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
Findings at the most serious level CMS records.
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
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.45 | 3.42 |
| Registered-nurse hours per resident day | 0.77 | — |
| Annual nurse turnover | 41.4% | 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D861.5% | E— | F538.5% |
| No harm, potential for minimal | A— | B— | C— |
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