Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Heritage Crossings during CMS and state inspections, most recent first.
Two residents’ MDS assessments incorrectly indicated insulin injections were being given even though physician orders showed no insulin orders. Both residents had Type 2 DM and BIMS scores of 0, and the MDS Coordinator confirmed the entries were coded incorrectly; the residents received Ozempic during the look-back period, which is not insulin.
Staff did not follow infection prevention protocols during wound care for a resident with a stage 4 sacral pressure ulcer. The MDSC and SSS failed to wear gowns at the start, the MDSC did not use a mask or face protection during wound irrigation, double-gloved, and did not consistently perform hand hygiene between glove changes, all contrary to facility policy.
MDS Incorrectly Coded for Insulin Use
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for two residents by indicating that insulin injections were being given when physician orders showed no insulin orders. Resident 37’s quarterly MDS documented a BIMS score of 0, indicating severe cognitive impairment, and stated that the resident was receiving insulin injections. Record review showed a diagnosis of Type 2 Diabetes Mellitus, but no physician orders for insulin. The comprehensive care plan identified the resident as at risk for abnormal blood sugars and included an intervention for staff to administer medications as ordered. Resident 47’s admission MDS also documented a BIMS score of 0 and indicated that the resident was receiving insulin injections, while physician orders showed no insulin orders. The resident also had a diagnosis of Type 2 Diabetes Mellitus, and the care plan identified the resident as at risk for abnormal blood sugars with diabetes. During interview, the MDS Coordinator confirmed that both residents were not on insulin and that the MDS had been marked incorrectly. The MDS Coordinator also confirmed that both residents received Ozempic during the look-back period and that Ozempic is not insulin.
Failure to Follow Infection Control Protocols During Wound Care
Penalty
Summary
Staff failed to follow infection prevention and control protocols during wound care for a resident with a stage 4 sacral pressure ulcer. Specifically, the Minimum Data Set Coordinator (MDSC) and Social Service Supervisor (SSS) did not wear gowns at the start of the procedure, and the MDSC did not use a mask or face protection while performing wound care activities that involved wound irrigation. The MDSC also double-gloved, which is not in accordance with facility policy, and did not consistently perform hand hygiene between glove changes. Supplies were placed on a chux on the bedside table, and the MDSC handled wound care materials without adhering to proper hand hygiene and personal protective equipment (PPE) protocols as outlined in the facility's Enhanced Barrier Precautions and Hand Hygiene policies. The resident involved had a history of a stage 4 pressure ulcer in the sacral region, required maximum assistance with activities of daily living, and had a catheter with frequent bowel incontinence. The wound care order required daily cleansing and dressing changes. During the observed wound care, lapses in PPE use and hand hygiene were noted, including the absence of gowns and masks, improper glove use, and inconsistent hand hygiene practices. These actions were confirmed by staff interviews and were acknowledged as not meeting facility policy requirements.
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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 Geneva
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fairview Manor | 7.2 mi | ★★★★★ | 5 | 0 |
| Sutton Community Home, Inc. | 15 mi | ★★★★★ | 10 | 0 |
| Legacy Square | 20.6 mi | ★★★★★ | 10 | 1 |
| York General Hearthstone | 24.6 mi | ★★★★★ | 5 | 0 |
| Blue Valley Lutheran Nursing Home | 25.6 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 August 2026) and official state health department websites.