Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Heritage Square Healthcare Center during CMS and state inspections, most recent first.
A severely cognitively impaired resident with a history of traumatic brain injury exited the facility unsupervised after using an exit door code provided by staff. The resident traveled approximately 250 feet away and remained outside for about 30 minutes before being located and returned by staff. At the time, residents not considered at risk for elopement had access to the exit code, and the resident was not previously identified as exit-seeking. The facility's failure to monitor and supervise the resident and to secure exit codes resulted in a deficiency related to accident prevention.
A resident with muscle spasms and a history of falls used a wheelchair seat belt restraint by personal request, with orders for regular monitoring. However, the facility did not include the seat belt intervention in the resident's care plan, resulting in incomplete documentation of necessary care and services.
Failure to Prevent Elopement Due to Inadequate Supervision and Unsecured Exit Codes
Penalty
Summary
The facility failed to adequately monitor and supervise a severely cognitively impaired resident, resulting in the resident exiting the facility without staff knowledge. The resident, who had a history of traumatic brain injury and a BIMS score indicating severe cognitive impairment, was able to access and use an exit door code that had been provided to certain residents by staff. This allowed the resident to leave the facility unsupervised and travel approximately 250 feet away, where they were found by a community member. At the time of the incident, the resident was observed in the lobby near the front door and subsequently exited the building using the code. Staff were unaware of the resident's departure until notified by an individual who saw the resident outside her home. The resident was outside for approximately 30 minutes in hot weather conditions before being returned to the facility by staff. Interviews with staff indicated that residents not considered at risk for elopement had access to the exit code, and the resident in question was not previously identified as having exit-seeking behaviors. The facility's elopement policy required identification and monitoring of residents at risk for unsafe wandering, but the failure to secure exit codes and supervise the resident led to the elopement event. Documentation and interviews confirmed that the resident was not injured during the incident, but the lack of adequate supervision and unsecured exit codes constituted non-compliance with requirements to prevent accidents and ensure resident safety.
Removal Plan
- Resident #46 was placed on the secured unit following their return to the facility.
- Elopement assessments were completed for all residents including Resident #46. The care plan for each resident identified at high risk of elopement was reviewed and updated as necessary.
- The administrator/designee initiated an in-service for staff on elopement and/or wandering. All staff have/will be in-serviced prior to working their next shift. The in-service was completed.
- Exit door codes were changed, and continue to be changed monthly or as needed.
- Staff was ordered to monitor behaviors and triggers for Resident #46.
- Window stoppers were placed on the windows of the secured unit to prevent residents from opening the windows and removing screens to leave the facility.
Failure to Document Restraint Use in Resident Care Plan
Penalty
Summary
The facility failed to develop and document a comprehensive, person-centered care plan addressing the use of a seat belt restraint for a resident with a history of rhabdomyolysis and muscle spasms. The resident, who was cognitively intact and able to independently buckle and unbuckle the seat belt, had requested the use of the seat belt for safety due to muscle spasms that previously caused falls from the wheelchair. The seat belt was ordered per the resident's request and was to be checked every shift for the resident's ability to unbuckle if needed. Despite these interventions being in place and documented in the Medication Administration Record and Restraint Evaluation, the resident's care plan did not include any reference to the seat belt as an intervention to prevent falls. Interviews confirmed that the care plan lacked this information, and the MDS coordinator acknowledged that restraints should be care planned so staff are aware of necessary care and monitoring requirements.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Blytheville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gosnell Health And Rehab | 3.8 mi | ★★★★★ | 6 | 0 |
| River Oaks Care Center | 12.3 mi | ★★★★★ | 0 | 0 |
| Manila Healthcare Center | 13.9 mi | ★★★★★ | 9 | 0 |
| Harris Health And Rehab | 14.5 mi | ★★★★★ | 0 | 0 |
| Senath South Health Care Center | 19.6 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.