Heartland Care Center

In the surveyor’s words

From the most serious findings on record at Heartland Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF801May 7, 2026

  Based on facility record review, staff interviews, and facility policy, the facility failed to provide nutritional assessments for Resident's #4, #14, #17, #20, #26, #32. The facility reported a census of 27 residents. Findings include: 1. Resident #4's Minimum Data Set (MDS) dated [DATE] assessment identified a Brief Interview for Mental Status (BIMS) score of 14 indicating intact cognition. Resident #4's diagnoses include gastro-esophageal reflux disease (GERD), type 2 diabetes mellitus (DM), and congestive heart failure (CHF). The MDS identified Resident #4 was on a regular diet and needed supervision or touching with eating. The MDS also identified Resident #4 admitted to the facility on [DATE] with a Stage 2 and Stage 3 pressure ulcer. […]

• No harm, potential for more than minimal, patternF812May 7, 2026

  Based on observations, staff interviews and policy review, the facility failed to prepare, distribute and serve food in accordance with professional standards for food service safety. The facility identified a census of 27 residents.Findings include: 1- During the initial tour of the kitchen on 5/4/26 at 10:30 AM observed the oven hood was dirty with build up of debris, dust and grease. A sticker on the hood indicated the last time the hood was cleaned by an outside company was in January 2026.On 5/5/26 at 12:05 PM, observation revealed the Dietary Manager placed one of the oven hood inserts/filters into the sink to soak and to clean. She reported the cold water outside did not help clean the insert. The Dietary Manager acknowledged the hood vent was dirty with a lot of build up. […]

• No harm, potential for more than minimal, patternF758Apr 10, 2025

  Based on clinical record review and staff interview the facility failed to identify non-pharmacological interventions and targeted behaviors related to high risk medications in 5 out of 5 sampled residents reviewed (Resident #5, #7, #11, #13 and #28). The facility reported a census of 32 residents. Findings include: 1. The Minimum Data Set (MDS) assessment dated [DATE] for Resident #11 documented diagnoses of depression, renal insufficiency, and hypertension. The MDS showed the Brief Interview for Mental Status (BIMS) score of 13, which indicated intact cognition. […]

• No harm, potential for more than minimal, patternF803Apr 4, 2024

  Based on observation, review of the menu, and staff interview, the facility failed to follow the menu as written for 1 meal, and failed to assure menus were reviewed and approved by a dietician. The facility reported a census of 29 residents. Findings include: The noon menu for 4/3/24 included: A 6 ounce lade of creamed chipped beef, A (#8) 4 ounce scoop of mashed potatoes. A 4 ounce serving of green beans, A serving of bread. Staff A Cook served the noon meal 4/3/24. When she was done serving the main dining room the serving scoops she used were: A 4 ounce lade of chipped beef, A #12 scoop about 1/3 cup mashed potatoes, A 1/4 cup, 2 ounce green beans, and served 1/2 slice buttered bread. On 4/3/24 at 12:20 p.m. Staff A could not identify the scoop sizes she was using to serve lunch. […]

• No harm, potential for more than minimal, patternF812Apr 4, 2024

  Based on observation and staff interview, the facility failed to assure they stored, prepared, distributed and served food in accordance with professional standards for food service safety. The facility reported a census of 39 residents. Findings include: 1) On 4/1/24 at 9:47 a.m. the stove hood appeared greasy/grimy in the area above where they were cooking. The sprinklers above the oven had greasy feel and fuzz removed. The panel above/in front of the stove hood had fuzz hanging intermittently all the way up. The Dietary Supervisor stated would need to find out when the hood was last cleaned. On 4/4/24 at 10:12 a.m. the Administrator stated they didn't find the oven hood on the cleaning schedule. They did clean it, but did not have a record of when last done. […]