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 22 of 22 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, 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).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, 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).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of July 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 21, 2026).

  15. 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 July 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 21, 2026).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of September 16, 2025. Found during a standard inspection.

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

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, 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).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, 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).

  19. 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).

  20. 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).

  21. 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).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 22, 2019. Found during a standard inspection.

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

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.