Certified Nurse Aides deliver the vast majority of daily living care provided to residents in a nursing home. The Institute of Medicine and the American Nurses Association have concluded that each nursing home resident needs a minimum of 2.80 hours of CNA care per day for safety and basic daily living care. But HEARTLAND HEALTH CARE CENTER – CRESTVIEW averaged only 1.98 hours of CNA care per resident per day from January 1, 2017 to December 31, 2017, based on its daily payroll staffing records, as reported by CMS (Centers for Medicare and Medicaid Services).

On February 14, 2018, HEARTLAND HEALTH CARE CENTER – CRESTVIEW was cited for FAILING TO SUFFICIENTLY STAFF the facility to meet the needs of residents which resulted in unmet care needs, decreased feeling of self-worth and lack of ability to attain and maintain the highest practicable level of well-being + EIGHT (8) different deficiencies which caused ACTUAL HARM to its residents. Some of the findings included:

1. The facility failed to maintain the dignity of 9 residents (Resident #4, 5, 19, 28 and 45 and 4 out of 13 from the confidential group interview) out of 25 residents reviewed for dignity from a total sample of 28 residents resulting in feeling of shame, embarrassment and decreased self-worth. (See findings in F-550)
2. The facility failed to address Resident Council grievances according to 12 of 13 of the Confidential Resident Interview from a total facility census of 67 residents resulting in unresolved resident concerns, unmet care needs and decreased feelings of self-worth. (See findings at F-565)
3. The facility failed to notify the Durable Power of Attorney (DPOA) and physician of a change in condition for 1 resident (Resident #42) and failed to promptly notify the DPOA of a change in condition for 1 resident (Resident #13) of 2 reviewed for notification of change, from a total sample of 28, resulting in absence of treatment and delay of treatment. (See findings at F-580)
4. The facility failed keep one resident free from restraints and maintain physical function for one resident (Resident #57) out of 1 resident reviewed for restraints from a total sample of 28 Residents, resulting in the restraint and physical decline of Resident #57 and the potential for psychological harm. (See findings at F-604)
5. The facility failed to complete an accurate restraint assessment for one resident (Resident #57) of 1 Resident reviewed for restraints from a total sample of 28 Residents, resulting in Resident #57 being physically restrained and declining in physical function. (See findings at F-636)
6. The facility failed to provide the care and services to prevent physical decline for 1 resident (Resident #57) out of 28 residents reviewed for care from a total sample of 28 residents, resulting in Resident #57 having an avoidable decline in walking and physical movement. (See findings at F-676)
7. The facility failed to perform complete neurological assessments after falls for 2 residents (Resident #38 and #53) and failed to appropriately assess and monitor 2 residents (Resident #15 and #42) of 28 reviewed for quality of care, from a total sample of 28, resulting in residents not receiving care and treatment in accordance with professional standards of practice and unrecognized changes in condition. (See findings in F-684)
8. The facility failed to perform clean dressing changes, hand hygiene and assess for protein needs to heal pressure ulcers for one resident (Resident #44) out of 3 residents reviewed for pressure ulcers from a total sample of 28 residents resulting in an infection of a wound and underlying bony structures and the potential for slow healing wounds and further skin breakdown. (See findings at F-686)
9. The facility failed to supervise and failed to perform a safe sit to stand mechanical lift transfer for one resident (Resident #15) out of 7 residents reviewed for falls from a total sample of 28 residents resulting in two falls with fractures. (See findings at F-689)

(Click below to read the entire statements of deficiencies).

If you or a loved one have received deficient care at HEARTLAND HEALTH CARE CENTER – CRESTVIEW, we would like to hear your story.

Personal Note from NHA–Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.