Inspection Reports for
Heritage House
1200 Brookridge Cir, Atlantic, IA, 500222304
Back to Facility Profile8 Reports
Inspection Report — Oct 7, 2025
Complaint Investigation
Date: Oct 7, 2025
Visit Reason
Investigation of Complaint #130403-C at Heritage House assisted living facility.
Complaint Details
Complaint #130403-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Report Facts
Tenants without cognitive impairment: 55
Tenants with cognitive impairment: 7
Inspection Report — Sep 11, 2025
Routine
Date: Sep 11, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to food quality, food preparation, infection control, and resident care in a nursing home facility.
Findings
The facility failed to provide palatable and properly prepared food to residents, did not meet individual resident dietary needs, had unsanitary food storage and preparation areas, and failed to implement proper infection prevention practices during resident care.
Violations (4)
F 0804: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The facility served dry, overcooked, and cold ham to multiple residents, which was unappetizing and led to complaints.
F 0805: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Resident #44 was unable to cut her meat due to paralysis and did not receive assistance, despite requiring it.
F 0812: Procure food from approved sources and store, prepare, distribute, and serve food in accordance with professional standards. The facility had open, undated food items, dirty kitchen surfaces, grease buildup, and unsanitized thermometers used during food temperature checks.
F 0880: Provide and implement an infection prevention and control program. Staff failed to perform hand hygiene appropriately during catheter care, increasing risk of infection transmission.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Chef | Discussed ham quality and kitchen operations related to food preparation |
| Staff C | Director of Food and Beverage | Acknowledged overcooked ham and kitchen service issues |
| Staff F | Kitchen staff | Observed using thermometer without sanitizing during food temperature checks |
| Staff D | Certified Nurse Assistant | Observed performing catheter care without proper hand hygiene |
| Staff E | House Hold Coordinator | Observed catheter care and noted hand hygiene deficiencies |
| Staff G | Kitchen staff | Did not cut meat for Resident #44 as required |
| Staff H | Kitchen staff | Acknowledged Resident #44's need for meat cutting assistance |
| Staff I | Dietician | Confirmed Resident #44 requires assistance cutting meat |
| Staff E | Nurse Leader | Acknowledged Resident #44's need for assistance with eating |
Inspection Report — Jul 30, 2025
Renewal
Date: Jul 30, 2025
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit for the Assisted Living Program.
Report Facts
Number of tenants without cognitive impairment: 55
Number of tenants with cognitive impairment: 9
Inspection Report — Oct 10, 2024
Date: Oct 10, 2024
Visit Reason
The document is a statement of deficiencies and plan of correction related to a facility survey completed on 2024-10-10.
Findings
No health deficiencies were found during the survey.
Inspection Report — Aug 10, 2023
Date: Aug 10, 2023
Visit Reason
The inspection was conducted to assess the facility's compliance with maintaining a safe, clean, and comfortable environment for residents, focusing on environmental cleanliness.
Findings
The facility failed to maintain a clean environment in the carpeted hallway A accessed by residents, where multiple stains were observed. Staff interviews confirmed the stained carpets and described the process for reporting and addressing the issue.
Violations (1)
F 0584: The facility failed to maintain a safe, clean, and homelike environment, as multiple stains were observed on the carpeted hallway A accessed by residents. Staff acknowledged the stained carpets and described spot cleaning and maintenance procedures.
Report Facts
Residents Affected: 56
Inspection Report — Aug 10, 2023
Routine
Date: Aug 10, 2023
Visit Reason
Routine inspection of Heritage House nursing facility to assess compliance with regulatory standards including resident rights, care planning, food and nutrition services, and facility environment.
Findings
The facility was found deficient in multiple areas including failure to notify a resident of Medicare coverage charges, maintaining a clean environment, accurate resident assessments, implementing care plans, providing proper diet and nutrition services, employing qualified dietary staff, and storing and preparing food under sanitary conditions.
Violations (7)
F 0582: The facility failed to notify a resident of charges for Medicare coverage end of stay as required.
F 0584: The facility failed to maintain a clean environment in resident-accessed hallways, with multiple stains observed on carpets.
F 0641: The facility failed to accurately assess a resident's status by incorrectly documenting dialysis treatment.
F 0656: The facility failed to implement the care plan for transfers by not using a gait belt as required for a resident.
F 0800: The facility failed to provide a well-balanced diet by serving incorrect portion sizes for mechanical soft diets to residents.
F 0801: The facility failed to employ a certified dietary manager with appropriate qualifications for food and nutrition services.
F 0812: The facility failed to store and prepare food in accordance with professional standards, with unsanitary kitchen conditions and improper food storage observed.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 4
Residents affected: 56
Residents affected: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Registered Nurse (RN) / MDS Coordinator | Acknowledged incorrect MDS dialysis documentation for Resident #26 |
| Staff E | Certified Nursing Assistant (CNA) | Transferred Resident #20 without gait belt |
| Staff F | Registered Nurse (RN) | Supervised transfer of Resident #20 and stated gait belt expectation |
| Staff C | Chef | Acknowledged incorrect serving sizes and improper food handling |
| Executive Director | Reported lack of certified dietary manager and stated expectations for kitchen staff | |
| Food and Beverage Supervisor | Acknowledged food storage and sanitation deficiencies and cleaning schedule lapses | |
| Director of Nursing | Acknowledged carpet stains and care plan expectations | |
| Social Services Director | Acknowledged failure to notify resident of Medicare coverage charges |
Inspection Report — Jun 14, 2023
Renewal
Date: Jun 14, 2023
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program and included an investigation of a complaint (#108574-C).
Complaint Details
Investigation of Complaint #108574-C found no deficiencies.
Findings
No regulatory insufficiencies or deficiencies were cited during the recertification or the complaint investigation.
Report Facts
Number of tenants without cognitive disorder: 64
Number of tenants with cognitive disorder: 2
Inspection Report — Jul 14, 2021
Complaint Investigation
Date: Jul 14, 2021
Visit Reason
The inspection was conducted as an investigation of Complaint #92416-C and included an onsite infection control survey.
Complaint Details
Investigation of Complaint #92416-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation or the onsite infection control survey.
Report Facts
Number of tenants without cognitive disorder: 52
Number of tenants with cognitive disorder: 0
Total Population of Program: 52
4 CMS Surveys
CMS Survey — Aug 10, 2023
Aug 10, 2023
CMS Survey — Aug 10, 2023
Aug 10, 2023
CMS Survey — Oct 10, 2024
Oct 10, 2024
CMS Survey — Sep 11, 2025
Sep 11, 2025
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