Below 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 Health Care Center during CMS and state inspections, most recent first.
An LPN failed to perform hand hygiene before and after preparing and administering medications to two residents, including oral medications and eye drops. The LPN confirmed the omission during an interview, and facility policies require hand hygiene to prevent infection.
The facility failed to ensure that shift-to-shift narcotic count forms were signed by both oncoming and off-going nurses, affecting nine residents receiving narcotic medications. Observations revealed missing signatures on count sheets and logs, despite all narcotics being accounted for. Interviews confirmed the issue, with LPNs admitting to not consistently signing the sheets, contrary to facility policy.
The facility failed to maintain cleanliness of a refrigerator and microwave in the lounge area, affecting seven residents and their families who used these appliances. The microwave had burnt food debris and a sticky brown substance, while the refrigerator contained a brown sticky fluid and lacked a temperature log. The administrator confirmed the unsanitary condition and decided to reassign cleaning duties from kitchen to housekeeping staff.
The facility failed to maintain a sanitary environment, with dirty hallways and resident rooms containing food debris, medication tablets, and ants. Housekeeping and floor technicians' schedules contributed to the unsanitary conditions.
The facility failed to provide appropriate bed linens for four residents. Observations showed uncovered pillows and lack of blankets, despite sufficient linen inventory. An LPN confirmed the issue but had no explanation for the oversight.
The facility failed to complete quarterly smoking assessments for a resident with schizophrenia, bipolar disorder, and nicotine dependence. The resident's care plan required quarterly assessments and supervision during smoke breaks, but the last assessment was done in August 2023, with no assessment in 2024. The DON confirmed the oversight, and the facility's smoking policy did not specify assessment frequency.
A resident with dementia and Alzheimer's disease was observed with long and dirty nails, despite requiring assistance with personal hygiene. The Memory Care Coordinator confirmed the deficiency.
A resident with multiple diagnoses, including dementia and anxiety disorder, was not given opportunities to engage in activities or social interaction. The resident was observed seated alone in a hallway throughout the day, with no encouragement or assistance from staff to participate in activities, as confirmed by staff interviews.
Failure to Perform Hand Hygiene During Medication Administration
Penalty
Summary
A deficiency was identified when a Licensed Practical Nurse (LPN) failed to perform hand hygiene during medication administration for two residents. Observations showed that the LPN did not wash or sanitize hands before preparing and administering morning medications to the first resident, nor after completing the task. The LPN then returned to the medication cart, again without performing hand hygiene, and proceeded to prepare and administer medications, including oral medications and eye drops, to a second resident. After administering medications to the second resident, the LPN exited the room without performing hand hygiene. During an interview, the LPN confirmed the observations and acknowledged that hand hygiene should have been performed prior to obtaining and after administering medications to both residents. Review of facility policies revealed that staff are required to perform hand hygiene to prevent the spread of infection and to wash hands before and after administering medications, in accordance with professional standards and facility protocols.
Failure to Ensure Proper Narcotic Count Documentation
Penalty
Summary
The facility failed to ensure that the shift-to-shift narcotic count forms were signed by both the oncoming and off-going nurses as required by their policy. This deficiency had the potential to affect nine residents who were identified as receiving narcotic medications. During an observation on December 9, 2024, it was noted that while all narcotics were accounted for, there were missing signatures on the shift-to-shift count sheets from September 18, 2024, to December 7, 2024, totaling 113 missing signatures. Further observations of the medication carts at two stations revealed that although the carts were locked and narcotics were accounted for, there were additional missing signatures on the Controlled Medication Shift Change Logs for various dates in November and December 2024. Interviews with the Director of Nursing (DON) and several Licensed Practical Nurses (LPNs) confirmed the missing signatures. The DON acknowledged the issue but could not provide an explanation for the missing signatures. The LPNs admitted to counting the narcotics after each shift but did not consistently sign the shift-to-shift sheets. The facility's policy, dated June 2017, requires that both the outgoing and oncoming nurses sign the Shift to Shift Narcotic Count Verification form at each change of shift, which was not adhered to, leading to this deficiency.
Unsanitary Conditions of Lounge Appliances
Penalty
Summary
The facility failed to maintain cleanliness and sanitation standards for a refrigerator and microwave located in the lounge area near station one. During an observation, the microwave was found to have burnt food debris and a sticky brown substance inside, while the refrigerator contained a brown sticky fluid and lacked a temperature log. The administrator confirmed the unsanitary condition of these appliances and acknowledged that they should be cleaned at least weekly. It was noted that the responsibility for cleaning these appliances was initially assigned to the kitchen staff, but due to their location in the lounge, the administrator decided to reassign this duty to the housekeeping staff. Seven residents and their families, as well as staff, used these appliances to store and heat food. This deficiency was identified during an investigation under Complaint Number OH00159111.
Sanitary Environment Deficiency
Penalty
Summary
The facility failed to ensure a sanitary environment for residents, as observed on 04/08/24. The floors in the two main hallways were found to have scattered dried brown and orange liquid stains, dirt, and various debris, along with a strong smell of urine. This was confirmed by an LPN. Housekeeping staff reported cleaning resident rooms and communal areas daily, but floor technicians did not work over the weekend, leading to dirty hallways. Resident #38's room had food debris, plastic bags, unidentified medication tablets, and a dinner roll under the sink, which was verified by an LPN. Resident #15's room had food, paper debris, ants, and unidentified medication tablets on the floor, confirmed by the Memory Care Coordinator. The deficiency was investigated under Complaint Number OH00151393.
Failure to Provide Appropriate Bed Linens
Penalty
Summary
The facility failed to ensure residents had appropriate bed linens, affecting four residents. Observations revealed that two residents were lying in bed with pillows that were not covered with pillowcases. Another resident was covered with two fitted sheets but had no blanket, and his pillow also lacked a pillowcase. A fourth resident was covered with a flat sheet and no blanket, and expressed a desire for a blanket. An LPN confirmed the observations and stated that the facility had sufficient inventory of linens but could not explain why appropriate linens were not provided.
Failure to Complete Quarterly Smoking Assessments
Penalty
Summary
The facility failed to complete quarterly smoking assessments as care planned for a resident with schizophrenia, bipolar disorder, and nicotine dependence. The resident's care plan, dated 08/31/23, indicated the need for quarterly smoking assessments and supervision during smoke breaks. However, the last smoking assessment was completed on 08/15/23, and no assessment was conducted in 2024. The Director of Nursing confirmed the oversight and stated that smoking assessments are supposed to be completed annually and quarterly. The facility's smoking policy, dated 2021, did not specify the frequency for smoking assessments.
Failure to Provide Adequate Nail Care
Penalty
Summary
The facility failed to ensure that a resident was provided with adequate nail care. Resident #23, who has diagnoses of dementia and Alzheimer's disease, was observed with long and dirty nails containing food and other brown debris. The resident's medical record indicated that they required assistance with personal hygiene, including nail care. This deficiency was confirmed through an interview with the Memory Care Coordinator, who acknowledged the condition of the resident's nails. The incident was investigated under Complaint Number OH00151393.
Failure to Engage Resident in Activities
Penalty
Summary
The facility failed to ensure all residents were given opportunities to engage in activities and have opportunities for social interaction other than routine activities of daily living. This deficiency affected one resident who had diagnoses including malignant neoplasm of the uterus, unspecified dementia, anxiety disorder, senile degeneration of the brain, and muscle weakness. The resident's care plan indicated a need for encouragement and assistance to participate in activities, but there was no documentation of refusal to attend activities in the nurse progress notes from March 2024 through April 2024. On the day of observation, the resident was seen seated in a wheelchair in the main hallway, facing a wall and later blocked by a linen cart, with no interaction from staff. The resident remained in the same location throughout the day and did not attend any organized activities. Interviews with staff confirmed that the resident was not invited or encouraged to participate in activities from 8:00 A.M. to 2:30 P.M., and there was no staff interaction during the resident's meal time.
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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 Oakwood Village
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Grande Oaks | 0 mi | ★★★★★ | 44 | 0 |
| Aventura At Walton Hills | 1.3 mi | ★★★★★ | 21 | 0 |
| Northfield Village Retirement Community | 2.2 mi | ★★★★★ | 0 | 0 |
| Solon Pointe At Emerald Ridge | 3.1 mi | ★★★★★ | 21 | 0 |
| Avenue At Macedonia | 3.5 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 July 2026) and official state health department websites.