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Complaint Investigation

Heritage Health Care Center

Inspection Date: August 21, 2025
Total Violations 1
Facility ID 365401
Location OAKWOOD VILLAGE, OH
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Inspection Findings

F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview, and facility policy review, the facility failed to ensure staff performed hand hygiene to prevent cross contamination of germs during medication administration. This affected two residents (#8 and #21) out of five residents observed for medication administration. The facility census was 32.Findings include:An observation of Licensed Practical Nurse (LPN) #35 on 08/21/25 at 8:51 A.M. revealed the nurse was preparing to administer Resident #21's ordered morning medications. LPN #35 did not perform hand hygiene and proceeded to prepare the morning medications for Resident #21. LPN #35 administered the medications to Resident #21 and exited Resident #21's room and did not perform hand hygiene. LPN #35 proceeded to return to the medication cart. Continued observation at 9:00 A.M. revealed LPN #35 returned to the medication cart and was not observed to perform hand hygiene. LPN #35 began to prepare Resident #8's ordered medications. LPN #35 finished preparing the resident's medications and proceeded to Resident #8's room where she administered oral medications and eye drops to Resident #8.

LPN #35 then exited Resident #8's room without performing hand hygiene. An interview with LPN #35 on 08/21/25 at 9:04 A.M. verified the above findings and agreed she should have washed/sanitized her hands prior to obtaining Resident #21's and Resident #8's medications and after administering their medications.Review of the facility policy titled Hand Hygiene revised 12/01/21 revealed the policy was all staff would perform hand hygiene to prevent the spread of infection to other personnel, residents and visitors. The policy applied to all staff working in all locations within the facility.Review of the facility policy titled Medication Administration revised 08/22/22 revealed the policy was medications were administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice, in a manner to prevent contamination or infection. the policy compliance guidelines included for staff to wash hands prior to administering medications per facility protocol. After administering medications staff should wash their hands.

Residents Affected - Few

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

📋 Inspection Summary

HERITAGE HEALTH CARE CENTER in OAKWOOD VILLAGE, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in OAKWOOD VILLAGE, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HERITAGE HEALTH CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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