THE HERITAGE

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for West Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/12/2009.

Administration

Post Nurse Staffing Information. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Follow All Laws and Professional Standards. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 05/08/2008 Correction Date: 06/26/2008

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/15/2007 Correction Date: 03/31/2007
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 05/08/2008 Correction Date: 06/26/2008

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 08/12/2009 Correction Date: 09/10/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 08/12/2009 Correction Date: 09/25/2009

Nutrition and Dietary

Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 08/12/2009 Correction Date: 09/25/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/15/2007 Correction Date: 03/31/2007
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/15/2007 Correction Date: 05/10/2007
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Make Sure That Each Resident Gets Help to Keep Vision and Hearing. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 05/08/2008 Correction Date: 06/26/2008

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 02/15/2007 Correction Date: 03/31/2007
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/08/2008 Correction Date: 06/26/2008

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 05/08/2008 Correction Date: 06/26/2008
Give the Resident's Legal Representative the Same Rights As the Resident. Inspection Date: 08/12/2009 Correction Date: 09/10/2009
Tell the Resident Completely About His or Her Health Status. Inspection Date: 08/12/2009 Correction Date: 09/25/2009
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 08/12/2009 Correction Date: 09/10/2009
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 08/12/2009 Correction Date: 10/09/2009
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed. Inspection Date: 08/12/2009 Correction Date: 09/01/2009
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 08/12/2009 Correction Date: 09/01/2009
Tell the Resident or the Resident's Representative in Writing How Long the Nursing Home Will Hold the Resident's Bed when the Resident Temporarily Leaves the Facility. Inspection Date: 08/12/2009 Correction Date: 09/01/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 08/12/2009 Correction Date: 09/25/2009

The table below lists incident reports by the nursing staff or administration for The Heritage, as well as complaints by residents or their family in the previous three years.

Environmental

Have a Program to Keep Infection from Spreading. Complaint Filed: 09/10/2008 Correction Date: 10/29/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/07/2010 Correction Date: 01/12/2011

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Complaint Filed: 09/10/2008 Correction Date: 10/29/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Complaint Filed: 08/17/2010 Correction Date: 09/30/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 09/10/2008 Correction Date: 10/29/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 09/10/2008 Correction Date: 10/29/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Complaint Filed: 12/07/2010 Correction Date: 01/05/2011

Resident Rights

Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Complaint Filed: 05/17/2010 Correction Date: 08/31/2010
Try to Resolve Each Resident's Complaints Quickly. Complaint Filed: 05/17/2010 Correction Date: 08/03/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that The Heritage had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 08/12/2009.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 08/12/2009 Correction Date: 08/19/2009

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 08/12/2009 Correction Date: 09/14/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 05/20/2008 Correction Date: 06/12/2008

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 08/12/2009 Correction Date: 09/10/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 08/12/2009 Correction Date: 09/07/2009