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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 112th out of 130 homes in Kansas.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 29m per day | ▼ 33% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 43m per day | ▲ 7% State avg: 40m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 25m per day | ▼ 10% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 18m per day | ▼ 8% State avg: 3h 35m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▲ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 24m per day | ▼ 20% State avg: 30m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
25% of new residents, usually for short-term rehab.
49% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #96 / 131Payroll — state benchmarkedThis home is ranked 96th out of 131 homes in Kansas.Shows total annual staff payroll benchmarked to the Kansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Kansas average: 79.5%Heritage Gardens Health and Rehabilitation Center LLC is administrated by Ashley Hartman.
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | KS Average | vs. KS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 310 | 100 | This facility has 210% more total deficiencies than a typical Kansas nursing home (310 vs. KS avg 100).↑ 210% worse |
|
Deficiencies per year
Average deficiencies per year since 2012.
| 22.1 | 7.1 | This facility has 211% more deficiencies per year than a typical Kansas nursing home (22.1 vs. KS avg 7.1).↑ 211% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 23, 2025, found the facility in compliance with all surveyed regulations and no new deficiencies. Prior inspections showed multiple deficiencies related mainly to resident transfer notices, activity scheduling, weight monitoring, wheelchair cushions, call light accessibility, oxygen tubing storage, dementia care interventions, diet preparation, and immunization documentation. Complaint investigations in recent years substantiated issues with supervision and elopement risk management, as well as timely reporting and investigation of abuse allegations. Enforcement actions included denial of payment for new admissions in 2016 and 2017 due to immediate jeopardy findings related to abuse and safety concerns, but no fines or license suspensions were listed in the available reports. The facility appears to have addressed many prior deficiencies over time, with recent inspections showing correction of previously cited issues and no new noncompliance noted.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKansas average 4.5
Last Health inspection on May 2025
Kansas average 26.9
Kansas average 6.07
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
39 of 44 citations resulted from standard inspections; 3 of 44 resulted from complaint investigations; and 2 of 44 came from combined inspections (standard and complaint).
100% better than Kansas averageKansas average: 0.9
0
100% better than Kansas averageKansas average: 0.9
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 22, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 22, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
May 22, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 22, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Heritage Gardens Health and Rehabilitation Center LLC is located in OSKALOOSA, Kansas.
Here are the financial assistance programs available to residents in Kansas.
0.0 miles from city center
Estimated distance in miles from Oskaloosa's city center to Heritage Gardens Health and Rehabilitation Center LLC's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
12% worse than Kansas averageKansas average ratio: 2.27:1
10% better than Kansas averageKansas average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Total hours from contractors
2,389 contractor hours this quarter
| Certified Nursing Assistant | 38 | 27 | 65 | 8,946 | 91 | 100% | 8.7 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,937 | 91 | 100% | 10 |
| Licensed Practical Nurse | 11 | 7 | 18 | 2,818 | 91 | 100% | 8.9 |
| Registered Nurse | 7 | 2 | 9 | 1,843 | 90 | 99% | 11.2 |
| Speech Language Pathologist | 0 | 4 | 4 | 600 | 65 | 71% | 8.3 |
| Nurse Practitioner | 1 | 0 | 1 | 560 | 70 | 77% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 553 | 70 | 77% | 7.9 |
| Other Dietary Services Staff | 1 | 0 | 1 | 540 | 72 | 79% | 7.5 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Aide | 0 | 4 | 4 | 489 | 65 | 71% | 6.4 |
| Other Social Services Staff | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 388 | 61 | 67% | 6.2 |
| Qualified Social Worker | 0 | 2 | 2 | 152 | 49 | 54% | 3.1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 145 | 40 | 44% | 3.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.2
7% worse than Kansas averageKansas average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.8
10% worse than Kansas averageKansas average: 20.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
32.5%
71% worse than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
12.7%
34% better than Kansas averageKansas average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.1%
In line with Kansas averageKansas average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
10% better than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
4.6%
In line with Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
2.3%
55% better than Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
0.7%
87% better than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
13.7%
19% better than Kansas averageKansas average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.6%
In line with Kansas averageKansas average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
5% worse than Kansas averageKansas average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.23
21% worse than Kansas averageKansas average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.61
67% worse than Kansas averageKansas average: 2.16
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
46.0%
39% worse than Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.9%
32% worse than Kansas averageKansas average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
33.3%
55% worse than Kansas averageKansas average: 73.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
In line with Kansas averageKansas average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.6%
76% worse than Kansas averageKansas average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Kansas averageKansas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
70% lower than Kansas averageKansas average: $44K
59% fewer fines than Kansas averageKansas average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kansas averageKansas average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 3, 2023 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 3, 2023Last updated: Jan 2026
The information below is reported by the Kansas Department for Aging and Disability Services.
| Heritage Gardens Health and Rehabilitation Center LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Oskaloosa | 60 | 70.9% | -11% | 3.59 | -25% | -23% | 1 | 44 | 8.8 | - | 55 | 53 | - | $5.2M | $2.0M | 39.6% | 175333 | ||||
| Arma Operator LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Arma | 45 | 92.3% | +16% | 3.27 | +39% | -29% | 0 | 15 | 3.8 | 1 | 40 | 18 | - | $4.4M | $2.3M | 52.6% | 175353 |
Historical financial and operational data for Heritage Gardens Health and Rehabilitation Center LLC based on CMS SNF Cost Reports.
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The legal owner and operator of Heritage Gardens Health and Rehabilitation Center LLC is Oskaloosa Ks Property Holdings Llc.
Heritage Gardens Health and Rehabilitation Center LLC has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to KS state health department records, Heritage Gardens Health and Rehabilitation Center LLC's license number is 175333.
Heritage Gardens Health and Rehabilitation Center LLC's occupancy is 90%.
Ashley Hartman is the administrator of Heritage Gardens Health and Rehabilitation Center LLC.
Heritage Gardens Health and Rehabilitation Center LLC has 60 beds.
Yes — there are 6 photos of Heritage Gardens Health and Rehabilitation Center LLC in the photo gallery on this page.
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