All citations for Heritage Gardens Health and Rehabilitation Center

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 Heritage Gardens Health and Rehabilitation Center

Last standard health inspection on record

May 22, 2025

Showing 1 to 25 of 70 citations

  1. Immediate jeopardy to resident health or safety

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level L.

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

  4. 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 May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 7, 2025).

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

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Widespread (many residents). CMS level F.

    Health citation F-0575, Resident Rights Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

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

    Establish an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Provide rooms that can be unlocked from inside without a key.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0221, Egress Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  17. 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 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0531, Services Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

  19. 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 September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 22, 2022).

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

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2022).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2022).

  23. 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 January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2022).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2022).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 27, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2022).

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.