Deficiency Index

Heritage Oaks

Saint Simons Island, Georgia · CCN 115582

11 surveys since 2011, 5 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
62
Surveys
11
Harm or worse
5
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file7/11

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

The facility

Certified beds
125
Ownership
Non profit - Other
Chain
ETHICA HEALTH
County
Glynn
Medicare-certified since
1995

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=13, floor 20).

Last survey on record

Apr 16, 2026

207 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 day3.453.42
Registered-nurse hours per resident day0.77—
Annual nurse turnover41.4%45.5%

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 minimalD861.5%E—F538.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 13 of the 62 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • 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.

  • F6451×

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 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 Oaks, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Apr 2, 2025

    Based on observations, interviews, and review of the facility policy titled, Storage Areas, the facility failed to ensure food was not expired, were properly labeled and dated, and were properly sealed in accordance with professional standards for food service safety as required for 52 census residents who received an oral diet. These failures had the potential to lead to food-borne illness among all facility residents. Findings include: Review of a facility's policy titled, Storage Areas, dated [DATE], revealed It is the intent of this center to store food in a manner that maintains quality and safety .Items should be covered, sealed, labeled, and dated appropriately .Food should be properly stored to prevent cross contamination .Food codes and internal tools may be used as a reference… […]

  • No harm, potential for more than minimal, widespreadF812Feb 5, 2023

    Based on observations, staff interviews, and review of facility policies titled, Food and Nutrition, and Cleaning and Sanitizing the facility failed to maintain a clean and sanitary kitchen. The facility also failed to ensure that the ice machine in the main kitchen was clean and sanitized. Specifically, the facility failed to ensure that the deep fryer, floor, stainless steel counter, and oven were clean and sanitized on a routine basis. The deficient practice had the potential to affect 58 out of 58 residents receiving an oral diet. Findings Include: Review of facility policy titled, Food & Nutrition dated November 2016 under; Sanitary Conditions four (4). […]

  • No harm, potential for more than minimal, widespreadF801Jun 17, 2021

    Based on interviews, record reviews, and review of facility policy titled Food & Nutrition, the facility failed to employ a qualified dietitian to conduct nutritional assessments on residents. This had the potential to affect 54 of 54 residents residing at the facility. Findings include: Review of facility policy titled Food & Nutrition, dated November 2016 revealed Intent: It is the intent of (company name) facilities to meet the daily nutritional and special dietary needs of each resident. Procedural Guidelines: 1. The facility employs a qualified dietician full time, part time, or on a consultant basis. […]

  • No harm, potential for more than minimal, widespreadF812Jun 17, 2021

    Based on observation, interview and review of facility policy titled Food Storage the facility failed to appropriately label and date food items in the pantry and walk-in freezer, failed to maintain a clean toaster, failed to properly seal an opened package in the walk-in freezer, and failed to discard food by expiration date. This had the potential to affect 53 of 54 residents receiving an oral diet in the facility. Findings include: Review of policy titled Food Storage dated 2008 revealed 8c. food should be dated as it is placed on the shelves. 8d. Date marking to indicate the date or day by which a ready-to-eat, potentially hazardous food should be consumed, sold, or discarded will be visible on all high-risk food. 13. […]

  • No harm, potential for more than minimal, widespreadF865Jun 17, 2021

    Based on staff interviews and review of facility policy titled, Quality Assurance Performance Improvement (QAPI) Plan the facility failed to ensure that the services of a Registered Dietitian (RD) were in place over the past 15 months. The QAPI Committee failed to identify appropriate interventions to secure a Registered Dietitian. The QAPI Committee further failed to evaluate the effectiveness/ineffectiveness of the Performance Improvement Plan (PIP). Additionally, the facility failed to have an effective QAPI Performance Improvement Plan (PIP) in place to ensure the facility had a Registered Dietitian for the facility. The facility census was 54 Residents. Findings include: Review of the facility's Quality Assurance Performance Improvement Q.A.P.I. […]

Read 23 findings in full →The most serious and the most recent: 23 of 62 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 16, 2026Standard and complaint3 findings
  • Apr 2, 2025Standard2 findings
  • Feb 5, 2023Standard5 findings
  • Jun 17, 2021Standard3 findings
  • Sep 14, 2018Standard3 findings · 2 harm
  • Aug 5, 2017Standard15 findings
  • Sep 16, 2015Standard1 finding
  • Nov 20, 2014Standard2 findings
Show the 3 earlier surveys
  • Feb 14, 2013—13 findings · 2 harm
  • Oct 6, 2011—13 findings
  • Aug 5, 2011—2 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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction