Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Estates during CMS and state inspections, most recent first.
Two residents experienced significant weight loss due to the facility's failure to consistently provide prescribed nutritional supplements. Despite being at risk for impaired nutritional status, the residents' supplements were often unavailable, leading to ongoing weight loss. Staff interviews confirmed issues with supplement supply and communication between departments.
The facility failed to maintain the dignity of three residents during dining by not serving all residents at the same table their meal at the same time. This resulted in residents having to watch their tablemates eat while they waited for their own meals, causing frustration and distress.
A resident with severe cognitive impairment had not received routine dental services since 2021, despite having a care plan indicating the need for dental exams. Facility staff were unaware of the lapse, and there was no documentation of the family's refusal of dental services.
Failure to Provide Adequate Nutritional Support
Penalty
Summary
The facility staff failed to implement interventions to manage weight loss for two residents, leading to a deficiency in providing adequate nutrition. Resident 1, admitted with diagnoses including dementia and difficulty swallowing, experienced significant weight loss over several months. Despite being identified as at risk for impaired nutritional status, Resident 1's prescribed nutritional supplements were frequently not administered due to unavailability, as documented in the Treatment Administration Records and Progress Notes. The facility's failure to ensure the availability and administration of these supplements contributed to the resident's continued weight loss. Resident 2, also diagnosed with dementia and difficulty swallowing, faced similar issues with nutritional management. The resident's care plan highlighted the risk of impaired nutritional status, yet the prescribed house supplements were often not given due to supply issues. Progress Notes indicated that the supplements were not administered on multiple occasions because they were either pending from the kitchen or not available. This lack of consistent nutritional support resulted in ongoing weight loss for Resident 2. Interviews with facility staff, including the Health Information Manager, Clinical Coordinator, Certified Dietary Manager, and Medication Aides, confirmed the recurring problem of supplement unavailability. The dietary department was responsible for preparing the supplements, but nursing staff were tasked with notifying them of shortages. However, communication and supply chain issues led to frequent shortages, particularly for evening doses, exacerbating the residents' nutritional deficiencies.
Failure to Maintain Resident Dignity During Dining
Penalty
Summary
The facility failed to maintain the dignity of three residents during dining by not serving all residents at the same table their meal at the same time. This resulted in residents having to watch their tablemates eat while they waited for their own meals. Specifically, Resident #43, who had severe cognitive impairment, had to wait 20 minutes to receive their breakfast after their tablemates were served. Similarly, Resident #87, also with severe cognitive impairment, expressed frustration and loudly questioned the delay in receiving their meal while others were being served. Resident #60, who was cognitively intact, also reported dissatisfaction with the staggered meal service, stating it could take up to 20 minutes for everyone at their table to receive their meal, which they found distressing and undignified. Observations during meal service confirmed these issues. During breakfast service, Resident #43 was the last to be served at their table, receiving their meal 20 minutes after the first resident at the table was served. Resident #87 was observed loudly questioning the delay in receiving their meal while others were being served. During the noon meal service, Resident #60 was served last at their table, after staff had served residents at other tables. Interviews with staff, including Medication Aides, Registered Nurses, and the Social Services Director, revealed that staff were trained to serve all residents at one table before moving to another table, acknowledging that failing to do so was a dignity issue. Despite the facility's open-concept dining plan, which allowed residents to come to the dining room as they wished, staff acknowledged the importance of serving all residents at a table simultaneously to maintain dignity. The Director of Nursing and the Social Services Director both emphasized that serving all residents at a table before moving to another table was the expected practice. However, the Administrator did not view the issue as a dignity concern, citing the open-concept dining plan. This discrepancy in understanding and implementation of meal service protocols contributed to the observed deficiencies in maintaining resident dignity during dining.
Failure to Provide Routine Dental Services
Penalty
Summary
The facility failed to provide routine dental services for a resident with severe cognitive impairment. The resident, who was admitted in April 2021, had not seen a dentist since June 2021, despite having a care plan that indicated the need for dental exams to meet their overall dental needs. The resident's care plan also noted that the resident had poor dental condition and was missing a majority of their teeth, with upper partials in place. However, there were no orders for dental appointments in the resident's Order Summary Report, and the resident's quarterly Nutritional Risk assessment did not address the dental status. Interviews with facility staff revealed that dental appointments were arranged by the Social Services Director (SSD) and the Administrator, and that the facility utilized a contract dental company that visited every six months. The SSD stated that residents were seen by the dentist quarterly and that the resident's family had chosen not to enroll the resident with a new dental provider, preferring the original provider. However, there was no documentation of this conversation or the family's refusal of dental services. The SSD confirmed that the resident had not been seen by a dentist for routine care since 2021. The Director of Nursing (DON) and the Administrator both expressed surprise that the resident had not been seen by a dentist in three years. The DON stated that they would have expected arrangements to be made for the resident to receive dental services within that time frame. The Administrator added that if a resident chose not to sign up with the new dental provider, they would continue to be seen by the original provider, but acknowledged the difficulty in securing appointments with the original provider, who did not accept scheduled appointments and required residents to wait in line.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 26 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Gering
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Northfield Retirement Communities Care Center | 3.7 mi | ★★★★★ | 2 | 0 |
| Monument Healthcare And Nursing Center | 4.4 mi | ★★★★★ | 13 | 0 |
| Mitchell Care Center | 10.7 mi | ★★★★★ | 10 | 0 |
| Chimney Rock Villa | 18.9 mi | ★★★★★ | 1 | 0 |
| Cascades At Skyview | 31.6 mi | ★★★★★ | 12 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.