Deficiency Index

Heritage House

Atlantic, Iowa · CCN 165561

16 surveys since 2011, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
58
Surveys
16
Harm or worse
3
Immediate jeopardy
2
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
61
Ownership
Non profit - Corporation
Chain
WESLEYLIFE
County
Cass · rural
Medicare-certified since
2005

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Sep 11, 2025

424 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.963.76
Registered-nurse hours per resident day0.67—
Annual nurse turnover33.3%40.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD654.5%E545.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 58 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • F5841×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6411×

    Ensure each resident receives an accurate assessment.

  • F6561×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF804Sep 11, 2025

    Based on observation, resident interview, staff interview, document review and policy review the facility failed to provide food that was appetizing to eat and palatable to 4 of 16 residents reviewed (Resident #3, #5, #10 and #17). The facility reported a census of 55 residents.Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #3 documented a Brief Interview of Mental Status (BIMS) score of 15 indicating no cognitive impairment.On 9/8/25 at 12:19 PM Resident #3 stated the ham was dry and not enough for a child. Resident #3 stated the ham was cold. Resident #3 stated the ham is so dry he could not even eat it. Resident #3 stated look at this it just fell to little pieces. […]

  • No harm, potential for more than minimal, patternF812Sep 11, 2025

    Based on observations, staff interviews and policy review, the facility failed to ensure open items were dated, covered and labeled. The facility further failed to maintain clean surfaces and flooring in the kitchen and food preparation areas and failed to ensure the thermometer used to test food temperatures was clean and sanitized to prevent cross contamination. The facility reported a census of 55 residents. Findings include:Observation 9/8/25 at 10:10 AM in the main kitchen with the Certified Dietary Manager (CDM) present revealed the following: a. Two open bags of breaded chicken breasts with no date, not sealedb. Two containers of chicken breasts, one without a lid and no date and one with a lid but no date. c. […]

  • No harm, potential for more than minimal, patternF584Aug 10, 2023

    Based on observation, staff interviews, and facility policy review, the facility failed to maintain a clean environment throughout the length of resident room accessed hallways, when multiple stains were observed on 1 out of 3 that accessed resident rooms. The facility reported a census of 56 residents. Findings include: On 8/7/23 at 11:00 AM observation of the carpeted hallway A used by residents and visitors revealed excessive stains of various sizes and colors. On 8/7/23 at 1:40 PM in an interview with the Executive Director, he reported the Maintenance Department Supervisor was out of the facility. Facility policy for Floor care was requested but not provided for a review. […]

  • No harm, potential for more than minimal, patternF800Aug 10, 2023

    Based on observation, staff interview, and document review and a facility policy review, the facility failed to provide a well balanced diet that meets nutritional and special dietary needs by use of incorrect serving size portions for meals for 4 of 56 residents reviewed. The facility reported a census of 56 residents. Findings include: During a continuous observation on 8/9/23 from 11:00 AM through 12:00 PM Staff C, Chef served lunch. Observed mechanical soft diets served to 4 out of 56 residents. While serving mechanical soft meat, portion scoop not utilized. Staff C tilted the meat container towards each plate and used a spoon to push off the meat onto each plate. Observed first 3 plates to have larger meat portions and the 4th plate received a smaller portion. […]

  • No harm, potential for more than minimal, patternF812Aug 10, 2023

    Based on observations, staff interviews, and document review, the facility failed to store and prepare food in accordance with professional standards for 56 of 56 residents. Resident food had not been prepared under sanitary conditions and with clean sanitary equipment. The facility reported a census of 56 residents. Findings include: On [DATE] from 10:00 AM-11:00 AM continuous observation during the initial primary kitchen tour revealed the following: 1. The upright stainless steel refrigerator/freezer unit located near cooking equipment revealed the refrigerator unit had a soaked hand towel inside on the bottom portion to absorb excess water leaking on the left side of the unit. Debris noted on the bottom of the fridge. […]

Read 23 findings in full →The most serious and the most recent: 23 of 58 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 11, 2025Standard4 findings
  • Aug 10, 2023Standard and complaint7 findings
  • May 12, 2022Standard3 findings
  • Feb 13, 2020Standard3 findings
  • Jan 10, 2019Standard2 findings
  • Sep 28, 2017Standard3 findings
  • Sep 29, 2016Standard1 finding
  • Jan 7, 2016Standard3 findings
Show the 8 earlier surveys
  • Dec 4, 2014Standard3 findings
  • Sep 19, 2013—3 findings · 1 harm
  • Apr 17, 2013—1 finding · 1 harm
  • Aug 16, 2012—6 findings
  • Apr 26, 2012—1 finding
  • Nov 23, 2011—2 findings
  • Oct 6, 2011—1 finding
  • Jun 21, 2011Standard15 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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