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Heritage Hills Living & Rehabilitation Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 81
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 10/13/2011

Date of last standard health inspection: 10/13/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in OK: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OK: 0 - 12

Inspection, 01/08/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/08/2011 01/03/2004 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/08/2011 01/03/2004 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/08/2011 01/03/2004 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/08/2011 02/08/2012 2 Some
Have a program that investigates 01/08/2011 01/03/2004 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/08/2011 02/08/2012 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/08/2011 02/08/2012 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 01/08/2011 02/08/2012 2 Some
Store, cook, and serve food in a safe and clean way. 01/08/2011 02/08/2012 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/08/2011 02/08/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/08/2011 02/08/2012 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/08/2011 01/03/2004 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/08/2011 02/08/2012 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/08/2011 02/08/2012 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/08/2011 01/03/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/08/2011 01/03/2004 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/08/2011 02/08/2012 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/08/2011 01/03/2004 and that incontinent patients receive proper servi unless medically necessary
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 01/08/2011 02/08/2012 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/08/2011 02/08/2012 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 01/08/2011 02/08/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/08/2011 00/08/2012 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/08/2011 01/03/2004 2 Some
Keep residents' personal and medical records private and confidential. 01/08/2011 02/08/2012 2 Some
Immediately tell the resident 01/08/2011 01/03/2004 and a family member of situations (injury/decline/ the resident's doctor
Keep residents' personal and medical records private and confidential. 01/08/2011 02/08/2012 2 Some

Inspection, 01/03/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/03/2010 02/05/2011 2 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/03/2010 02/05/2011 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2010 02/05/2011 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/03/2010 02/05/2011 2 Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 01/03/2010 02/05/2011 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/03/2010 02/05/2011 2 Some
Have a program that investigates 01/03/2010 02/05/2011 Some controls and keeps infection from spreading.
Make sure there is a pest control program to prevent/deal with mice 01/03/2010 02/05/2011 or other pests. insects
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/03/2010 02/05/2011 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/03/2010 02/05/2011 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 01/03/2010 02/05/2011 2 Some
Store, cook, and serve food in a safe and clean way. 01/03/2010 02/05/2011 4 Some
Prepare food that is nutritional 01/03/2010 02/05/2011 tasty appetizing
Store 01/03/2010 02/05/2011 and serve food in a safe and clean way. cook
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/03/2010 02/05/2011 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/03/2010 02/05/2011 2 Some
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/03/2010 02/05/2011 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/03/2010 02/05/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2010 02/05/2011 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/03/2010 02/05/2011 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/03/2010 02/05/2011 2 Some
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/03/2010 02/05/2011 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/03/2010 02/05/2011 3 Few
Assist those residents who need help with eating/drinking 01/03/2010 02/05/2011 Some grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/03/2010 02/05/2011 and that incontinent patients receive proper servi unless medically necessary
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 01/03/2010 02/05/2011 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assess in a timely manner the resident when the resident enters the nursing home. 01/03/2010 02/05/2011 2 Few
Assure that each resident 01/03/2010 02/05/2011 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/03/2010 02/05/2011 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2010 02/05/2011 2 Some
Assess in a timely manner the resident when the resident enters the nursing home. 01/03/2010 02/05/2011 2 Few
Assure that each resident 01/03/2010 02/05/2011 2 Few
Develop a complete care plan that meets all the resident's needs 01/03/2010 02/05/2011 Some with timetables and actions that can be measured.
Allow residents the right to participate in the planning or revision of care and treatment. 01/03/2010 02/05/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/03/2010 02/05/2011 2 Some
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/03/2010 02/05/2011 2 Some
Reasonably accommodate the needs and preferences of each resident. 01/03/2010 02/05/2011 2 Few
Immediately tell the resident 01/03/2010 02/05/2011 and a family member of situations (injury/decline/ the resident's doctor
Ensure residents have the right to have a choice over activities 01/03/2010 02/05/2011 and health care according to their interests their schedules
Reasonably accommodate the needs and preferences of each resident. 01/03/2010 02/05/2011 2 Few

Inspection, 02/04/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/04/2008 02/07/2009 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/04/2008 02/07/2009 2 Some
Maintain comfortable and safe temperature levels. 02/04/2008 02/07/2009 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/04/2008 02/07/2009 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/04/2008 02/07/2009 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 02/04/2008 02/07/2009 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 02/04/2008 02/07/2009 4 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/04/2008 02/07/2009 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/04/2008 02/07/2009 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/04/2008 02/07/2009 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 02/04/2008 02/07/2009 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2008 02/07/2009 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 02/04/2008 02/07/2009 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 02/04/2008 02/07/2009 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/04/2008 02/07/2009 2 Some
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 02/04/2008 02/07/2009 2 Some
Allow residents the right to participate in the planning or revision of care and treatment. 02/04/2008 02/07/2009 2 Some

Inspection, 01/01/2008

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/01/2008 02/00/2008 4 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/01/2008 02/00/2008 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 00/04/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/04/2005 02/00/2005 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Prepare food that is nutritional 00/04/2005 02/00/2005 tasty appetizing
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/04/2005 02/00/2005 2 Some

Inspection, 02/02/2003

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/02/2003 01/03/2004 2 Some

Inspection, 01/02/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/02/2003 01/09/2004 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/02/2003 01/09/2004 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2003 01/09/2004 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/02/2003 01/09/2004 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/02/2003 00/01/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2003 01/03/2004 4 Some
Assist those residents who need help with eating/drinking 01/02/2003 01/09/2004 Few grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/02/2003 01/09/2004 and that incontinent patients receive proper servi unless medically necessary
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/02/2003 01/09/2004 and a family member of situations (injury/decline/ the resident's doctor
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/02/2003 01/09/2004 2 Some

Inspection, 02/03/2002

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that special or therapeutic diets are ordered by the attending doctor. 02/03/2002 02/03/2003 2 Few

Inspection, 01/02/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2001 01/03/2004 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug 01/02/2001 01/03/2004 wrong time) to less than 5%. wrong dose
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/02/2001 00/09/2002 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/02/2001 01/03/2004 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 01/02/2001 01/03/2004 and a family member of situations (injury/decline/ the resident's doctor
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/02/2001 00/09/2002 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in OK Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 64 77
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 55 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 19 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 36 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 2 hours 2 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 10/12/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 10/12/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in OK: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OK: 0 - 0

Inspection, 01/06/2011

Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 01/06/2011 01/07/2012 1 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/06/2011 01/09/2011 2 Some

Inspection, 01/02/2010

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/02/2010 02/05/2011 2 Some
Corridor and hallway doors that block smoke. 01/02/2010 02/05/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/02/2010 02/05/2011 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A fire alarm system that can be heard throughout the facility. 01/02/2010 02/05/2011 2 Many
An approved installation, maintenance and testing program for fire alarm systems. 01/02/2010 02/05/2011 2 Many
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/02/2010 02/05/2011 2 Some

Inspection, 02/01/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/01/2008 02/07/2009 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 02/01/2008 02/07/2009 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/01/2008 02/07/2009 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/01/2008 02/07/2009 2 Some
 

411 North West Street
Mcalester, OK 74502

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