Below average — CMS composite of the measures below.
The next survey window likely opens around January 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 Heritage Pointe Of Huntington during CMS and state inspections, most recent first.
A CNA used a personal cell phone to record a cognitively impaired resident with dementia, depression, anxiety, and behavioral symptoms while the resident was on a toilet seat riser, exposing the resident’s thigh and calf and verbally addressing the resident by first name as he gripped her wrist. The CNA later stated she recorded the video to document the resident’s behavior and showed it to other CNAs and at least one additional person off-site, despite facility policies prohibiting personal device use in care areas and any photography or video of residents. The resident required maximal assistance with toilet transfers and was frequently incontinent, and representatives reported the resident would have been upset and offended by being recorded in the bathroom, supporting the finding of mental abuse and violation of dignity and privacy.
A resident with protein-calorie malnutrition and dementia had significant weight loss, and a dietitian recommended adding a high-calorie supplement shake at breakfast. Staff did not ensure the recommendation was communicated to the physician or implemented, and the resident was observed eating breakfast without the supplement shake. Interviews showed the DON/ADON process for forwarding dietitian recommendations broke down, leaving the resident without the ordered nutritional support.
Failure to Report Resident Allegation of Abuse: A resident with macular degeneration, hearing loss, insomnia, and moderate cognitive impairment said someone in her room had swung something around and hit her in the head. The CNA relayed the allegation to an LPN, but the nurse did not notify the Administrator or DON, and the record lacked further details about the allegation. Interviews showed staff expected immediate reporting of any claim that a resident was hit.
A facility failed to document that baseline care plans were provided to residents and/or their representatives for 6 of 10 residents reviewed. Record review and staff interviews showed missing evidence that the care plan summaries were discussed or shared on admission, and the Administrator and MDS Coordinator confirmed the documentation was not located for several residents.
A resident with severe dementia, impaired safety awareness, and a history of hip fracture had repeated episodes of getting up and walking unassisted without her walker or proper footwear. Staff repeatedly redirected her, but she continued to self-transfer, wander in her room and bathroom, and fall, including one fall that resulted in an acute left femoral neck fracture. Observations showed her call light on while she was up, and staff and a visitor had to intervene when she continued to move about unsafely.
A resident with no natural teeth and no dentures was ordered a regular diet with ground meat, but staff did not consistently provide meat in the ordered form or honor her preference for all meat to be chopped. During meal observation, she was served country fried steak that was only partially cut up, and staff said ground meat was not automatically provided unless she asked for it. The resident reported that chewing meat was difficult and that she did not want to request ground meat at every meal.
Infection Preventionist Role Not Supported by Appropriate Scheduling: The facility failed to ensure the IP role was filled by a staff member with an appropriate schedule to support infection prevention and control responsibilities. The DON was serving as the IP, stated she spent about 10 hours per week on IP duties while scheduled 40 hours per week, and the Administrator could not provide a time sheet separating DON hours from IP hours. The IP job description included oversight of infection prevention, communicable disease control, resident care activities that increase infection risk, and the antibiotic stewardship program, while the DON was also responsible for overall nursing operations and was on call 24/7.
A facility failed to implement transmission-based precautions for a resident with gastroenteritis, leading to an outbreak affecting eight other residents. The resident, diagnosed with Alzheimer's, exhibited symptoms but was not placed in isolation or tested for COVID-19. The infection preventionist and nursing staff were uncertain about the initial case and did not consistently apply contact isolation measures, resulting in the spread of the infection.
A resident's fingernails were observed to be long and dirty despite requests for care, indicating a failure in the facility's grooming assistance. The resident, who required partial assistance, had accepted nail care on several occasions, yet her nails remained unkempt. Staff interviews revealed inconsistencies in nail care responsibilities and frequency, contributing to the deficiency.
A resident with Alzheimer's and dementia experienced multiple falls due to inadequate supervision and incomplete documentation of safety checks. Despite having a care plan with numerous fall interventions, the resident suffered a wrist fracture and other falls, indicating lapses in the facility's adherence to the care plan.
A facility failed to ensure appropriate clinical indications for the use of risperidone, an antipsychotic medication, for a resident with dementia and other mental health conditions. Despite non-pharmacological interventions and a policy requiring adequate indication for psychotropic use, the facility did not justify the continued use of risperidone, leading to a deficiency. Staff interviews revealed inconsistencies in care interventions and documentation, contributing to the issue.
The facility failed to dispose of unlabeled and unused medications in two medication carts. In Medication Cart B, a pill was found in an unlabeled cup, and two pills were loose in the drawer. RN 8 indicated the medication was not administered due to a resident's blood pressure being out of range. In Medication Cart C, a pill was found in an unlabeled cup, and another was loose in the drawer. QMA 16 and the ADON confirmed the medications should be disposed of, as per facility policy.
A resident with dementia and spastic hemiplegia was found unresponsive with a head injury after falling off the toilet. Staff moved the resident multiple times without conducting a proper assessment or notifying a nurse, contrary to facility policy. The resident was later found deceased, and no CPR was initiated due to her DNR status.
Mental Abuse and Privacy Violation Through Unauthorized Video Recording During Toileting
Penalty
Summary
The facility failed to protect a resident from mental abuse when a CNA used a personal cell phone to record a cognitively impaired resident while he was using the restroom and then showed the video to others. The 14‑second video, reviewed by the DON, showed the resident seated on a toilet seat riser with his upper left thigh and bare calf exposed, while he gripped the CNA’s wrist and the CNA verbally responded, “Ow, ow, ow, ow. [NAME], let go of me. Stop.” The resident’s face was not visible, but he was identified by first name in the video, and two CNAs were present during the incident. The CNA later stated she recorded the video to have proof of the resident’s behavior toward her. Other staff confirmed that the CNA had shown them the video, including while off facility grounds and at school, and one staff member reported that another person at their table may also have seen the video. The resident involved had diagnoses including dementia with mood disturbance, major depressive disorder, anxiety, restlessness with agitation, muscle weakness, and unsteadiness on feet, and was receiving buspirone and sertraline. An MDS assessment indicated the resident was cognitively impaired, exhibited physical and verbal behavioral symptoms toward others 1 to 3 days per week, required maximal staff assistance with toilet transfers, and was frequently incontinent of bowel and bladder. The facility’s policies prohibited use of personal portable electronic devices in resident care areas and strictly prohibited taking photographs or video recordings of residents under any circumstances, and also required all staff to promote and maintain resident dignity and respect resident rights. Despite this, the CNA recorded the resident during toileting and shared the video with multiple individuals, leading to a determination that the resident’s right to be free from mental abuse and to have dignity and privacy maintained was not protected.
Failure to Notify Physician of Dietitian Recommendation for Supplement Shake
Penalty
Summary
The facility failed to ensure the physician was notified of a dietitian’s recommendation for Resident 41, a resident with protein-calorie malnutrition and dementia who was severely cognitively impaired and required supervision/touching staff assistance with eating. The resident had a current order for a regular diet with a half peanut butter and jelly sandwich at lunch and supper, may offer finger foods, and weekly weights with physician notification for a five-pound gain or loss. Her record showed weight loss from 138.2 pounds on 12/22/25 to 128 pounds on 2/1/26 and 126 pounds on 2/9/26, an 8.83 percent loss over seven weeks. A dietitian progress note dated 2/3/26 documented a 4.4-pound weight loss and recommended adding a high-calorie supplement shake at breakfast related to the weight losses. During observation on 2/11/26, Resident 41 was eating breakfast in the assisted dining room, but her meal did not include the high-calorie supplement shake. Staff interviews indicated the shake was not given, and the LPN did not see where the resident was supposed to receive it. The Staff Development Nurse stated dietitian recommendations were emailed to the DON, ADON, and herself and then sent to the physician, but she was uncertain what happened with this recommendation. The ADON stated she printed the recommendations for the physician, but Resident 41’s recommendation had not printed, so the order for the supplement shake was not given.
Failure to Report Resident Allegation of Abuse
Penalty
Summary
A staff member failed to report a resident’s allegation of abuse to the Administrator after Resident 69 said that someone in the room had been swinging something around and hit her in the head with it. Resident 69’s record showed diagnoses of macular degeneration, hearing loss, and insomnia, and a quarterly MDS dated 11/13/25 indicated she was moderately cognitively impaired. On 1/12/26, the resident woke with a headache, rubbed the top of her head, and said it hurt when she rubbed it; no injury was noted and she initially refused pain medication. Later that morning, the CNA told the nurse that the resident had said she remembered what happened and that the loud-speaking NNN who had been in her room had hit her in the head with something. The nurse entered the room, observed the resident with her eyes closed and mouth open, and documented that the CNA said she was not swinging anything around; the nurse then reported the incident to the oncoming nurse. The record lacked additional information about the resident’s allegation, and interviews showed staff understood such allegations should be reported immediately to the DON or Administrator. The Administrator stated she was unaware of the allegation and that the nurse should have notified her or the DON immediately. The DON indicated staff were expected to notify her or the Administrator right away if a resident reported being hit.
Baseline Care Plans Not Documented as Shared on Admission
Penalty
Summary
The facility failed to ensure that residents and/or their resident representatives received a copy of the baseline care plan on admission for 6 of 10 residents reviewed for care plans, including Residents 7, 11, 13, 50, 55, and 76. Record review showed that each of these residents had admission documentation in the clinical record, but the records lacked evidence that the baseline care plan was provided to the resident or the resident representative. For Resident 50 and Resident 55, the Administrator stated during interview that the baseline care plan summary was not conveyed to the resident or the resident representative. For Resident 13 and Resident 76, the clinical record also lacked documentation that the baseline care plan was provided, and the Administrator confirmed by email that the summary was not provided to either resident or their representative. For Resident 7, the MDS Coordinator stated she was responsible for baseline care plans and discussing them with the resident and/or representative, but she could not locate documentation showing that this occurred and noted that the staff member who filled in during her leave had not performed the responsibilities correctly. For Resident 11, the Administrator stated the record lacked documentation that the baseline care plan was discussed with the resident and/or representative. The facility policy titled Baseline Care Plan stated that the admitting nurse or supervising nurse on duty shall gather information from the admission physical assessment, hospital transfer information, physician orders, and discussion with the resident and resident representative, if applicable.
Inadequate supervision for a cognitively impaired resident with repeated falls
Penalty
Summary
The facility failed to provide adequate supervision for a severely cognitively impaired resident who had a documented history of repeated falls. The resident had diagnoses including severe dementia, major depressive disorder, anxiety disorder, a prior left femur fracture, and chronic pain syndrome. Her admission MDS indicated she required substantial to maximal assistance with many ADLs, was frequently incontinent, and needed staff help for transfers and walking. Her care plan identified her as a fall risk because of a recent hip fracture and impaired safety awareness related to severe dementia, with interventions including keeping the walker within reach, nonskid strips in front of the recliner, and maintaining a safe environment. The record showed repeated episodes in which the resident got up and walked unassisted without her walker, often while confused or unable to explain what she was doing. She was found standing in front of her recliner, walking in her room, walking in the hallway, rummaging behind her recliner, and attempting to self-transfer from her recliner with the foot portion elevated. Staff repeatedly redirected her, assisted her back to the recliner, and reminded her to use the call light, but she continued to get up on her own. Several falls occurred in her room and bathroom, including a fall in front of her recliner, a fall in the bathroom, and a fall that resulted in her being found on the floor with the call light cord wrapped around her foot. The resident sustained an acute subcapital left femoral neck fracture after one of the falls and later returned to the facility with a diagnosis of left hip fracture. Even after that, she continued to be observed walking unassisted without her walker and without proper footwear, and she remained unable to consistently follow safety directions. During observations, her call light was on while she was up and moving about her room, and a roommate’s visitor had to alert staff when she was getting up unassisted. Staff interviews stated they tried to check on her often, give her comforting items, and distract her with food or television, while the DON stated staff were told to peek in frequently to see whether she was up or down and to make sure her needs were met.
Diet Order and Food Preference Not Followed
Penalty
Summary
The facility failed to ensure a resident’s physician-prescribed diet was followed and her food preferences were honored. Resident 9 stated she had no natural teeth, did not wear dentures, and preferred to have all meat chopped because chewing was difficult for her. Her clinical record showed an order for a regular diet with regular texture, regular consistency, ground meat, and no added salt, and her dental note documented that she had no teeth and was not a denture candidate. Her care plan identified nutritional risk related to diabetes, hyperlipidemia, anemia, depression, and significant weight gain, and included diet and supplements as ordered and monitoring for chewing problems. During meal observation, Resident 9 was served country fried steak, which a staff member cut into strips and only partially into bite-size pieces, leaving the resident to finish cutting the remaining meat herself while eating. The Dietary Manager stated country fried steak was not considered ground meat and would need to be processed if the order was for ground meat, but Resident 9 was not automatically given ground meat unless she asked for it. The resident said it was difficult to eat the meat served at lunch and that she wanted any meat served with her meals ground up, but did not want to have to ask each time. CNA staff reported they usually cut up her meat but not consistently, and sometimes it came from the kitchen already cut up or ground. The ADON stated the diet change to ground meat had been made per the resident’s request, but because the physician order stated regular, ground meat, ground meat would only be given upon request.
Infection Preventionist Role Not Supported by Appropriate Scheduling
Penalty
Summary
The facility failed to ensure the Infection Preventionist (IP) role was filled by a staff member with an appropriate schedule to support the responsibilities of the infection prevention and control program. During the entrance conference, the Administrator stated that the DON was the facility’s Infection Preventionist, and the facility census was 75 residents. The DON later stated that she oversaw the infection prevention and control program with the staff development nurse and was scheduled for 40 hours per week, spending about 10 hours per week on infection prevention duties. The Administrator stated that the DON was unable to provide a time sheet showing the hours worked as DON compared with the hours worked as Infection Preventionist, and that the DON could perform IP duties several times throughout the day depending on what was happening in the facility. The current IP job description stated that the Infection Preventionist develops and implements the infection prevention and control program, maintains facility-wide systems for prevention and control of infections and communicable diseases, develops written policies and procedures, oversees resident care activities that increase infection risk, and oversees the antibiotic stewardship program. The current DON job description stated that the DON plans, organizes, develops, and directs the overall operations of the Nursing Service Department and is on call 24 hours per day, 7 days per week.
Failure to Implement Precautions Leads to Gastroenteritis Outbreak
Penalty
Summary
The facility failed to implement transmission-based precautions to prevent the spread of infectious gastroenteritis among residents. Resident 15, who was diagnosed with Alzheimer's disease, experienced multiple episodes of vomiting and diarrhea but was not placed in transmission-based precautions or tested for COVID-19. This oversight led to the spread of gastroenteritis to eight other residents in the secured unit. The infection preventionist and nursing staff were uncertain about the initial case of gastroenteritis and did not consistently apply contact isolation measures. Residents who exhibited symptoms of nausea, vomiting, and diarrhea were initially tested for COVID-19, and if negative, were later placed in contact isolation. However, this process was not uniformly applied, as evidenced by Resident 15's case, where no precautions were taken despite clear symptoms. The facility's policy on contact precautions for nausea and vomiting was not effectively implemented, contributing to the outbreak. The Director of Nursing and other staff members were unaware of the initial symptoms exhibited by Resident 15, which were not documented in an infection screener. This lack of awareness and documentation led to a delay in implementing necessary precautions, resulting in the spread of gastroenteritis among other residents.
Failure to Provide Adequate Grooming Assistance
Penalty
Summary
The facility failed to provide adequate daily grooming assistance for a resident, specifically in maintaining the cleanliness and appropriate length of her fingernails. During multiple observations, the resident's fingernails were noted to be long with a brown substance underneath, despite her requests for nail care. The resident, who was cognitively intact and required partial assistance for personal hygiene, indicated that staff usually maintained her nails but had been busy recently. The facility's records showed that the resident had accepted complete nail care on several occasions in December, yet her nails remained unkempt. Interviews with various staff members revealed inconsistencies in the responsibility and frequency of nail care. While some staff indicated that nail trimming was part of the shower routine, others mentioned that activities staff handled it weekly. The Assistant Director of Nursing (ADON) stated that monthly nail checks were conducted, but these did not necessarily include trimming. The Director of Nursing (DON) confirmed that CNAs were responsible for trimming non-diabetic residents' nails on shower days. Despite these procedures, the resident's nails were not adequately maintained, indicating a failure in the facility's grooming assistance protocol.
Failure to Prevent Repeated Falls for a Resident
Penalty
Summary
The facility failed to provide adequate supervision to prevent repeated falls for a resident diagnosed with Alzheimer's disease, dementia, hypertension, and anxiety disorder. The resident was moderately cognitively impaired and required varying levels of assistance for daily activities. Despite having numerous fall interventions in place, including non-skid strips, a touch pad call light, and hourly safety checks, the resident experienced multiple falls over a period of time, some resulting in injury. The resident's care plan included specific interventions to prevent falls, such as keeping the walker within reach, using a concave mattress, and conducting hourly safety checks. However, documentation for these safety checks was not completed as ordered, indicating a lapse in the facility's adherence to the care plan. The resident experienced several falls, including one that resulted in a left distal radial fracture, and another where the resident was found on the bathroom floor after attempting to use the toilet. Interviews with staff revealed that while the interventions were known and documented under the task tab in the computer, the actual completion of these tasks was inconsistent. The CNAs generally charted at the end of their shifts, which may have contributed to the lack of timely documentation and supervision. The facility's policy on fall prevention required interventions based on assessments, but the repeated falls suggest that these measures were not effectively implemented or monitored.
Inappropriate Use of Antipsychotic Medication for a Resident
Penalty
Summary
The facility failed to ensure appropriate clinical indications for the use of an antipsychotic medication for a resident, leading to a deficiency. The resident, who was diagnosed with various mental health conditions including moderate dementia with mood disturbance and major depressive disorder with psychotic features, was observed to have been prescribed risperidone, an antipsychotic medication. Despite the resident's cognitive intactness as indicated in a recent Minimum Data Set assessment, the facility did not adequately justify the continued use of risperidone, especially given the manufacturer's warning against its use in elderly patients with dementia-related psychosis. The resident's care plans and behavior records indicated a history of anxiety, depression, resistance to care, and potential for physical and verbal aggression. Despite these documented behaviors, the facility's interventions primarily focused on non-pharmacological approaches such as allowing the resident to express feelings, playing calming music, and redirecting to meaningful activities. However, the facility did not effectively implement a gradual dose reduction of the psychotropic medication as recommended, nor did they adequately document clinical indications for the continued use of risperidone. Interviews with staff revealed inconsistencies in understanding and implementing care interventions for the resident. The Social Services Director and nursing staff noted an increase in behaviors and confusion following medication changes, yet the facility failed to provide clear documentation or rationale for the use of risperidone. The facility's policy on psychotropic medications emphasized their use only when adequately indicated, yet this was not adhered to, resulting in the deficiency.
Improper Disposal of Unlabeled Medications
Penalty
Summary
The facility failed to properly dispose of unlabeled and unused medications in two of the three medication carts reviewed. During an observation of Medication Cart B, a pill was found in an unlabeled medication cup in the second drawer, and two additional pills were found loose at the bottom of the drawer. RN 8 indicated that the medication had been pulled prior to checking a resident's blood pressure, and since the blood pressure was not within range, the medication was not administered. RN 8 acknowledged that the loose pills should be disposed of. Similarly, during an observation of Medication Cart C, a pill was found in an unlabeled medication cup in the top drawer, and another pill was loose at the bottom of the drawer. QMA 16 noted that the medication had been there for a long time, and the ADON confirmed that the pills should be disposed of. The facility's policy on the destruction of medications requires that all unused, contaminated, or expired prescription drugs be disposed of in accordance with state laws and regulations, and that unused medications should be removed from their storage area and secured until destroyed.
Failure to Report Change in Condition and Complete Assessment After Fall
Penalty
Summary
The facility failed to ensure staff reported a resident's change in condition to the nurse before proceeding with care and did not complete a physical assessment after an unwitnessed fall with a head injury for a cognitively impaired and dependent resident. The resident, who had diagnoses including dementia and spastic hemiplegia, was found lying on her left side next to the toilet with a pool of blood running next to her head. Despite being unresponsive and showing signs of severe distress, the staff moved the resident multiple times without conducting a proper assessment or notifying a nurse immediately. The clinical record lacked documentation of vital signs or a head-to-toe assessment after the fall, which is against the facility's policy for handling such incidents. The resident was eventually found to be deceased, and no CPR was initiated due to her DNR status. Interviews with staff revealed that the resident was left unattended on the toilet, and despite showing signs of distress before the fall, the CNAs did not report this to a nurse. The facility's policies clearly state that an assessment should be completed before moving a resident after a fall, and this was not followed in this case. The DON and ADON confirmed that an assessment should have been done and that the resident should not have been moved from the floor without proper evaluation. The facility's failure to adhere to its own policies and procedures contributed to the deficiency identified in this report.
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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 Huntington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
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| Waters Of Huntington Skilled Nursing Facility, The | 2.5 mi | ★★★★★ | 18 | 1 |
| Hickory Creek At Huntington | 2.5 mi | ★★★★★ | 6 | 0 |
| Envive Of Huntington | 2.5 mi | ★★★★★ | 10 | 0 |
| Markle Health & Rehabilitation | 11 mi | ★★★★★ | 1 | 0 |
| Majestic Care Of West Allen | 14.9 mi | ★★★★★ | 10 | 1 |
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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.