Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Heritage Of Emerson during CMS and state inspections, most recent first.
Staff did not follow infection control policies for cleaning CPAP equipment for two residents with Obstructive Sleep Apnea, as evidenced by visible residue in the masks and lack of cleaning documentation. Additionally, a resident with MRSA, venous ulcers, and a suprapubic catheter did not receive Enhanced Barrier Precautions during high-contact care, with a Medication Aide performing transfers and catheter care without gown or gloves, despite facility policy and posted signage.
A resident with cognitive impairment and a history of aggressive behavior slapped another resident's hand during a dining room altercation. Although staff witnessed the incident and notified the DON and Administrator, the event was not reported as required before the investigation, and the facility did not document the determination that no abuse occurred. This failure to follow reporting and documentation protocols resulted in a deficiency.
A resident with multiple chronic conditions and dependent on staff for mobility developed bruising, swelling, and pain in the left lower leg and ankle after two transfer incidents. Despite ongoing symptoms and complaints, staff did not complete or document thorough assessments or monitoring, and imaging later revealed fractures that had not been previously identified or followed up appropriately.
A dietary staff member prepared pureed food for a resident and placed the items on top of the steam table instead of inside, failing to check food temperatures before serving. When checked, the pureed foods were below the required 135°F, contrary to facility policy and professional standards. The issue was confirmed by both the staff member and the dietary manager.
The facility failed to ensure that five nurse aides completed the required 12 hours of yearly in-service education, with one aide lacking dementia and abuse prevention training. The Director of Nursing confirmed the absence of a system to track training hours for PRN and part-time staff, leading to non-compliance with facility policies.
A resident with a suprapubic catheter did not receive proper catheter care, leading to a deficiency in infection control. The nurse aide failed to perform hand hygiene and change gloves during the procedure, as required by facility policy. This was confirmed by both the nurse aide and the DON.
Failure to Follow Infection Control Policies for CPAP Cleaning and Enhanced Barrier Precautions
Penalty
Summary
Staff failed to follow the facility's policy for cleaning Continuous Positive Air Pressure (CPAP) equipment for two residents diagnosed with Obstructive Sleep Apnea. Observations over several days revealed that one resident's CPAP mask had dried brown specks and an empty water chamber, while another resident's CPAP mask had a heavy layer of dried white coating and a partially filled water chamber. There was no documentation on the Treatment Administration Record (TAR) or Medication Administration Record (MAR) indicating that the CPAP equipment was being cleaned as required by facility policy. The Director of Nursing confirmed the lack of documentation for both residents. Additionally, the facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a diagnosis of MRSA, peripheral vascular disease with venous ulcers, and a suprapubic catheter. The resident's care plan indicated the need for EBP during high-contact care activities, such as transfers and catheter care. Despite signage indicating EBP requirements, a Medication Aide was observed transferring the resident and handling the catheter bag without wearing a gown or gloves, contrary to facility policy. Interviews with the Director of Nursing confirmed that staff were expected to wear appropriate personal protective equipment (PPE) during high-contact care activities for residents on EBP. The observed failures to follow cleaning protocols for CPAP equipment and to implement EBP during resident care represent lapses in the facility's infection prevention and control program.
Failure to Report and Document Resident-to-Resident Altercation
Penalty
Summary
The facility failed to report, complete, and submit a thorough investigation of a resident-to-resident altercation involving two residents. According to the facility's own Abuse and Neglect Prevention policy, all acts of witnessed, suspected, or reported abuse must be immediately reported to the Administrator or supervisor, and all incidents must be investigated and reported in accordance with state and federal laws. On the date of the incident, one resident with cognitive impairment and a history of aggressive behaviors, including slapping and cursing staff, was observed by staff to have slapped another resident's hand during an argument at the dining table. The altercation occurred when the second resident attempted to assist with cutting food, which was not wanted by the first resident. The incident was witnessed by staff, and both the Assistant DON and Administrator were notified. Despite the facility's policy requiring immediate reporting and thorough investigation, the altercation was not reported as required prior to the investigation. The facility determined after the fact that no abuse had occurred, citing that both residents considered themselves friends and the interaction was playful, but this determination was not documented in the charting of the incident. The failure to report the altercation and to document the investigation findings as required constituted a deficiency in compliance with state regulations.
Failure to Assess and Monitor Resident's Bruising, Swelling, and Pain After Transfer Incidents
Penalty
Summary
Facility staff failed to adequately monitor and assess a resident who experienced bruising, increased swelling, and pain following two transfer incidents. The resident, who was cognitively intact but dependent on staff for mobility and personal care, had multiple complex medical conditions including chronic respiratory failure, atrial fibrillation, heart failure, pneumonia, COPD, and depression. The resident was also on anticoagulant and diuretic therapy, and required oxygen and non-invasive mechanical ventilation. After two transfer events, one involving a fall with a gait belt and another with a sit-to-stand mechanical lift, the resident developed multiple bruises on the left lower leg and ankle. Although staff noted bruising and swelling, there was no documentation of a thorough assessment, including the number or size of bruises, nor was there evidence of ongoing monitoring or pain assessments in the medical record. The facility's policy required identification and documentation of changes in a resident's baseline status, but this was not followed for the resident's evolving symptoms. Despite repeated complaints of pain, increased swelling, and visible bruising over several weeks, staff did not complete or document appropriate assessments or monitoring. The physician was notified of the symptoms, and imaging was eventually performed, revealing a nondisplaced fracture of the left ankle and a fracture of the lower left fibula. There was no evidence that staff followed up on abnormal imaging findings or consistently monitored the resident's pain and condition during this period.
Failure to Maintain Safe Food Temperatures During Meal Service
Penalty
Summary
Facility staff failed to ensure that food temperatures were maintained at safe levels during meal service, as required by facility policy and professional standards. During observation of the noon meal service, a dietary staff member prepared pureed food items for a resident on a pureed diet, placing the items in small bowls covered with tin foil and setting them on top of the steam table rather than inside it. The staff member did not check the temperatures of these pureed foods prior to serving. When prompted, the temperatures of the pureed peas and carrots, cheesy potatoes, and cornflake chicken were found to be 110°F, 105°F, and 122°F, respectively, all below the required minimum of 135°F for safe service. Interviews with the dietary staff and manager confirmed that the pureed food items were not properly temped before service and were not stored in a manner that would maintain appropriate temperatures. The dietary manager stated that pureed foods should be kept inside the steam table and that temperatures should be checked and documented before serving. The failure to follow these procedures had the potential to affect one resident who consumed food from the kitchen, out of a total census of 34 residents.
Deficiency in Nurse Aide Training Compliance
Penalty
Summary
The facility failed to ensure that five out of nine sampled nurse aides completed the required 12 hours of yearly in-service education. Additionally, one nurse aide did not complete mandatory dementia and abuse prevention training. The facility's census included 31 residents at the time of the survey. Record reviews revealed that Nurse Aides B, C, D, E, and F did not meet the 12-hour training requirement, with NA B completing only 4.40 hours, NA C having no recorded training, NA D completing 2.84 hours, NA E completing 9.27 hours, and NA F completing 10.32 hours. NA C also lacked any abuse or dementia training. These deficiencies were confirmed through interviews with the Director of Nursing (DON), who acknowledged the absence of a system to track training hours for PRN and part-time staff. The facility's assessment and policies indicated that training and competencies are provided annually through various methods, including monthly team meetings, online education, and departmental sessions. However, the facility did not have a current system to ensure compliance with these training requirements. The facility's policy on Abuse and Neglect Prevention, dated January 2023, mandates that all team members receive training on abuse prevention and dementia management during orientation and annually. Despite these policies, the facility failed to ensure that the required training was completed for the sampled nurse aides.
Improper Catheter Care and Infection Control
Penalty
Summary
The facility failed to provide proper catheter care to prevent cross-contamination and potential infections for a resident with a suprapubic catheter. The resident, who was cognitively intact and required dependent assistance with toileting, had a physician's order for suprapubic dressing changes twice daily. The order included cleansing the area with soap and water and reporting any signs of infection to the primary care provider. During an observation, a nurse aide performed suprapubic catheter care without adhering to proper hand hygiene and glove-changing protocols. After removing the dirty dressing, the nurse aide did not perform hand hygiene or change gloves before using cleansing wipes, applying barrier cream, and placing a clean dressing on the catheter site. This lack of hand hygiene and glove changes was confirmed by both the nurse aide and the Director of Nursing during interviews. The facility's policy for suprapubic catheter care included specific steps for hand hygiene and glove changes, which were not followed during the observed procedure. The policy required hand hygiene before and after glove use, as well as before touching clean supplies. The failure to adhere to these protocols during the catheter care procedure led to the deficiency identified by the surveyors.
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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 Emerson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wakefield Health Care Center | 7.6 mi | ★★★★★ | 0 | 0 |
| Wayne Countryview Care And Rehabilitation | 14.7 mi | ★★★★★ | 8 | 0 |
| Adept Nursing & Rehab Of South Sioux City | 19.9 mi | ★★★★★ | 7 | 0 |
| Pioneer Valley Living And Rehab | 19.9 mi | ★★★★★ | 7 | 0 |
| Westwood Specialty Care | 20.3 mi | ★★★★★ | 16 | 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.