamed in findings related to inaccurate signing of Death Information Forms
Inspection Report Renewal Census: 29 Deficiencies: 0 Aug 21, 2024
Visit Reason
The inspection was conducted as a license renewal survey to determine if the residence complies with state requirements.
Findings
The facility was found to be in substantial compliance with the state requirements based on review of documentation, staff interviews, observations, and performance testing. No deficiencies were cited during this inspection.
Report Facts
Census: 29 Deficiencies cited: 0
Inspection Report Plan of Correction Deficiencies: 2 Dec 5, 2023
Visit Reason
The document is a plan of correction submitted in response to a prior behavioral health survey conducted February 9-11, 2004, addressing deficiencies related to safety and supervision in the facility.
Findings
The prior survey found that the facility did not provide a safe environment for adolescent consumers, specifically noting lack of alarms on outside doors and insufficient awake staff supervision on weekend nights. The plan of correction includes employing staff or alternate sleeping arrangements to provide awake-night supervision during weekend shifts by July 1, 2004.
Deficiencies (2)
Description
The adolescent girls' bedrooms have outside doors without alarms or alert devices, and staff are not awake on weekend nights to monitor consumers.
An outside door in the TV room does not lock.
Report Facts
Center census: 6 Sample size: 3
Inspection Report Annual Inspection Census: 34 Deficiencies: 4 Nov 2, 2023
Visit Reason
The inspection was conducted as the facility's annual survey to assess compliance with regulatory requirements.
Findings
The survey identified deficiencies including failure to have physician's orders for all medications for one resident, inadequate housekeeping and maintenance issues, and failure to provide specialty wound care training to new and tenured employees within required timeframes.
Severity Breakdown
Class I: 1 Class II: 2
Deficiencies (4)
DescriptionSeverity
Failed to have a physician's order for all medications taken by Resident #27.Class I
Inadequate housekeeping and maintenance including personal belongings left behind furniture, carpet damage, torn chair, missing towel bars and toilet paper holders, and dirty sink.
Failed to provide specialty wound care training to new employees prior to working unsupervised within 15 days of employment.Class II
Failed to provide and maintain a record of annual in-service training on specialty care for tenured employees.Class II
Report Facts
Census: 34 Sample Size: 1 Completion Date: Nov 21, 2023 Completion Date: Nov 17, 2023 Completion Date: Nov 13, 2023
Employees Mentioned
NameTitleContext
Interim Executive Director #27Interim Executive DirectorAgreed that specialized wound care training had not been provided to new and tenured employees
Director of NursingDirector of Nursing (DON)Interviewed regarding medication orders for Resident #27
Inspection Report Annual Inspection Census: 6 Deficiencies: 0 Oct 31, 2023
Visit Reason
Annual environmental inspection of The Suites at Heritage Point conducted to assess compliance with health and safety regulations.
Findings
No deficiencies were cited during the annual environmental inspection conducted on October 31, 2023.
Inspection Report Annual Inspection Census: 36 Deficiencies: 0 May 8, 2023
Visit Reason
Revisit to annual inspection of the facility.
Findings
The report notes the census at the time of inspection and indicates it is a revisit to the annual survey. No specific deficiencies or severity levels are detailed in this document.
Report Facts
Census: 36
Inspection Report Annual Inspection Census: 38 Deficiencies: 1 Nov 11, 2022
Visit Reason
The inspection was conducted as an annual survey to assess compliance with medication administration and facility housekeeping standards.
Findings
The inspection found one deficiency related to inaccurate medication administration records for a resident's eye drops, which were ordered four times daily but documented as three times daily. Additionally, observations revealed inadequate housekeeping and maintenance issues including damaged carpet, missing bathroom fixtures, and unclean areas.
Severity Breakdown
Class I: 1
Deficiencies (1)
DescriptionSeverity
Medications were not accurately reflected on the medication administration record for one resident; eye drops ordered four times daily were documented as three times daily.Class I
Report Facts
Resident census: 38 Deficiencies cited: 1
Employees Mentioned
NameTitleContext
Director of NursingDirector of NursingNamed in relation to the medication administration deficiency and subsequent corrective actions
Director of Corporate ComplianceDirector of Corporate ComplianceAttorney who spoke at the mandatory nurse meeting regarding medication administration accuracy
Executive DirectorExecutive DirectorParticipated in exit interview and discussed ongoing investigation and root cause analysis
Inspection Report Annual Inspection Census: 40 Deficiencies: 0 Nov 9, 2022
Visit Reason
The inspection was an Environmental-Annual survey conducted to assess compliance with health and safety regulations at the facility.
Findings
The survey found no deficiencies, with no violations reported by the Fire Marshall or Health Department. The facility was compliant with all inspected areas.
Report Facts
Sample size: 100 Sprinkler count: 13
Inspection Report Annual Inspection Census: 38 Deficiencies: 0 Oct 21, 2021
Visit Reason
The inspection was conducted as an annual survey of the facility to assess compliance with regulatory standards.
Findings
The annual survey found no deficiencies cited during the inspection period from 10/18/21 to 10/20/21.
Report Facts
Census: 38
Inspection Report Routine Census: 35 Deficiencies: 0 Oct 19, 2021
Visit Reason
Routine environmental inspection conducted at The Suites at Heritage Point on October 19, 2021.
Findings
No deficiencies were found during the environmental inspection.
Report Facts
Census: 35
Inspection Report Routine Census: 41 Deficiencies: 0 Jan 27, 2021
Visit Reason
The facility underwent an Infection Control Survey conducted on January 27, 2021, from 8:30 a.m. to 12:00 p.m.
Findings
No deficiencies were identified during the Infection Control Survey.
Report Facts
Census: 41
Inspection Report Re-Inspection Census: 41 Deficiencies: 0 Jan 27, 2021
Visit Reason
Revisit to initial survey to verify correction of previously cited deficiencies.
Findings
The revisit inspection found that all previously cited deficiencies were cleared.
Report Facts
Census: 41
Inspection Report Original Licensing Census: 42 Deficiencies: 2 Sep 16, 2020
Visit Reason
Initial Assisted Living Survey conducted as a change from Residential Care Center (RCC) to Assisted Living facility.
Findings
The facility failed to ensure staff monitored and documented residents' conditions every eight hours for 24 hours following accidents, specifically for two residents who sustained falls. Additionally, inadequate housekeeping and maintenance issues were observed, including damaged carpet, missing bathroom fixtures, and unclean areas.
Severity Breakdown
Class II: 1
Deficiencies (2)
DescriptionSeverity
Failure to monitor and document resident condition at least once every eight hours for 24 hours following an accident, as required.Class II
Inadequate housekeeping and maintenance including damaged carpet, missing towel bars and toilet paper holders, and unclean sink.
Report Facts
Census: 42 Residents with incomplete monitoring: 2
Employees Mentioned
NameTitleContext
Resident Care CoordinatorInterviewed and stated unawareness of incomplete 24-hour monitoring; committed to additional staff training
Executive DirectorInterviewed and acknowledged documentation failures; committed to additional staff training
Director of Assisted LivingResponsible for re-educating nursing staff, monitoring charting compliance, and ensuring policy adherence
Inspection Report Routine Census: 42 Deficiencies: 0 Sep 14, 2020
Visit Reason
Routine environmental inspection of The Suites at Heritage Point to assess compliance with health and safety standards.
Findings
No deficiencies were cited during the environmental inspection conducted on September 14, 2020, with a census of 42 residents.
Report Facts
Census: 42
Inspection Report Environmental Census: 42 Deficiencies: 0 Aug 31, 2020
Visit Reason
Environmental inspection conducted on August 31, 2020, to assess compliance with health and safety standards.
Findings
No deficiencies were cited during the environmental inspection of the facility.
Report Facts
Census: 42
Inspection Report Complaint Investigation Census: 41 Deficiencies: 0 Feb 26, 2020
Visit Reason
Complaint Investigation #23767 was conducted to investigate an unsubstantiated complaint at The Suites at Heritage Point.
Findings
The complaint was found to be unsubstantiated following the investigation conducted from 02/25/20 to 02/26/20.
Complaint Details
Complaint Investigation: #23767, Unsubstantiated complaint
Report Facts
Census: 41
Inspection Report Annual Inspection Census: 37 Deficiencies: 0 Nov 5, 2019
Visit Reason
The inspection was conducted as an annual licensure survey for a residential care community.
Findings
No deficiencies were cited during this annual licensure survey.
Report Facts
Census: 37
Inspection Report Routine Census: 35 Deficiencies: 0 Sep 10, 2019
Visit Reason
Routine environmental inspection conducted at The Suites at Heritage Point on 09/10/2019.
Findings
The inspection found no environmental deficiencies during the visit.
Report Facts
Census: 35
Inspection Report Annual Inspection Census: 41 Deficiencies: 0 Sep 11, 2018
Visit Reason
The visit was conducted as the annual survey of the facility to assess compliance with regulatory standards.
Findings
The annual survey found no deficiencies cited during the inspection conducted on September 11-12, 2018.
Report Facts
Census: 41
Inspection Report Routine Census: 40 Deficiencies: 0 Sep 5, 2018
Visit Reason
Routine environmental inspection of The Suites at Heritage Point facility.
Findings
No deficiencies were cited during the environmental inspection conducted on September 5, 2018.
Report Facts
Census: 40
Inspection Report Complaint Investigation Census: 41 Deficiencies: 0 Jan 2, 2018
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint ID WV00019403 during January 2-3, 2018.
Findings
No deficiencies were cited during this complaint investigation.
Complaint Details
Complaint ID WV00019403 was investigated and found to have no deficiencies cited.
Report Facts
Census: 41
Inspection Report Annual Inspection Census: 36 Deficiencies: 0 Sep 13, 2017
Visit Reason
The document is an annual survey inspection conducted to assess compliance with regulatory standards at The Suites at Heritage Point.
Findings
The annual survey conducted on September 12-13, 2017, found no deficiencies at the facility.
Report Facts
Census: 36
Inspection Report Annual Inspection Census: 37 Deficiencies: 0 Sep 5, 2017
Visit Reason
The inspection was conducted as an annual survey of the Suites at Heritage Point facility to assess environmental conditions and overall compliance.
Findings
The annual survey found no deficiencies cited during the inspection conducted on September 5, 2017.
Report Facts
Census: 37
Inspection Report Annual Inspection Census: 42 Deficiencies: 0 Sep 15, 2016
Visit Reason
Annual licensure survey conducted from September 12-15, 2016 to assess compliance with licensure requirements.
Findings
The facility was found to be deficiency free during the annual licensure survey.
Report Facts
Census: 42 Sample Size: 3
Inspection Report Annual Inspection Census: 42 Deficiencies: 0 Sep 6, 2016
Visit Reason
The inspection was conducted as an annual licensure survey for The Suites at Heritage Point facility.
Findings
The survey identified a total of 247 deficiencies related to environmental conditions at the facility.
Report Facts
Deficiencies cited: 247 Census: 42
Inspection Report Annual Inspection Census: 43 Deficiencies: 1 Nov 5, 2015
Visit Reason
The visit was conducted as an Annual Licensure Survey to assess compliance with health, safety, and environmental regulations at the facility.
Findings
The facility was found deficient in maintaining safe, sanitary, and accident-free living conditions, specifically related to maintenance and housekeeping practices. Several automatic closing doors were found wedged open, requiring installation of automatic hold opens to meet safety requirements.
Severity Breakdown
Class I: 1
Deficiencies (1)
DescriptionSeverity
Maintenance and housekeeping failed to maintain safe, sanitary, and accident-free living conditions, including automatic closing doors wedged open.Class I
Report Facts
Deficiencies cited: 1 Census: 43
Inspection Report Annual Inspection Census: 43 Deficiencies: 0 Oct 7, 2015
Visit Reason
The visit was conducted as an annual licensure survey of the facility.
Findings
The report documents the annual licensure survey conducted from October 5-7, 2015, with a census of 43 residents. No specific deficiencies or severity levels are detailed in the provided text.
Report Facts
Census: 43
Inspection Report Annual Inspection Census: 40 Deficiencies: 0 Aug 20, 2014
Visit Reason
The inspection was conducted as an annual survey of the facility to assess compliance with regulatory standards.
Findings
The report summarizes the findings from the annual survey conducted August 18-20, 2014, with a census of 40 residents. Specific deficiencies or severity levels are not detailed in the provided text.
Report Facts
Census: 40
Inspection Report Annual Inspection Census: 40 Deficiencies: 0 Oct 30, 2013
Visit Reason
The document is an annual licensure survey conducted from October 28-30, 2013 to assess compliance with regulatory requirements.
Findings
The report summarizes the annual licensure survey findings for the facility, noting the census and the survey dates. Specific deficiencies or severity levels are not detailed in the provided text.
Report Facts
Census: 40
Inspection Report Annual Inspection Census: 39 Deficiencies: 0 Sep 27, 2012
Visit Reason
Annual environmental survey conducted to assess compliance with health and safety regulations at The Suites at Heritage Point.
Findings
No deficiencies were cited during the inspection, indicating full compliance with applicable standards.
Report Facts
Census: 39
Employees Mentioned
NameTitleContext
Sharron BallHFNS IISurveyor conducting the annual environmental survey
Inspection Report Annual Inspection Census: 40 Deficiencies: 0 Sep 12, 2012
Visit Reason
Annual licensure survey conducted to assess compliance with regulatory requirements for the facility.
Findings
No deficiencies were cited during the survey and no technical assistance was given.
Report Facts
Census: 40
Employees Mentioned
NameTitleContext
Betty MarineLSW, HFS IISurveyor
Bev RandolphRN, HFNS ISurveyor
Inspection Report Annual Inspection Census: 39 Deficiencies: 0 Oct 19, 2011
Visit Reason
The inspection was conducted as the annual survey of the facility to assess compliance with regulatory requirements.
Findings
No deficiencies were cited during the annual survey. Technical assistance was provided to the facility.
Report Facts
Census: 39
Employees Mentioned
NameTitleContext
Jane CostRN HFNS IISurveyor
Louise HallRN HFNS IISurveyor
Beverly RandolphRN HFNS ISurveyor
Inspection Report Annual Inspection Census: 44 Deficiencies: 0 Oct 4, 2011
Visit Reason
Annual environmental survey conducted to assess compliance with health and safety regulations at the facility.
Findings
No deficiencies or technical assistance were identified during the inspection.
Report Facts
Census: 44
Employees Mentioned
NameTitleContext
Keith CarpenterSurveyorConducted the annual survey
Inspection Report Annual Inspection Census: 39 Deficiencies: 0 Oct 19, 2010
Visit Reason
Annual licensure survey conducted to assess compliance with regulatory requirements.
Findings
No deficiencies were cited during the survey. Technical assistance was provided to the facility.
Report Facts
Census: 39
Employees Mentioned
NameTitleContext
Jane CostRN, HFNS IISurveyor
Louise HallRN, HFNS IISurveyor
Inspection Report Annual Inspection Census: 36 Deficiencies: 0 Oct 12, 2010
Visit Reason
The visit was conducted as an annual survey to assess compliance with regulatory standards at The Suites at Heritage Point.
Findings
No deficiencies were cited during this annual survey, although technical assistance was provided by the surveyor.
Report Facts
Census: 36
Employees Mentioned
NameTitleContext
Jason T. LintnerSurveyorConducted the annual survey
Inspection Report Complaint Investigation Census: 39 Deficiencies: 0 Aug 9, 2010
Visit Reason
The inspection was conducted as a complaint investigation based on allegations received regarding the facility.
Findings
The allegations were found to be unsubstantiated and no deficiencies were cited during the investigation.
Complaint Details
Allegations unsubstantiated. No deficiencies cited.
Report Facts
Census: 39
Employees Mentioned
NameTitleContext
Jane CostRN, HFNS IISurveyor involved in complaint investigation
Louise HallRN, HFNS IISurveyor involved in complaint investigation
Inspection Report Complaint Investigation Census: 44 Deficiencies: 0 Jun 30, 2010
Visit Reason
The inspection was conducted as a complaint investigation identified by #WV00005764.
Findings
The complaint investigation was unsubstantiated with no deficiencies cited.
Complaint Details
Complaint investigation #WV00005764 was unsubstantiated.
Report Facts
Census: 44
Employees Mentioned
NameTitleContext
Pamala MartinHFNSIISurveyor involved in complaint investigation
Sharon R. KirkProgram ManagerSurveyor involved in complaint investigation
Inspection Report Annual Inspection Census: 40 Deficiencies: 0 Oct 26, 2009
Visit Reason
The inspection was conducted as an annual survey of the facility to assess compliance with regulatory requirements.
Findings
The report summarizes the annual survey conducted from October 27-29, 2009, with no specific deficiencies detailed in the provided page. The census at the time was 40 residents.
Report Facts
Census: 40
Employees Mentioned
NameTitleContext
Louise HallRN HFNS IISurveyor for the annual inspection
Jane CostRN HFNS IISurveyor for the annual inspection
Inspection Report Annual Inspection Census: 43 Deficiencies: 0 Sep 22, 2009
Visit Reason
The visit was conducted as an annual survey to assess the environment and compliance of the facility.
Findings
No deficiencies were cited during the survey, but technical assistance was provided.
Report Facts
Census: 43
Inspection Report Routine Census: 38 Deficiencies: 0 Oct 7, 2008
Visit Reason
Routine environmental inspection of The Suites at Heritage Point to assess compliance with health and safety regulations.
Findings
No deficiencies or technical assistance needs were identified during the inspection conducted by surveyor Keith Carpenter.
Report Facts
Census: 38
Inspection Report Annual Inspection Census: 38 Deficiencies: 0 Sep 24, 2008
Visit Reason
The inspection was conducted as the facility's annual survey to assess compliance with regulatory standards.
Findings
The report summarizes the annual survey conducted at The Suites at Heritage Point with no specific deficiencies detailed in the provided text.
Report Facts
Census: 38
Employees Mentioned
NameTitleContext
Jane CostRN HFNS IISurveyor
Louise HallRN HFNS IISurveyor
Donna WilliamsonRN HFNS ISurveyor
Inspection Report Annual Inspection Census: 40 Deficiencies: 0 Sep 26, 2007
Visit Reason
The visit was conducted as an annual survey of the facility to assess compliance with regulatory standards.
Findings
The report summarizes the annual survey conducted on September 25-26, 2007, with a census of 40 residents. No specific deficiencies or severity levels are detailed in the provided document.
Report Facts
Census: 40
Employees Mentioned
NameTitleContext
Deborah DodrillHFS IISurveyor for the annual inspection
Louise HallRN, HFNS IISurveyor for the annual inspection
Inspection Report Annual Inspection Census: 40 Deficiencies: 0 Aug 29, 2007
Visit Reason
The facility underwent an annual environmental survey conducted on August 28-29, 2007.
Findings
The survey was conducted as a technical assistance (TA) only visit, with no deficiencies or enforcement actions noted in the report.
Report Facts
Census: 40
Employees Mentioned
NameTitleContext
Keith CarpenterHFSII SurveyorSurveyor conducting the annual environmental survey
Inspection Report Complaint Investigation Census: 39 Deficiencies: 0 Dec 6, 2006
Visit Reason
The inspection was conducted as a complaint investigation identified as CI #WV00003091.
Findings
No deficiencies were cited during the complaint investigation survey conducted at the facility.
Complaint Details
Complaint investigation CI #WV00003091 was conducted with no deficiencies cited.
Report Facts
Census: 39
Employees Mentioned
NameTitleContext
Jane CostHFNSIISurveyor during complaint investigation
Louise HallHFNSIISurveyor during complaint investigation
Myra McCleadHFNSIISurveyor during complaint investigation
Inspection Report Complaint Investigation Census: 39 Deficiencies: 0 Dec 6, 2006
Visit Reason
The inspection was conducted as a complaint investigation identified as Complaint Investigation #3151.
Findings
No deficiencies were cited during this complaint investigation.
Complaint Details
Complaint Investigation #3151 was conducted with no deficiencies cited.
Report Facts
Census: 39
Employees Mentioned
NameTitleContext
Jane CostRN, HFNS IINamed in complaint investigation
Louise HallRN, HFNS IINamed in complaint investigation
Myra McCleadRN, HFNS IINamed in complaint investigation
Inspection Report Annual Inspection Census: 37 Deficiencies: 0 Oct 12, 2006
Visit Reason
The inspection was conducted as an annual survey of the facility to assess compliance with regulatory requirements.
Findings
The report summarizes the annual survey conducted on October 11-12, 2006, with no specific deficiencies or findings detailed in the document.
Report Facts
Census: 37
Employees Mentioned
NameTitleContext
Jane CostRN, HFNS IINamed as part of the survey team
Louise HallRN, HFNS IINamed as part of the survey team
Myra McCleadRN, HFNS IINamed as part of the survey team
Inspection Report Annual Inspection Census: 41 Deficiencies: 0 Aug 30, 2006
Visit Reason
The facility underwent its annual survey to assess compliance with health and safety regulations.
Findings
The inspection found no deficiencies cited during the annual survey.
Report Facts
Census: 41
Employees Mentioned
NameTitleContext
Keith CarpenterNamed in relation to the annual survey
Inspection Report Annual Inspection Census: 38 Deficiencies: 0 Sep 27, 2005
Visit Reason
The inspection was conducted as an annual survey to assess the environment and compliance of the facility.
Findings
The annual survey found no deficiencies in the facility environment during the inspection.
Report Facts
Census: 38
Employees Mentioned
NameTitleContext
Keith CarpenterNamed in relation to the annual survey
Inspection Report Annual Inspection Census: 39 Deficiencies: 0 Sep 20, 2005
Visit Reason
The visit was conducted as an annual survey of the facility to assess compliance with regulatory standards.
Findings
The report summarizes the findings of the annual survey conducted on September 19-20, 2005, at The Suites at Heritage Point. Specific deficiencies or severity levels are not detailed in the provided text.
Report Facts
Census: 39
Employees Mentioned
NameTitleContext
Jane CostRN, HFNS IISurveyor during the annual survey
Louise HallRN, HFNS IISurveyor during the annual survey
Myra McLeadRN, HFNS ISurveyor during the annual survey
Inspection Report Annual Inspection Census: 37 Deficiencies: 0 Sep 2, 2004
Visit Reason
The inspection was conducted as an annual survey of the facility to assess compliance with regulatory standards.
Findings
The survey provided technical assistance only and did not cite any deficiencies. The census at the time of inspection was 37 residents.
Report Facts
Census: 37
Inspection Report Census: 38 Deficiencies: 0 Aug 5, 2004
Visit Reason
Environmental survey conducted to assess the facility conditions and compliance.
Findings
No deficiencies were issued during this environmental survey.
Report Facts
Census: 38
Inspection Report Annual Inspection Deficiencies: 4 Oct 2, 2003
Visit Reason
Annual Survey conducted at The Suites at Heritage Point on September 29-30, 2003 and October 1-2, 2003.
Findings
The facility failed to maintain proper documentation of employee training, resident records, and medication orders. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpets, missing bathroom fixtures, and unclean areas.
Deficiencies (4)
Description
The facility must maintain documentation employees are receiving the required annual training including employee's signature and date.
Each resident's record should clearly distinguish the legal representative, individual responsible for payment, next of kin and emergency contact.
All medications being received by residents must have a corresponding physician order, including self-administered medications.
Facility failed to ensure adequate housekeeping and maintenance; observed iron burn and bleach spots on carpet, torn chair, missing towel bar and toilet paper holder, and dirty sink.
Report Facts
Survey dates: September 29-30, 2003 and October 1-2, 2003

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