Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
134
86 employees · 48 contractors · 37 on an average day Heritage House
Nursing Home, Adult Day Care, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Atlantic, IA
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Heritage House
Nursing Home, Adult Day Care, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Atlantic, IA
CMS overall rating
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Heritage House accepts Medicare, Medicaid, and private pay.
Heritage House offers nursing home, adult day care, assisted living, independent living, memory care, nursing care, and skilled nursing in Atlantic, IA. Nursing home, nursing care, and skilled nursing provide licensed nursing care on site around the clock. Assisted living helps with daily tasks such as dressing, bathing, and medication while residents keep their own apartment, while independent living provides private living without daily care.
Memory care provides a secured setting with supervision for someone who may be at risk of wandering. Adult day care gives a person a daytime care setting without requiring residence at the home, and respite care supports a short term stay when a family’s usual caregiver needs to travel or recover. The available housing includes studio and one bedroom apartments, while gardens and an orchard of lemon trees give residents outdoor spaces to use.
The range of care levels may make Heritage House a good fit for a resident whose needs may grow over time, since moving between levels can occur without leaving the community. Heritage House has 108 beds, and total nurse staffing is 4h 49m per resident per day, representing the daily hands on nurse staffing time recorded for each resident. Payment options include Medicare, Medicaid, and private pay, giving families public program and direct payment routes for covering care; Medicare generally applies to short term skilled care after a hospital stay, while Medicaid may help when savings do not cover a long stay.
Peter Gray serves as the administrator. A Walk Score of 73 places Heritage House in a very walkable area, where most errands can be done on foot and a resident who no longer drives can still get out independently.
Quality ratings
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 40th out of 225 nursing homes we track in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 49m
This nursing home is ranked 40th out of 225 nursing homes we track in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 49mStandout metric: LPN / LVN is +59% above Iowa average
3 of 6 metrics below Iowa average
Daily care time per resident, by role
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. 23 total: 8 of the facility's own employees and 15 agency contractors.
23 staff · 7.5-hour shifts
40m
↓ 9% · IA 44mThis facility: 40m per resident per day, 9% below the Iowa average of 44m (among Iowa facilities reporting a recent figure).
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. 23 total: 8 of the facility's own employees and 15 agency contractors.
23 staff · 7.5-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 12 total: 9 of the facility's own employees and 3 agency contractors.
12 staff · 8.3-hour shifts
54m
↑ 59% · IA 34mThis facility: 54m per resident per day, 59% above the Iowa average of 34m (among Iowa facilities reporting a recent figure).
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. 12 total: 9 of the facility's own employees and 3 agency contractors.
12 staff · 8.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 59 total: 45 of the facility's own employees and 14 agency contractors.
59 staff · 7.5-hour shifts
3h 14m
↑ 28% · IA 2h 32mThis facility: 3h 14m per resident per day, 28% above the Iowa average of 2h 32m (among Iowa facilities reporting a recent figure).
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. 59 total: 45 of the facility's own employees and 14 agency contractors.
59 staff · 7.5-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
2m
↓ 14% · IA 2mThis facility: 2m per resident per day, 14% below the Iowa average of 2m (among Iowa facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 20m
↑ 29% · IA 3h 21mThis facility: 4h 20m per resident per day, 29% above the Iowa average of 3h 21m (among Iowa facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
19m
↓ 37% · IA 30mThis facility: 19m per resident per day, 37% below the Iowa average of 30m (among Iowa facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
134
86 employees · 48 contractors · 37 on an average day
134 total staff / 56 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.39 : 1
↑ 18% · IA 2.02This facility: 2.39 staff per resident, 18% above the Iowa average of 2.02 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
134 staff ÷ 56 residents
See full Iowa ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.2 h
↓ 4% · IA 7.5 hThis facility: 7.2 h, 4% below the Iowa average of 7.5 h (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
24,558 staff hours this quarter
See full Iowa ranking →93.3% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Registered Nurse (15), Certified Nursing Assistant (14), Licensed Practical Nurse (3), RN Director of Nursing (3), Physical Therapy Assistant (3), Respiratory Therapy Technician (3), Speech Language Pathologist (2), Physical Therapy Aide (1), Qualified Social Worker (1), Occupational Therapy Assistant (1), Occupational Therapy Aide (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
169
Rank #18 / 235Bed count — State benchmarked This nursing home is ranked 18th out of 235 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
169
Rank #18 / 235Bed count — State benchmarked This nursing home is ranked 18th out of 235 nursing homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
61 nursing-home beds (CMS) + 108 state-licensed beds.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #47 / 116Years in operation — State benchmarked This nursing home is ranked 47th out of 116 nursing homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #47 / 116Years in operation — State benchmarked This nursing home is ranked 47th out of 116 nursing homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
27
years
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #56 / 249Walk Score — State benchmarked This nursing home is ranked 56th out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #56 / 249Walk Score — State benchmarked This nursing home is ranked 56th out of 249 nursing homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
73
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #202 / 226Occupancy rate — State benchmarked This nursing home is ranked 202nd out of 226 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 226. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #202 / 226Occupancy rate — State benchmarked This nursing home is ranked 202nd out of 226 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 226. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
57.4%
This home usually has availability
Lower than the Iowa average: 79.1%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
229
days
About This Community
StatusActive
IssuanceJuly 15, 1999
ExpirationJuly 15, 2027
CountyCass
License NumberS0055
CMS Certification Number165561
Heritage House is administered by Peter Gray.
Resident Council
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Email
pgray@wesleylife.org
Fax7122433418
Continuing Care Retirement Community (CCRC)
Room Types
Studio
1 Bedroom
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
Inspection Scorecard
This scorecard compares key inspection, violation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. IA average
0 Worse
No metrics in this bucket.
1 Better
Metrics better than Iowa average:
• Violations (100% below)
• Violations (100% below)
Violations
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Violations
Total violations cited across all inspections on record. Iowa reports these as a federal and a state component, shown below; the two add up to this total.
| 0 | 23.4 | This facility has 100% fewer violations than a typical Iowa nursing home (0 vs. IA avg 23.4).↓ 100% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 4 | 12.7 | This facility has had 69% fewer total inspections than the Iowa average (4 vs. IA avg 12.7). More inspections can mean more regulatory scrutiny rather than worse care.↓ 69% fewer |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
2
↓ 60% · IA 5This facility: 2, 60% below the Iowa average of 5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
11
Rank #68 / 226Health citations — State benchmarked This nursing home is ranked 68th out of 226 nursing homes we track in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 226 IA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 47% · IA 20.7This facility: 11, 47% below the Iowa average of 20.7 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
5.5
Rank #178 / 226Citations per inspection — State benchmarked This nursing home is ranked 178th out of 226 nursing homes we track in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 226 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 43% · IA 3.85This facility: 5.5, 43% above the Iowa average of 3.85 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
11 of 11 citations corrected
Critical
J–L
0
↓ 100% · IA 0.5This facility: 0, 100% below the Iowa average of 0.5 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · IA 0.9This facility: 0, 100% below the Iowa average of 0.9 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
11
↓ 42% · IA 19This facility: 11, 42% below the Iowa average of 19 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · IA 0.4This facility: 0, 100% below the Iowa average of 0.4 (among Iowa facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Sep 11, 2025 · 4 citations, all corrected
Most cited category: Nutrition & Dietary, 6 of 11 citations · 4 categories in total
Citations history
Most recent first
Sep 11, 2025
4 citations
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Aug 10, 2023
7 citations
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 11 citations
Nutrition & Dietary
6 deficiencies (55%)
Resident Rights
2 deficiencies (18%)
Resident Assessment & Care Planning
2 deficiencies (18%)
Infection Control
1 deficiency (9%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 11 citations resulted from standard inspections; and 1 of 11 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
IA avg $48KIowa average: $47,684. Average among the 157 Iowa facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
IA avg 1.42Iowa average: 1.42. Average among the 157 Iowa facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
IA avg 0.47Iowa average: 0.47. Average among the 157 Iowa facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 8% · IA 3.3This facility: 3.0, 8% below the IA average of 3.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 56% · IA 2.6This facility: 4.0, 56% above the IA average of 2.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
6.4
Score · lower is better
↓ 30% · IA 9.2This facility: 6.4, 30% below the IA average of 9.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
14.6
Score · lower is better
↓ 26% · IA 19.8This facility: 14.6, 26% below the IA average of 19.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 5 worse, 1 near IA average
8 short-stay measures: 2 better, 3 worse, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
13.6%
↓ 21% · IA 17.1This facility: 13.6, 21% below the IA average of 17.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
13.6%
↓ 21% · IA 17.1This facility: 13.6, 21% below the IA average of 17.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
7.2%
↓ 57% · IA 16.6This facility: 7.2, 57% below the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
7.2%
↓ 57% · IA 16.6This facility: 7.2, 57% below the IA average of 16.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.1%
↓ 10% · IA 25.6This facility: 23.1, 10% below the IA average of 25.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.1%
↓ 10% · IA 25.6This facility: 23.1, 10% below the IA average of 25.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
3.6%
↑ 52% · IA 2.4This facility: 3.6, 52% above the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.6%
↑ 52% · IA 2.4This facility: 3.6, 52% above the IA average of 2.4 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
5.5%
↑ 43% · IA 3.8This facility: 5.5, 43% above the IA average of 3.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
5.5%
↑ 43% · IA 3.8This facility: 5.5, 43% above the IA average of 3.8 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.8%
↑ 14% · IA 4.2This facility: 4.8, 14% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.8%
↑ 14% · IA 4.2This facility: 4.8, 14% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
1.2%
↓ 74% · IA 4.6This facility: 1.2, 74% below the IA average of 4.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
1.2%
↓ 74% · IA 4.6This facility: 1.2, 74% below the IA average of 4.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
9.8%
↑ 135% · IA 4.2This facility: 9.8, 135% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
9.8%
↑ 135% · IA 4.2This facility: 9.8, 135% above the IA average of 4.2 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
16.2%
↓ 17% · IA 19.5This facility: 16.2, 17% below the IA average of 19.5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
16.2%
↓ 17% · IA 19.5This facility: 16.2, 17% below the IA average of 19.5 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
↑ 1% · IA 94.0This facility: 95.0, 1% above the IA average of 94.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
↑ 1% · IA 94.0This facility: 95.0, 1% above the IA average of 94.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · IA 95.3This facility: 100.0, 5% above the IA average of 95.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · IA 95.3This facility: 100.0, 5% above the IA average of 95.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.30
↓ 12% · IA 1.48This facility: 1.30, 12% below the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.30
↓ 12% · IA 1.48This facility: 1.30, 12% below the IA average of 1.48 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.21
↑ 6% · IA 2.09This facility: 2.21, 6% above the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.21
↑ 6% · IA 2.09This facility: 2.21, 6% above the IA average of 2.09 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
↓ 7% · US 53.7This facility: 50.0, 7% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
↓ 7% · US 53.7This facility: 50.0, 7% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
39.9%
↓ 21% · US 50.6This facility: 39.9, 21% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
39.9%
↓ 21% · US 50.6This facility: 39.9, 21% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
↑ 29% · IA 2.1This facility: 2.7, 29% above the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
↑ 29% · IA 2.1This facility: 2.7, 29% above the IA average of 2.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.7%
↓ 16% · IA 84.0This facility: 70.7, 16% below the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.7%
↓ 16% · IA 84.0This facility: 70.7, 16% below the IA average of 84.0 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
↓ 22% · IA 73.3This facility: 57.1, 22% below the IA average of 73.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
↓ 22% · IA 73.3This facility: 57.1, 22% below the IA average of 73.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
0.0%
↓ 100% · IA 21.3This facility: 0.0, 100% below the IA average of 21.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
0.0%
↓ 100% · IA 21.3This facility: 0.0, 100% below the IA average of 21.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
↓ 29% · IA 13.1This facility: 9.3, 29% below the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
↓ 29% · IA 13.1This facility: 9.3, 29% below the IA average of 13.1 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Heritage House’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 223 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−72.5% operating margin
+0.2 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($4.3M) trims the net loss to −$0.7M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Iowa homes
103.1% payroll share of revenue
IA average 60.9%Rank #3 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 3rd out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.8M while revenue rose $0.4M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Iowa homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $6.8M | +$0.4M | Trend 20172024 | IA median $6.3M | Rank in IA Rank #101 / 223Net patient revenue — State benchmarked This nursing home is ranked 101st out of 223 nursing homes we track in Iowa for net patient revenue. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Above IA median Higher net patient revenue than 55% of IA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $11.7M | +$0.8M | Trend 20172024 | IA median — | Rank in IA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$4.9M | −$0.3M | Trend 20172024 | IA median — | Rank in IA Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −72.5% | +0.2 pts | Trend 20172024 | IA median — | Rank in IA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $4.3M | — | Trend — | IA median — | Rank in IA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.7M | −$0.3M | Trend — | IA median — | Rank in IA Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most Iowa homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $7.0M | +$0.8M | Trend 20172024 | IA median $3.8M | Rank in IA Rank #30 / 223Payroll costs — State benchmarked This nursing home is ranked 30th out of 223 nursing homes we track in Iowa for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 87% of homes | Above IA median Higher payroll than 87% of IA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 103.1% | +4.8 pts | Trend 20172024 | IA median 59.0% | Rank in IA Rank #3 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 3rd out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 99% of homes | 42.2 pts over IA average The IA average is 60.9% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · IA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Iowa payroll average.
% of net patient revenue
Payroll share Operating margin IA payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.4M | $4.4M | $4.6M | $5.0M | $5.5M | $5.9M | $6.3M | $6.8M |
| Operating expenses | $8.2M | $8.7M | $8.9M | $10.0M | $10.0M | $10.3M | $10.9M | $11.7M |
| Net patient income | −$3.8M | −$4.3M | −$4.3M | −$5.0M | −$4.5M | −$4.4M | −$4.6M | −$4.9M |
| Operating margin | −85.1% | −97.8% | −94.1% | −99.1% | −81.6% | −74.8% | −72.8% | −72.5% |
| Net income | $0.2M | −$0.6M | −$0.4M | −$1.2M | −$1.6M | −$0.2M | −$0.4M | −$0.7M |
| Payroll costs | $4.4M | $4.7M | $4.8M | $5.0M | $5.4M | $5.6M | $6.2M | $7.0M |
| Payroll share of revenue | 100.0% | 106.4% | 103.5% | 99.6% | 97.3% | 95.4% | 98.3% | 103.1% |
| Beds | 61 | 61 | 61 | 61 | 61 | 61 | 61 | 61 |
| Gross revenue | $5.2M | $5.3M | $5.5M | $5.4M | $6.1M | $6.5M | $7.4M | $7.8M |
| Salaries | $3.7M | $3.9M | $4.1M | $4.1M | $4.3M | $4.8M | $5.4M | $6.0M |
| Wage-related costs | $0.7M | $0.8M | $0.7M | $0.9M | $1.1M | $0.8M | $0.8M | $0.9M |
| Contract labor | $0.3M | $0.3M | $0.4M | $0.9M | $0.9M | $0.7M | $0.5M | $0.3M |
| Other operating costs | $3.8M | $4.0M | $4.2M | $5.0M | $4.7M | $4.7M | $4.7M | $4.7M |
| Net patient revenue per day | $213 | $216 | $221 | $259 | $265 | $288 | $324 | $356 |
| Cost per day | $395 | $427 | $429 | $517 | $481 | $503 | $560 | $614 |
| Average length of stay | 115.5 days | 120.3 days | 132.8 days | 165.5 days | 228.8 days | 143.1 days | 205.7 days | 229.2 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
86 admissions · FY2024
Residents admitted during the year.
Medicare
46 · 53%
Medicaid
7 · 8%
Private pay & other
33 · 38%
Resident snapshot
56 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
7 · 13%
Medicaid
25 · 45%
Private pay & other
24 · 43%
Leaving
83 discharges · FY2024
Residents discharged during the year.
Medicare
33 · 40%
Medicaid
2 · 2%
Private pay & other
48 · 58%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Heritage House
0.0 miles from city center
Estimated distance in miles from Atlantic's city center to Heritage House's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Heritage House | NH ADC AL IL MC SNF | Atlantic | 169
Facility
169
IA AVG
66
Rank
#18 / 235 |
57.4%
Facility
57.4%
IA AVG
79.1%
Rank
#202 / 226 | -27% | 4.81
Facility
4.81
IA AVG
4.49
Rank
#40 / 225 | +47% | +7% | $0
Facility
$0
IA AVG
$53.2k
Rank
#1 / 230 | 11
Facility
11
IA AVG
20.7
Rank
#68 / 226 | 5.5
Facility
5.5
IA AVG
3.8
Rank
#178 / 226 | - | 62 | - |
73
Facility
73
IA AVG
50
Rank
#56 / 249 | - | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#101 / 223 | $7.0MFiscal year ending 12/2024
Facility
$7.0MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#30 / 223 | 103.1%Fiscal year ending 12/2024
Facility
103.1%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#3 / 223 | 165561 | ||||
| Southern Hills Specialty Care | NH SNF | Osceola | 90
Facility
90
IA AVG
66
Rank
#31 / 235 |
94.1%
Facility
94.1%
IA AVG
79.1%
Rank
#19 / 226 | +19% | 3.84
Facility
3.84
IA AVG
4.49
Rank
#147 / 225 | +21% | -15% | $36.9k
Facility
$36.9k
IA AVG
$53.2k
Rank
#187 / 230 | 8
Facility
8
IA AVG
20.7
Rank
#46 / 226 | 2.0
Facility
2.0
IA AVG
3.8
Rank
#30 / 226 | - | 85 | - |
3
Facility
3
IA AVG
50
Rank
#247 / 249 | Eric Klouse | $8.8MFiscal year ending 12/2024
Facility
$8.8MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#63 / 223 | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#72 / 223 | 54.3%Fiscal year ending 12/2024
Facility
54.3%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#174 / 223 | 165293 | ||||
| Atlantic Specialty Care | NH SNF | Atlantic | 90
Facility
90
IA AVG
66
Rank
#31 / 235 |
77.8%
Facility
77.8%
IA AVG
79.1%
Rank
#97 / 226 | -2% | 4.29
Facility
4.29
IA AVG
4.49
Rank
#179 / 225 | -39% | -4% | $0
Facility
$0
IA AVG
$53.2k
Rank
#1 / 230 | 42
Facility
42
IA AVG
20.7
Rank
#193 / 226 | 6.0
Facility
6.0
IA AVG
3.8
Rank
#190 / 226 | - | 70 | - |
9
Facility
9
IA AVG
50
Rank
#233 / 249 | Leah Muhlbauer | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
IA AVG
$7.4M
Rank
#97 / 223 | $3.8MFiscal year ending 12/2024
Facility
$3.8MFiscal year ending 12/2024
IA AVG
$4.5M
Rank
#109 / 223 | 56.6%Fiscal year ending 12/2024
Facility
56.6%Fiscal year ending 12/2024
IA AVG
60.9%
Rank
#144 / 223 | 165288 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 3 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Iowa
Heritage House is located in Atlantic, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Know before you visit
Frequently Asked Questions about Heritage House
Quick answers from public records and the community's own listing.01 Is Heritage House in a walkable area?
Heritage House has a walk score of 73. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
02 What is the license number of Heritage House?
According to IA state health department records, Heritage House's license number is S0055.
03 When does Heritage House's license expire?
According to IA state health department records, Heritage House's license expires on July 15, 2027.
04 What is the occupancy rate at Heritage House?
Heritage House's occupancy is 57.4%.
05 How long has Heritage House been in business?
Heritage House has been operating for approximately 27 years, based on available licensing and registration records.
06 Are pets allowed at Heritage House?
No, Heritage House has a no-pet policy.
07 What is the best email address for Heritage House?
The team at Heritage House can be reached at pgray@wesleylife.org.
Updated on
