Heritage House Rehabilitation & Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF886Nov 30, 2021

  Based on observation, interview and record review the facility failed to complete COVID-19 testing for three staff (CNA 1, CNA 3 and CNA 4) working the memory care unit, 11 of 11 residents reviewed for COVID-19 protocol on the memory care unit contracted COVID-19 (Resident Resident C, Resident D, Resident H, Resident I, Resident J, Resident K, Resident L, Resident M, Resident N, Resident N, Resident O and Resident P), this had the potential to affect 21 of 21 residents residing on the memory care unit. Finding include: During an infection control observation tour with the Infection Control Nurse on 11/29/21 at 12:00 p.m., the memory care unit had two double doors locked with a key pad, there was a sign indicating to see the nurse before entering. […]

• No harm, potential for more than minimal, patternF812Sep 22, 2022

  Based on observation, interview, and record review, the facility failed to ensure one dietary staff member's hair was appropriately covered, failed to ensure a range hood was clean, and failed to ensure an area of floor was clean. This had the potential to affect all 90 residents who resided in the facility. Findings include: A dietary observation, on 9/22/22 at 10:32 a.m., indicated, on the floor beside the wall, on the right of the walk in freezer door, a 6 inch by 3 inch area had a buildup of dark brown debris with white particles on top of it. The inside of the range hood, above the range and steam table, had rust colored areas on the galvanized steel. A sticker on the outside corner of the range hood indicated the range hood was last cleaned on 4/6/22. […]

• No harm, potential for more than minimal, isolatedF561Jan 23, 2026

  Bases on interview and record review, the facility failed to honor resident's choice of schedules related to morning showers for 1 of 6 residents reviewed for Self Determination. (Resident 62)Findings include:The clinical record for Resident 62 was reviewed on 01/22/2026 on 10:10 AM. The resident's diagnoses included, but were not limited to, Alzheimer's disease (a progressive, irreversible brain disorder that slowly destroyed memory, thinking skills, and eventually the ability to carry out simple tasks) and depression. A Quarterly Minimum Data Set Assessment, dated 11/18/2025, indicated Resident 62 was not cognitively intact and needed substantial to maximal assistance with personal hygiene. […]

• No harm, potential for more than minimal, isolatedF641Jan 23, 2026

  Based on observation, interview, and record review, the facility failed to accurately assess a resident's oral status for 1 of 2 residents reviewed for dental status and services. (Resident 66)Findings include:The clinical record for Resident 66 was reviewed on 1/20/26 at 1:20 p.m. The resident's diagnosis included, but was not limited to, dysphagia (difficulty or discomfort in swallowing).The Annual MDS (Minimum Data Set) assessment, dated 1/6/26, indicated the resident was cognitively intact. The resident had no dental conditions, including no obvious or likely cavity or broken natural teeth. An interview was conducted with Resident 66 on 1/20/26 at 1:23 p.m. The resident indicated she needed to see the dentist, because she had a bunch of bad, broken teeth. […]

• No harm, potential for more than minimal, isolatedF677Jan 23, 2026

  Based on observation, interview, and record review, the facility failed to provide residents' assistance with bathing related to Activities of Daily Living for 2 of 4 residents reviewed for ADL for Dependent Residents. (Resident 4 and Resident 10)Findings include:1. During an observation and interview with Resident 4 on 1/21/26 at 10:30 a.m., the resident indicated they could not remember the last time they received a shower or when their hair was washed last. During an observation the resident's hair appear shinny and oily. The clinical record for Resident 4 was reviewed on 1/21/2026 2:35 p.m. The resident's diagnosis included, but was not limited to, muscle weakness. The Quarterly Minimum Data Set (MDS) assessment, dated 12/4/25, indicated Resident 4's cognition was intact. […]