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.

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Last standard health inspection on record

September 16, 2025

Showing 26 to 37 of 37 citations

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

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

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

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

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

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services 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. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

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

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, 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).

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

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

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

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

  7. 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.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

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

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

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

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

    Health citation F-0940, Administration Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

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

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

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

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

    Health citation F-0949, Administration Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

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

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress 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 properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of August 22, 2023. Found during a standard inspection.

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

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, 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).

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.