Heritage Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 17, 2025

  Licensure Reference Number 175 NAC 12.006.11(C) Licensure Reference Number 175 NAC 12.006.11(E) Based on observation, interview, and record review, the facility failed to ensure recipes were followed during food preparation (prep) and food reached the required minimum final cooking temperature (temp), ensure all stored food was labeled, dated. and sealed, ensure kitchen surfaces were clean to prevent potential foodborne illness. This had the potential to affect all residents that consumed food from the kitchen. […]

• No harm, potential for more than minimal, widespreadF908Jun 17, 2025

  Licensure Reference Number 175 NAC 12.006.19(A)(i) Based on observation, interview, and record review, the facility failed to ensure the ovens in the facility's kitchen were maintained in a safe and operating condition. This had the potential to affect all residents that consumed food from the kitchen. The total facility census was 50. Findings are: A record review of the facility's Roasted Fresh Summer Squash recipe dated Spring/Summer 2025 revealed the oven temp required was 400 degrees Fahrenheit (F) or 375 degrees F for convection oven. Final internal cooking and holding temp should have been 135 degrees F. A record review of the facility's Mashed Sweet Potatoes recipe dated Spring/Summer 2025 revealed the oven temp was not listed. […]

• No harm, potential for more than minimal, widespreadF812May 24, 2022

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observations and interview; the facility kitchen staff failed to change gloves after being contaminated when handling ready to eat food and failed to ensure meals were served in a manner that did not contaminate eating surfaces to prevent the potential for food [NAME] illness. This had the potential to affect all residents who ate from the kitchen. The facility staff identified a census of 54. Findings are: A. Record review of the dinner menu for 5-18-2022 revealed facility residents were to have hot dogs on a bun, baked beans, Macaroni and cheese, ice cream, vanilla wafers, whole milk, coffee or tea. […]

• No harm, potential for more than minimal, widespreadF886May 24, 2022

  State Licensure Reference Number 175 NAC 12-006.09D7 Based on interview and record review, the facility failed to ensure unvaccinated staff were tested twice weekly according to the facility's accommodations for team members with a religious exemption and that contracted staff were fully vaccinated against COVID-19, had an exemption, or were tested for COVID-19 per county transmission rates. This had the potential to affect all residents that resided in the facility. Total census is 54. Findings are: A. […]

• No harm, potential for more than minimal, patternF689Aug 5, 2025

  Licensure Reference Number 175 NAC 12-006.09(I)(i)(4)Based on observations, record review, and interviews, the facility failed to reevaluate and update interventions to prevent elopement on two residents (Resident 1 and Resident 4) of the four sampled residents, and the facility failed to revise interventions to prevent falls on one resident (Resident 7) of three sampled residents. The facility census was 48. A.A record review of Resident 1's Clinical Census revealed an admission date of 5/13/2025.A record review of Resident 1's Minimum Data Set (MDS)(this comprehensive assessment evaluates each resident's functional capabilities) dated 05/19/2025 revealed a brief interview for mental status (BIMS) score of one which indicated the resident had severe cognitive impairment. […]