Heritage Estates

In the surveyor’s words

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

• Actual harm, isolatedF684Aug 4, 2026

  Licensure Reference Number 175 NAC 12-006.09Based on interview and record review, the facility failed to follow provider's orders and failed to notify a provider that orders were not initiated for 1 (Resident 4) of 4 sampled residents. The facility identified a census of 99. A record review of Resident 4's admission Record revealed the resident was admitted to the facility on [DATE] with diagnoses of displaced fracture of the right humerus (upper arm bone), type 2 diabetes (chronic condition where the body is unable to regulate blood sugars effectively), and acute kidney failure.A record review of progress notes in Resident 4's electronic medical record from 4/28/26 at 10:23 AM revealed the following:Resident 4 had an oxygen saturation of 85% on room air, clear lung sounds with diminished… […]

• No harm, potential for more than minimal, widespreadF803Jun 25, 2026

  Licensure Reference Number 175 NAC 12-006.1(A)(i)Based on observation, record review, and interview the facility failed to ensure that residents were served the approved menu serving sizes. This affected 11 observed residents served food from the facility kitchen (Residents 77, 73, 19, 7, 65, 41, 92, 10, 60, 79, and 85). The facility census was 99.Findings are: A. Record review of the facility Resident Policies dated 12/2020 revealed that the facility will provide the resident with a diet that their physician has ordered. The menu selections are served to meet their orders and have been approved by a qualified dietitian. Record review of the undated Questions & Answers from the undated facility admission packet revealed that the facility serves three meals a day. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2025

  Based on observation, interview, and review of the 2022 Food Code, the facility failed to ensure: 1) there was a trash can near the handwashing sink; 2) pots and pans were stored inverted; 3) expired food items were discarded; and 4) staff washed their hands when they entered the kitchen before they began to prepare food. These deficient practices affected all residents who received food from the kitchen. Findings included: 1. Section ,d+[DATE] Storing of the 2022 Food Code published by the United States Food and Drug Administration, indicated (B) Clean equipment and utensils shall be stored as specified under [symbol] (A) of this section and shell be stored: (1) In a self-draining position that allows air drying; and (2) Covered or inverted. […]

• No harm, potential for more than minimal, patternF880Jun 25, 2026

  License Reference Number 175 NAC 12-006.18(B)(D)Based on record review and interview, the facility failed to ensure that infection control measures for hand hygiene were followed while assisting residents with eating meals and when donning (putting on) and doffing (taking off) gloves. This affected 8 residents of 8 sampled (Residents 57, 99, 16, 47, 36, 2, 22, and 55.); and the facility failed to ensure that those who had indwelling catheters had catheter bags kept off the floor. This had the potential to affect all residents in the 500 hall (Residents 22, 93, 99, 15, 24, 28, 69, 46, 90, 78, 16, 76, 82, 58, 57, and 5). The facility census was 99. […]

• No harm, potential for more than minimal, patternF761Jan 27, 2022

  Licensure Reference Number 175 NAC 12-006.12E1 Based on observations, record reviews, and interview; the facility failed to ensure open dates were recorded on medication multi-dose vials and bottles kept in storage to ensure medications weren't outdated. This failure could potentially affect the effectiveness of these medications for residents (Resident #71, #79, #30, #39, #34, #75, #26 and #33) receiving medications from these vials and bottles. Facility census was 91. A. Observations on 01/26/2022 beginning at 02:27 PM revealed the following: - The 200 unit medication cart contained 2 bottles of Artificial Drop Tears and 1 bottle of [MEDICATION(S)] Spr 0.01% nasal spray for Resident #71; one bottle of [MEDICATION(S)] Nasal Spray for Resident #30; and a tube of Ayr Saline Nasal Gel with… […]