Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
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 Adams Heritage during CMS and state inspections, most recent first.
A resident with major depressive disorder, obesity, and a hx of falls had a BIMS score of 15, but the record contained no care plan or interventions specific to the depression diagnosis. The Administrator said the care plan was personalized and behaviors were being monitored, while the DON stated there were no care plans specific to major depressive disorder. Facility policy stated care plans should include measurable objectives and time frames for medical, nursing, and mental/psychosocial needs.
Surveyors found that food items in the kitchen and storage areas, including salad dressing packets, desserts, cheese, hamburger patties, hot dogs, and eggs, were not properly labeled or dated. The Dietary Manager and DON confirmed that all residents were served food from these sources, and the facility's policy requires proper labeling and dating of food once packaging is opened.
A facility failed to separate oral and external medications on a medication cart, as observed during a survey. An RN stored a resident's oral medications alongside external medications, including Triad hydrophilic paste and Bengay, in a locked cart. The DON noted the RN was unfamiliar with nursing home requirements and had placed the cream in the cart after a dressing change. The resident had diagnoses of paraplegia, pain, and heart disease, with specific orders for the external medications. The facility's policy required internal drugs to be stored together, but no other policies were provided.
Missing Care Plan for Major Depressive Disorder
Penalty
Summary
The facility failed to ensure a care plan was initiated for Resident 3, whose record showed diagnoses of major depressive disorder, obesity, and a history of falling. The resident’s current quarterly MDS indicated a BIMS score of 15, showing the resident was cognitively intact. Review of the record found no care plan related to major depressive disorder and no interventions documented for that diagnosis. During interview, the Administrator stated the resident’s care plan was personalized and that behaviors related to depression were being monitored, while the DON stated there were no care plans specific to major depressive disorder. A current facility policy provided by the DON stated that the care plan would include measurable objectives and time frames for meeting the resident’s medical, nursing, and mental/psychosocial needs.
Failure to Label and Date Food Items in Kitchen and Storage Areas
Penalty
Summary
Surveyors observed multiple food storage and labeling deficiencies in the facility's kitchen and dining areas. Approximately 20 salad dressing packets were found in a cooler without expiration dates, and the Dietary Manager confirmed there was no written record of product rotation to verify their freshness. In the walk-in cooler, open boxes of assorted cheesecake slices, carrot cake, a container of cupcakes, and cookie dough were found without any labels or dates. An open bag of shredded cheese was observed with an expired discard date, and the Dietary Manager acknowledged it should have been discarded. Additionally, in the reach-in freezer, open boxes containing hamburger patties and hot dogs were found exposed to air, covered in frost, and lacking labels or dates. Nine eggs were also found in a container in the salad cooler without any labeling or dating. Interviews with the Dietary Manager and the DON confirmed that all residents in the facility were served food prepared in the kitchen where these deficiencies were observed. The facility's current policy, provided by the Administrator, requires all food to be labeled, dated, and discarded appropriately, with specific instructions to label and date food as soon as original packaging is broken. The observed practices did not align with this policy, resulting in the cited deficiency.
Improper Storage of Oral and External Medications
Penalty
Summary
The facility failed to properly separate oral medications from external medications on a medication cart, as observed during a survey. Specifically, oral medications for a resident were stored alongside external medications, including Triad hydrophilic wound dressing paste and Bengay, in a locked medication cart. This was noted during an observation and interview with an RN, who did not recognize the issue with mixing oral and external medications. The RN explained that all medications were for the same resident and offered to move the external medications to the treatment cart. The Director of Nursing (DON) indicated that the RN was from a hospital and not familiar with nursing home requirements. The DON explained that the RN had completed a dressing change and placed the cream in the medication cart due to being called away. The medication and treatment carts were located within 10 feet of each other. The resident involved had diagnoses including paraplegia, pain, and heart disease, with specific physician orders for the external medications. The facility's policy on storing medications, dated 1994, stated that drugs intended for internal use should be stored together, but no other policies were provided at the time of the survey exit.
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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 Monroeville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Majestic Care Of New Haven | 9.5 mi | ★★★★★ | 15 | 0 |
| Vancrest Of Payne | 11 mi | ★★★★★ | 6 | 0 |
| Adams Woodcrest | 11.2 mi | ★★★★★ | 2 | 0 |
| Golden Years Homestead | 12 mi | ★★★★★ | 7 | 0 |
| Lutheran Life Villages | 12.4 mi | ★★★★★ | 23 | 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.