HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER

This section preserves official CMS inspection text matched to this facility from the current provider page source.

B6-INSP Inspections and official narratives P1 DIFF
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G 1
H
I
No harm, potential
D 10
E 4
F 1
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 16, then 17, then 21 . Latest survey date: 2025-02-10.
Repeat citations
Tag Plain English Previous Latest Sev F0677 Provide care and assistance to perform activities of daily living for any resident who is unable. prior cycle latest cycle D F0880 Provide and implement an infection prevention and control program. prior cycle latest cycle E CMS data shows 2 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2025-02-10 F0550 Resident Rights Deficiencies D standard 2025-02-21 2025-02-10 F0607 Resident protection deficiencies D standard 2025-02-21 2025-02-10 F0677 Quality of Life and Care Deficiencies D standard 2025-02-21 2025-02-10 F0687 Quality of Life and Care Deficiencies D standard 2025-02-21 2025-02-10 F0759 Pharmacy Service Deficiencies D standard 2025-02-21 2025-02-10 F0761 Pharmacy Service Deficiencies E standard 2025-02-21 2025-02-10 F0803 Nutrition and Dietary Deficiencies E standard 2025-02-21 2025-02-10 F0812 Nutrition and Dietary Deficiencies F standard 2025-02-21 2025-02-10 F0880 Infection Control Deficiencies E standard 2025-02-21
Official CMS inspection narrative
F0550 · 2025-02-10 · severity D
Official inspection narrative not available for this citation.
F0607 · 2025-02-10 · severity D
Official inspection narrative not available for this citation.
F0677 · 2025-02-10 · severity D
Official inspection narrative not available for this citation.
F0687 · 2025-02-10 · severity D
Official inspection narrative not available for this citation.
F0759 · 2025-02-10 · severity D
Official inspection narrative not available for this citation.
F0761 · 2025-02-10 · severity E
Official inspection narrative not available for this citation.
F0803 · 2025-02-10 · severity E
Official inspection narrative not available for this citation.
F0812 · 2025-02-10 · severity F
Official inspection narrative not available for this citation.
F0880 · 2025-02-10 · severity E
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
The inspection text below is attributed to CMS Form 2567 records when a matching official source is available.
Inspection Report:
2025-02-10
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
14
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2026-01-28 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2026-01-28 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2026-01-28 | Tag F0921 | Environmental Deficiencies | Severity: E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Survey: 2025-11-26 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Survey: 2025-09-18 | Tag F0627 | Resident Rights Deficiencies | Severity: G
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Survey: 2025-02-10 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2025-02-10 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2025-02-10 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2025-02-10 | Tag F0687 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate foot care.
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Survey: 2025-02-10 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2025-02-10 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E
Ensure 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.
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Survey: 2025-02-10 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: E
Ensure 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.
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Survey: 2025-02-10 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2025-02-10 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2024-12-31 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2024-11-19 | Tag F0624 | Resident Rights Deficiencies | Severity: D
Prepare residents for a safe transfer or discharge from the nursing home.
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Survey: 2024-10-16 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2024-05-23 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2024-04-18 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2022-09-22 | Tag F0623 | Resident Rights Deficiencies | Severity: E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Survey: 2022-09-22 | Tag F0625 | Resident Rights Deficiencies | Severity: D
Notify 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.
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Survey: 2022-09-22 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2022-09-22 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2022-09-22 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2022-09-22 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2022-09-22 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2022-09-22 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2022-09-22 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D
Provide enough food/fluids to maintain a resident's health.
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Survey: 2022-09-22 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F
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.
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Survey: 2022-09-22 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2022-09-22 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Survey: 2022-09-22 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2022-09-22 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2024-02-28 | Tag F0624 | Resident Rights Deficiencies | Severity: D
Prepare residents for a safe transfer or discharge from the nursing home.
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Survey: 2024-02-28 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2023-12-11 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2023-12-11 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2023-12-11 | Tag F0887 | Infection Control Deficiencies | Severity: D
Educate 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.
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Survey: 2023-11-16 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2023-11-16 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2023-11-16 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2023-10-10 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2023-03-06 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2023-03-06 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Survey: 2023-03-06 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2023-03-06 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D
Provide enough food/fluids to maintain a resident's health.
---
Survey: 2023-03-06 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2023-03-06 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2023-03-06 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
Ensure 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.
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Survey: 2019-09-12 | Tag F0578 | Resident Rights Deficiencies | Severity: D
Honor 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.
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Survey: 2019-09-12 | Tag F0623 | Resident Rights Deficiencies | Severity: E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Survey: 2019-09-12 | Tag F0625 | Resident Rights Deficiencies | Severity: D
Notify 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.
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Survey: 2019-09-12 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2019-09-12 | Tag F0661 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Survey: 2019-09-12 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2019-09-12 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: D
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.
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Survey: 2019-09-12 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2019-09-12 | Tag F0808 | Nutrition and Dietary Deficiencies | Severity: D
Ensure 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.
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Survey: 2019-09-12 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.