Below 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 Heartland Ridge Care Center during CMS and state inspections, most recent first.
The facility did not ensure that three nurse aides and one medication aide had completed the necessary competencies to care for residents. Personnel files showed that competencies were not completed in the past year, and interviews confirmed the absence of a current policy or plan for staff education. Additionally, some staff did not attend a rehabilitation fair.
The facility's Dietary Manager (DM) lacked the required Certified Dietary Manager (CDM) credentials, potentially affecting 33 of 34 residents. The DM was enrolled in a CDM course and held a ServSafe certification for Food Protection Manager. A consulting dietitian worked part-time at the facility.
The facility failed to ensure proper hair covering during food preparation, affecting 33 residents. A staff member was observed without a beard net while preparing food, despite having a short beard. The Dietary Manager confirmed the requirement for beard nets, as per facility policy and the Nebraska Food Code.
The facility did not ensure that three nurse aides and a medication aide completed the required 12 hours of continuing education within a year. Personnel files showed that one aide hired in November 2022 had no completed hours, a medication aide hired in June 2023 had 1.5 hours, and another aide hired in April 2023 had 4 hours. Interviews confirmed the lack of compliance with the education requirement.
A facility failed to provide a written notice of transfer to a resident or their representative when the resident was transferred to the hospital for treatment of wounds. The resident, with conditions including PVD, high blood pressure, diabetes mellitus type 2, and ESRD, was admitted to the hospital and later returned to the facility. The Administrator confirmed the lack of written notice during an interview.
A facility failed to notify a resident or their representative of the bed hold policy upon the resident's transfer to a hospital. The resident, with conditions such as PVD, high blood pressure, diabetes mellitus type 2, and ESRD, was admitted to the hospital for wound treatment. Upon return, it was confirmed that no notification was given regarding the bed hold policy.
The facility failed to offer the COVID-19 vaccine and provide education on its risks and benefits to two residents, as required by their policy. Both residents, with significant medical conditions, had no documentation of receiving or declining the vaccine, nor of any education provided. This was confirmed by an RN during an interview.
A resident with multiple serious medical conditions was discharged to another facility without a physician's order. Interviews with an LPN, the DON, and the Administrator confirmed the absence of the required order and the inability to locate a relevant policy.
The facility failed to report a serious injury from a fall and an injury of unknown origin within required timeframes. A resident with multiple health issues was not reported to APS within 2 hours after a fall, and another resident's injury was reported late to the State Agency. Staff interviews indicated confusion about reporting procedures.
A resident admitted with sepsis was discharged to another nursing home without a completed discharge summary, as required by the facility's policy. The absence of this documentation was confirmed by interviews with the Social Services staff, DON, and Administrator, who acknowledged the oversight.
Failure to Ensure Staff Competencies
Penalty
Summary
The facility failed to ensure that three nurse aides and one medication aide had the necessary competencies to care for residents' needs. A review of personnel files revealed that the competencies for three nurse aides, hired on various dates ranging from 2018 to 2023, were not completed in the past year. Additionally, the medication aide hired in June 2023 also lacked completed competencies. Interviews with the Administrator and Administrative Assistant confirmed that the facility did not have a current policy or plan for staff to complete their Relias education, and that the competencies, which are offered yearly, were not completed for the involved staff members. Furthermore, it was noted that two of the staff members did not attend a rehabilitation fair held in December 2023.
Dietary Manager Lacks Required Credentials
Penalty
Summary
The facility failed to ensure that the Dietary Manager (DM) possessed the required credentials, which had the potential to affect 33 of the 34 residents who consumed food prepared in the kitchen. During an initial tour of the kitchen, it was revealed that the DM had not completed the requirements to become a Certified Dietary Manager (CDM) but was enrolled in the course. An interview with the DM confirmed that the facility employed a consulting dietitian on a part-time basis and that the DM held a ServSafe certification for Food Protection Manager. The ServSafe certification was valid from 07/11/2023 to 07/11/2028, and the course was approximately 8-10 hours long. The DM confirmed enrollment in the program to become a CDM.
Failure to Ensure Proper Hair Covering During Food Preparation
Penalty
Summary
The facility failed to ensure proper hair covering during food preparation and cooking, which had the potential to affect 33 of the 34 residents who consumed food prepared in the dining room. Observations on June 11, 2024, revealed that a staff member, referred to as [NAME] A, was in the kitchen wearing a hair net and baseball cap but not a beard net, despite having a short beard. This was observed during multiple instances of food preparation and cooking, including the preparation of deli sandwiches and salads. The Dietary Manager confirmed in an interview that [NAME] A should have been wearing a beard net during these activities. A review of the facility's policy on Food Safety Requirements, implemented in September 2022, indicated that dietary staff must wear hair restraints, including beard restraints, to prevent hair from contacting food. Additionally, the 2017 Nebraska Food Code section on Hair Restraints mandates that food employees wear hair coverings or nets, including beard restraints, to effectively prevent hair from contacting exposed food.
Failure to Complete Required Continuing Education for Nurse Aides
Penalty
Summary
The facility failed to ensure that three nurse aides and a medication aide completed the required 12 hours of continuing education within a year, as mandated by the licensure reference number 175 NAC 12-006.04B(ii). A review of personnel files for six sampled staff members revealed that three nurse aides did not meet the educational requirements. Specifically, one nurse aide hired in November 2022 had not completed any hours of education in the past year, a medication aide hired in June 2023 had completed only 1.5 hours, and another nurse aide hired in April 2023 had completed 4 hours. Interviews with the Administrative Assistant and the Administrator confirmed that these staff members did not fulfill the 12-hour education requirement on the Relias platform within the past year.
Failure to Provide Written Notice of Transfer
Penalty
Summary
The facility failed to provide a written notice of transfer to a resident and/or their representative upon the resident's transfer to the hospital. This deficiency was identified during a review of the records and an interview with the facility's Administrator. The resident, who was admitted to the facility with diagnoses including peripheral vascular disease, high blood pressure, diabetes mellitus type 2, and end-stage renal disorder, was transferred to the emergency room for treatment of wounds on the left foot and subsequently admitted to the hospital. The resident returned to the facility after the hospital stay. During an interview, the Administrator confirmed that the facility did not provide the required written notice of transfer to the resident or their representative.
Failure to Notify Resident of Bed Hold Policy
Penalty
Summary
The facility failed to provide a notification of the facility policy for bed hold to a resident and/or their representative upon transfer to the hospital. This deficiency was identified during a review of the records and an interview with the facility's Administrator. The resident, who was admitted to the facility with diagnoses including peripheral vascular disease, high blood pressure, diabetes mellitus type 2, and end stage renal disorder, was transferred to the emergency room for treatment of wounds on the left foot and subsequently admitted to the hospital. Upon the resident's return to the facility, it was confirmed that no notification regarding the bed hold policy had been provided to the resident or their representative.
Failure to Offer COVID-19 Vaccination and Education
Penalty
Summary
The facility failed to offer the COVID-19 vaccination and provide education regarding the risks and benefits of the vaccine to two residents, Resident 5 and Resident 16, or their representatives. This deficiency was identified during a review of the facility's policy on COVID-19 vaccination, which mandates that residents and staff be educated and offered the vaccine, with proper documentation of vaccination status in the medical records. The facility's policy also requires documentation of education provided, vaccine administration, or reasons for not receiving the vaccine, such as medical contraindication or refusal. Resident 5, who was admitted with diagnoses including a fractured pelvis, heart failure, diabetes mellitus type 2, and high blood pressure, had no documentation in their Clinical-Immunizations record of receiving or declining the COVID-19 vaccine, nor of any education provided. Similarly, Resident 16, admitted with chronic kidney disease, heart failure, diabetes mellitus type 2, and an above-the-knee amputation, also lacked documentation of vaccination or education. An interview with Registered Nurse-B confirmed the absence of such documentation for both residents.
Failure to Obtain Physician's Order for Resident Discharge
Penalty
Summary
The facility failed to notify the resident's physician of a discharge to another facility for one resident. The resident, who had been admitted with multiple serious medical conditions including sepsis, dysphagia, gastro-esophageal reflux disease, pulmonary embolism, depression, and acute respiratory failure with hypoxia, was discharged without a physician's order. A review of the resident's progress notes indicated the discharge occurred, but no corresponding physician order was found in the records. Interviews conducted with an LPN, the Director of Nursing, and the Administrator confirmed the absence of a physician's discharge order. The LPN acknowledged that an order should have been received prior to the discharge. The Director of Nursing and Administrator also confirmed the lack of a discharge order and were unable to locate a policy regarding physician orders at the time of the survey. This oversight represents a failure in the facility's protocol for managing resident discharges.
Failure to Timely Report Injuries and Investigations
Penalty
Summary
The facility failed to notify Adult Protective Services (APS) within the required 2-hour timeframe following a serious bodily injury from a fall involving a resident. This resident, who had been admitted with end-stage renal disease, chronic pancreatitis, severe protein-calorie malnutrition, and weakness, experienced a fall in the bathroom and was sent to the emergency room, returning with staples for a head laceration. APS was notified the following day, and the investigation report was submitted to the State Agency beyond the 5-working-day requirement. Additionally, the facility did not timely report an injury of unknown origin for another resident, who was admitted with alcohol abuse, cellulitis, severe protein-calorie malnutrition, and a pressure ulcer. This resident was sent to the emergency room with symptoms indicating a possible injury, which was later confirmed as an orbital fracture. The incident was reported to the State Agency three days past the required deadline. Interviews with staff revealed confusion about the reporting process and timeframes, contributing to the delays.
Failure to Complete Discharge Summary for Transferred Resident
Penalty
Summary
The facility failed to complete a discharge summary for one of the three sampled residents, identified as Resident 1, who was admitted with a diagnosis of sepsis. The record review revealed that Resident 1 was discharged to another nursing home, but no discharge summary was initiated or completed by the time of discharge. This deficiency was confirmed through interviews with the Social Services staff, the Director of Nursing, and the Administrator, who acknowledged the absence of the required discharge summary. The facility's Discharge Summary Policy mandates that a discharge summary be provided to the receiving care provider at the time of a resident's discharge, except in emergencies or in the event of death. The discharge summary should include a recapitulation of the resident's stay, a final summary of the resident's status, and other pertinent information. However, in this case, the facility did not adhere to its policy, resulting in the failure to provide the necessary documentation for Resident 1's transfer to another facility.
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Illustrative
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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 Lincoln
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eventide Williamsburg | 1.5 mi | ★★★★★ | 10 | 0 |
| Emerald Nursing & Rehab Lancaster Llc | 2.3 mi | ★★★★★ | 5 | 0 |
| Sumner Place | 2.5 mi | ★★★★★ | 0 | 0 |
| Emerald Nursing & Rehab Brookside Llc | 2.8 mi | ★★★★★ | 27 | 0 |
| Ambassador Health Of Lincoln | 3 mi | ★★★★★ | 3 | 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.