Occupancy rate
57%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Assisted Living in Atlantic
CMS overall rating
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.
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.
Heritage House
Assisted Living in Atlantic
CMS overall rating
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.
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.
Heritage House
Heritage House is an assisted living facility located in Goleta, California. It provides a higher level of service for the elderly, including assistance with daily living activities, medication management, and specialized Alzheimer’s care. The facility features 56 studio and one-bedroom apartments in a home-like environment.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
108
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
57.4%
Residents per day (avg)
54
Occupancy rate
57.4%
Residents per day (avg)
54
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
57% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
41% of new residents, often for short stays.
Typical stay
9 - 10 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
12 years
Finances and operations
Voluntary non-profit community
Home revenue
$11.6M
Operating deficit
-$371.9K
Voluntary non-profit community
Home revenue
$11.6M
Operating deficit
-$371.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.0M
108-bed community
A larger shared setting that may offer more common spaces and organized community services.
26 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
62 / 108
Average residents
51 per day
Facility TypeAssisted Living Programs
StatusActive
IssuanceJuly 15, 1999
CountyCass
License NumberS0055
CMS Certification Number165561
Heritage House is administrated by Sarah Lindeman.
Owner NameNo Related Entities Found
Respite Care
Email
[email protected]
Fax7122433418
Food DescriptionThe assisted living program includes customized meals and planned transportation.
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.
13 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
October 7, 2025
2 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Heritage House
The most recent inspection on October 7, 2025, found no deficiencies during a complaint investigation. Earlier inspections also generally found no regulatory insufficiencies, with a consistent record of compliance across renewal and complaint investigations. The main issue noted in the past involved a regulatory insufficiency related to admitting a tenant dangerous to self in 2011, but this was an isolated finding and not repeated in later reports. Complaint investigations were mostly unsubstantiated, and no fines, enforcement actions, or license suspensions were listed in the available reports. The inspection history suggests stable compliance with no recent deficiencies and improvement since the isolated issue in 2011.
Health Inspection History
Inspections
Total health inspections
2
Iowa average 4.9
Last Health inspection on Aug 2023
Total health citations
10
Iowa average 21.7
Citations per inspection
5
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 10 citations resulted from standard inspections; and 1 of 10 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
10 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 10, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 10, 2023
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 10, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 10, 2023
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 10, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 10, 2023
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 10, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 10, 2023
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.
Compare Assisted Living around Atlantic The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Eiler Senior Living
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
Clarinda
108
Yes
9
31
45.4%
A+
25
12
4
Allen Place Senior Living
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.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Atlantic
78
No
11
11
46.2%
A-
10
3
1
Amelia Senior Living
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
Council Bluffs
62
Yes
2
31
61.3%
A+
10
2
1
Heritage House
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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
Atlantic
61
No
-
26
57.4%
-
13
5
0
Atlantic Specialty Care
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).
Atlantic
-
No
-
-
79.0%
-
0
0
0
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
115
Employees
100
Contractors
15
Staff to resident ratio
2.05:1
0% compared with Iowa averageIowa average ratio: 2.00:1
Avg staff/day
39
Average shift
6.8 hours
8% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
24,292
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.8%
1,176 contractor hours this quarter
Respiratory Therapy Technician: 4
Speech Language Pathologist: 3
Qualified Social Worker: 2
Occupational Therapy Assistant: 2
Occupational Therapy Aide: 1
Physical Therapy Aide: 1
Physical Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 49 | 0 | 49 | 9,882 | 91 | 100% | 6.8 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,619 | 91 | 100% | 7.9 |
| Medication Aide/Technician | 15 | 0 | 15 | 3,130 | 91 | 100% | 7.2 |
| Registered Nurse | 10 | 0 | 10 | 2,210 | 91 | 100% | 7 |
| Dietitian | 3 | 0 | 3 | 1,174 | 66 | 73% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 971 | 64 | 70% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 473 | 60 | 66% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Aide in Training | 6 | 0 | 6 | 434 | 54 | 59% | 6.2 |
| Administrator | 1 | 0 | 1 | 412 | 52 | 57% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 360 | 63 | 69% | 4.5 |
| RN Director of Nursing | 1 | 0 | 1 | 348 | 44 | 48% | 7.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 233 | 62 | 68% | 3.8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 228 | 65 | 71% | 2.6 |
| Qualified Social Worker | 0 | 2 | 2 | 143 | 60 | 66% | 2.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 111 | 26 | 29% | 4.3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 66 | 38 | 42% | 1.7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 34 | 9 | 10% | 3.8 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1.2 |
49 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
15 Medication Aide/Technician
% of Days
100%
10 Registered Nurse
% of Days
100%
3 Dietitian
% of Days
73%
2 Clinical Nurse Specialist
% of Days
70%
1 Mental Health Service Worker
% of Days
66%
1 Nurse Practitioner
% of Days
64%
6 Nurse Aide in Training
% of Days
59%
1 Administrator
% of Days
57%
3 Speech Language Pathologist
% of Days
69%
1 RN Director of Nursing
% of Days
48%
1 Physical Therapy Aide
% of Days
68%
4 Respiratory Therapy Technician
% of Days
71%
2 Qualified Social Worker
% of Days
66%
1 Occupational Therapy Aide
% of Days
29%
1 Physical Therapy Assistant
% of Days
42%
2 Occupational Therapy Assistant
% of Days
10%
1 Medical Director
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
56 residents
Residents by payment source
Medicare
7 residents (12.5%)
Medicaid
25 residents (44.6%)
Private pay or other
24 residents (42.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.4
8% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.5
9% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.8%
Percent of long-stay residents whose need for help with daily activities has increased
16.8%
11% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.8%
Percent of long-stay residents whose ability to move independently worsened
18.8%
5% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.1%
34% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
16% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.3%
Percent of long-stay high risk residents with pressure ulcers
4.3%
In line with Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.2%
Percent of long-stay residents with a urinary tract infection
3.2%
30% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.2%
Percent of long-stay residents who lose too much weight
3.2%
37% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.5%
Percent of long-stay residents who have depressive symptoms
3.5%
11% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.4%
Percent of long-stay residents who received an antipsychotic medication
19.4%
In line with Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.7%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.3%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
19% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.1%
22% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Heritage House based on CMS SNF Cost Reports.
Occupancy Rate
87.8%
↓ 4.1pp vs 2022
Net Income
-$371.9K
↓ ~$135.9K vs 2022
Total Payroll
$6.7M
↑ ~$351.4K vs 2022
Profit Margin
-5.1%
↓ 1.4pp vs 2022
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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