Facility profile · CCN 375109
Heritage Villa Care & Rehab Center
50 federal citations on record , and 1 federal enforcement actions totaling $8,278.
Record summary
Federal record · Q1 202650
Total citations
24
Last 3 years
1
Actual harm+
1
Federal penalties
$8,278
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
50 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 14, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Aug 14, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 14, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Complaint |
| Aug 14, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Aug 14, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jan 14, 2025 | F758 | Implement 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. | D | Standard |
| Jan 14, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard |
| Jan 14, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Jan 14, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jan 14, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Sep 22, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Sep 22, 2023 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Sep 22, 2023 | F758 | Implement 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. | E | Complaint |
| Sep 22, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Sep 22, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint |
| Sep 22, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Sep 22, 2023 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint |
| Sep 22, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Sep 22, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Sep 22, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 22, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Sep 22, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 22, 2023 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Sep 22, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Apr 28, 2021 | F886 | Perform COVID19 testing on residents and staff. | F | Standard |
| Apr 28, 2021 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | Standard |
| Apr 28, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 28, 2021 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard |
| Apr 28, 2021 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Apr 28, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Apr 28, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 28, 2021 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard |
| Apr 28, 2021 | F758 | Implement 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. | D | Standard |
| Apr 28, 2021 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Apr 28, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Apr 28, 2021 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Apr 28, 2021 | F727 | Have 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. | E | Standard |
| Apr 28, 2021 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Apr 28, 2021 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Apr 28, 2021 | F688 | Provide 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. | E | Standard |
| Apr 28, 2021 | F680 | Ensure the activities program is directed by a qualified professional. | E | Standard |
| Apr 28, 2021 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Apr 28, 2021 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Apr 28, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Apr 28, 2021 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Apr 28, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Apr 28, 2021 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Apr 28, 2021 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Apr 28, 2021 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard |
| Apr 28, 2021 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,278 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 14, 2025 | Fine | $8,278 | — |
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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