Heritage Gardens Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812May 7, 2026

  Based on observation, interview, and record review, the facility failed to ensure food was stored, prepared, and maintained in sanitary conditions when on May 4, 2026 the following was observed:1.Multiple pieces of cooking equipment had significant accumulations of grease, grime, burnt on residue, rust, food debris, discoloration.2.Several food items were stored on the floor. These failures had the potential to facilitate the growth of harmful microorganisms (tiny living organisms too small to be seen with the naked eye, requiring a microscope for viewing), including bacteria, viruses, and fungi significantly increasing the risk for cross-contamination and development of food-borne illnesses, potentially affecting 93 medically vulnerable residents who rely on meals prepared in the… […]

• No harm, potential for more than minimal, widespreadF925May 7, 2026

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program when a cockroach was observed by surveyors in the facility's conference room, multiple staff interviews indicated ongoing sightings of cockroaches on multiple occasions, and the facility's pest control report indicated ongoing, active cockroach activity in the facility's dining area, resident rooms, and boiler room.This failure had the potential for compromising resident health and safety by exposing residents to disease-carrying pests, contamination of food surfaces, and increased risk of infection in a vulnerable population of 98 residents.Findings: During a concurrent observation and interview on May 4, 2026, at 6:10 AM, in the facility's conference room, with Registered… […]

• No harm, potential for more than minimal, widespreadF812Jan 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure the ice scoop used for the kitchen's ice machine was stored in a clean and sanitary manner as required by the facility's policy. This failure posed potential risk for contamination of ice, which could lead to foodborne illness (food poisoning, is a sickness caused by eating food or drinking water that is contaminated with harmful bacteria, viruses, parasites, or chemicals.) and negatively impact the health and safety of 96 of 96 vulnerable residents who received food and beverages from the kitchen. Findings: During a concurrent observation and interview, on January 14, 2025, at 8:20 AM, with the Dietary Services Supervisor (DSS), in the kitchen, the ice machine was inspected. […]

• No harm, potential for more than minimal, widespreadF880Jan 16, 2025

  Based on observation, interview, and record review, the facility failed to ensure proper and safe infection control practices were being followed for six of 25 sampled residents (Residents 44, 33, 65, 4, 484 and 47) when: 1. Resident 44's Central Venous Catheter (CVC- thin, flexible tube inserted into a vein to provide access to the heart) dressing was not changed in accordance with facility policy. 2. Resident 44's Intravenous tubing (IV- flexible tube used to give fluids, medicine, or nutrients through a vein) was not dated in accordance with facility policy. 3. Resident 33's oxygen tubing (flexible plastic tube that is used to deliver oxygen from an oxygen supply to a person who needs extra oxygen) was not changed in accordance with facility policy. 4. […]

• No harm, potential for more than minimal, widespreadF812Jul 15, 2022

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food preparation and storage practices in the kitchen when: 1. The ice machine was not kept in sanitary condition. 2. The microwave had food residue. 3. Seven out of seven shelves in the walk-in refrigerator had dust and grime, and the floor inside walk-in refrigerator had old food, black grime, and trash. 4. The reach in refrigerators #1 and # 2 had sticky handles. The gaskets had black grime. The ventilation fans were dusty with black debris. 5. The food warmer had food crumbs and residue on bottom shelves. 6. The shelf storing the spices had dust. 7. The area behind the stove had dust, grease build-up and black grime. 8. […]