All citations for Complete Care at Heritage LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Complete Care at Heritage LLC

Last standard health inspection on record

September 16, 2025

Showing 1 to 25 of 94 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of February 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 2, 2025).

  2. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  3. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  4. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  5. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  6. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2023).

  7. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2023).

  8. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2023).

  9. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2023).

  10. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2023).

  11. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2023).

  12. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 22, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2019).

  13. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of February 25, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 31, 2026).

  14. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2025).

  15. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2025).

  16. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2025).

  17. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2025).

  18. No harm, with potential for more than minimal harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0925, Environmental Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2025).

  19. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  20. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  21. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2023).

  22. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  23. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2023).

  24. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

  25. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.