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Facility profile · CCN 365737

Heatherdowns Rehab & Residential Care Center

59 federal citations on record .

Record summary

Federal record · Q1 2026
59
Total citations
28
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

59 on record
SurveyF-TagViolationSeveritySource
Jan 28, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Jan 28, 2026F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jan 28, 2026F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Nov 26, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 18, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.GComplaint
Feb 10, 2025F880Provide and implement an infection prevention and control program.EStandard
Feb 10, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 10, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Feb 10, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Feb 10, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Feb 10, 2025F687Provide appropriate foot care.DStandard
Feb 10, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 10, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Feb 10, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Dec 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 19, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Oct 16, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Apr 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 28, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Feb 28, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Dec 11, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DComplaint
Dec 11, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Dec 11, 2023F880Provide and implement an infection prevention and control program.FComplaint
Nov 16, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Nov 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 16, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 10, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 6, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Mar 6, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Mar 6, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Mar 6, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
Mar 6, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 6, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Mar 6, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Sep 22, 2022F880Provide and implement an infection prevention and control program.DStandard
Sep 22, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Sep 22, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 22, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Sep 22, 2022F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard
Sep 22, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Sep 22, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 22, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 22, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Sep 22, 2022F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Sep 22, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 22, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Sep 22, 2022F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Sep 22, 2022F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Sep 12, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 12, 2019F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Sep 12, 2019F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Sep 12, 2019F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Sep 12, 2019F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Sep 12, 2019F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Sep 12, 2019F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 12, 2019F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Sep 12, 2019F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Sep 12, 2019F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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