Heritage Health Care Rehabilitation & Skilled Nurs

In the surveyor’s words

From the most serious findings on record at Heritage Health Care Rehabilitation & Skilled Nurs, in the surveyor’s own words.

• Actual harm, isolatedF600Mar 4, 2026

  The facility reported a census of 53 residents. Based on observation, interview and record review, the facility failed to ensure Resident (R) 3 remained free from abuse when he had an unwitnessed fall in his room and Licensed Nurse (LN) G instructed R3 to get onto his hands and knees and lift himself off the floor resulting in feelings of anger and embarrassment for R3.Findings included:- R3's Electronic Health Record (EHR) revealed diagnoses of unspecified sequelae of cerebral infarction (lingering, long-term effects or complications following a stroke [ischemic brain damage] when the specific nature of the aftereffects is not detailed), and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest).R3's Admit Minimum Data Set (MDS) dated [DATE]… […]

• Actual harm, isolatedF686Dec 14, 2023

  The facility reported a census of 52 residents, with 17 sampled, including three residents reviewed for pressure ulcers/injuries. Based on observation, interview and record review, the facility failed to assess and provide preventive pressure ulcer treatment for two of the three residents reviewed. Resident (R) 109 developed unstageable pressure injuries on her bilateral heels, left lateral foot, and left anterior foot. The deficient practice placed R109 and any other resident with potential skin issues, at risk of further pressure injury development. […]

• No harm, potential for more than minimal, widespreadF812Aug 6, 2025

  The facility reported a census of 59 residents, one main kitchen, and two kitchenettes. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions to prevent the potential for foodborne bacteria. This placed the residents at risk of foodborne illnesses.Findings included:- During an initial tour of the kitchen on 08/04/25 at 11:04 AM, the following areas of concern were noted:The microwave in the dining room was heavily soiled with dried-on food debris on the inside and outside of the microwave oven.The window area used to pass dirty dishes from the dining room to the kitchen had a heavy build-up of dried-on food and liquid on the frame of the window, the cove base underneath the window, and the trash can next to the window… […]

• No harm, potential for more than minimal, widespreadF814Aug 6, 2025

  The facility reported a census of 59 residents. Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly by failing to ensure the covers on three of the three dumpsters were kept closed. This deficient practice created a risk of attracting insects and/or rodents.Findings included:- During an initial environmental tour of the kitchen on 08/04/25 at 08:19 AM, observation revealed the lids to three of the three dumpsters outside of the kitchen were left open, with trash on the ground surrounding the dumpsters.On 08/04/25 at 09:15 AM, the lids of the dumpsters remained open.On 08/06/25 at 10:35 AM, Dietary Staff BB stated that staff were to keep the lids of the dumpsters closed at all times.The facility policy for Disposal of Garbage and… […]

• No harm, potential for more than minimal, widespreadF812Dec 14, 2023

  The facility reported a census of 52 residents. Based on observation, record review and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria and the facility failed to utilize pasteurized eggs (gently heated in their shells, just enough to kill the bacteria) for soft cooked eggs for residents. Findings included: - During an initial tour on 12/12/23 at 08:01 AM, the following areas of concern were noted: 1. The reach-in freezers had food and frozen liquid debris on the bottom. 2. The refrigerator had food debris on the bottom. 3. A white wooden box used to hold the sugar, flour and brown sugar containers had a dusty, sticky substance covering the surface. 4. […]