Facility profile · CCN 195323
Heritage Manor Health & Rehab
66 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $73,487.
Record summary
Federal record · Q1 202666
Total citations
66
Last 3 years
2
Actual harm+
1
Federal penalties
$73,487
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
66 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 7, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Dec 16, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Dec 16, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Dec 16, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint |
| Dec 16, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Aug 7, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Complaint |
| Aug 7, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 7, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 7, 2025 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Aug 7, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Aug 7, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Aug 7, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Aug 7, 2025 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard |
| Aug 7, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Aug 7, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Aug 7, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Aug 7, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Aug 7, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Aug 7, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard |
| Aug 7, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Aug 7, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Aug 7, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard |
| Jun 12, 2025 | F908 | Keep all essential equipment working safely. | E | Complaint |
| May 28, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| May 28, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| May 28, 2025 | F637 | Assess the resident when there is a significant change in condition | E | Complaint |
| May 7, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint |
| May 7, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Apr 10, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Apr 10, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Apr 10, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Apr 10, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Apr 10, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Complaint |
| Apr 10, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint |
| Apr 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Apr 10, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Apr 10, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint |
| Dec 19, 2024 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Complaint |
| Jul 16, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| Jul 16, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 16, 2024 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard |
| Jul 16, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 16, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Jul 16, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| Jul 16, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Jul 16, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Standard |
| Jul 16, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Jul 16, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jul 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jul 16, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 16, 2024 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | Standard |
| Jul 16, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard |
| Jul 16, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard |
| Jul 16, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jul 16, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| May 24, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Complaint |
| May 24, 2024 | F584 | 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. | K | Complaint |
| Aug 23, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Aug 23, 2023 | F908 | Keep all essential equipment working safely. | E | Standard |
| Aug 23, 2023 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Aug 23, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | D | Standard |
| Aug 23, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Aug 23, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard |
| Aug 23, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Aug 23, 2023 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Aug 23, 2023 | F584 | 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. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $73,487 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 24, 2024 | Fine | $73,487 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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