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 Skilled Nursing And Therapy during CMS and state inspections, most recent first.
The facility failed to develop comprehensive care plans for two residents. One resident, admitted with a fracture, had care areas such as cognitive loss and ADL function that were not addressed in the care plan. Another resident, requiring assistance with all ADLs, also had an incomplete care plan. The MDS coordinator acknowledged the oversight, and the administrator was unaware of the issue.
The facility failed to label and date tube feeding bottles for two residents, contrary to policy. One resident with multiple diagnoses, including dysphagia and diabetes, had a feeding bottle running at 60 ml/hr without proper labeling. Another resident with cachexia also had an unlabeled feeding bottle. The ADON and a corporate nurse confirmed the labeling requirement, and the administrator acknowledged the oversight.
A facility failed to secure a resident's protected health information when a computer displaying sensitive data was left unattended at the nurses' station. The ADON admitted to leaving the screen open while occupied with a medical task, recognizing it as a HIPAA violation. The administrator confirmed the ADON was aware of the security requirements.
A facility failed to monitor and change a PICC line dressing for a resident with encephalopathy and severe sepsis. The dressing, dated over a week prior, showed brown drainage, indicating compromised integrity. The facility's policy required dressing changes every 7 days or immediately if compromised. The ADON admitted the oversight, and the RN/administrator was unaware until the PICC line was ordered to be discontinued and removed.
The facility did not post nurse staffing information in a prominent place accessible to residents and visitors. Surveyors noted the absence of a visible staffing board on two occasions. The DON later indicated a schedule on a cork board behind the nurses' desk, but only half of it was visible. The facility housed 65 residents at the time.
A facility failed to follow proper infection control practices for glove usage. An RN was observed not sanitizing hands between glove changes after performing a finger stick blood sugar test and administering insulin to a resident. The RN also wore the same gloves in the hallway to retrieve sanitizing wipes, contrary to the facility's PPE policy, which emphasizes hand hygiene to prevent infection transmission.
Incomplete Care Plans for Two Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents, leading to deficiencies in addressing their care needs. Resident #24 was admitted with a displaced fracture of the upper end of the left humerus and had triggered care areas including cognitive loss/dementia, ADL function, urinary incontinence, and psychoactive drug use. However, the care plan did not include these areas when reviewed, and it was not completed within the required timeframe. The MDS coordinator acknowledged the oversight and stated it was their responsibility to ensure the care plan was comprehensive. Resident #38, admitted with a displaced intertrochanteric fracture of the left femur, required assistance with all ADLs. Despite this, the care plan lacked documentation for ADLs and was not completed by the required date. The MDS coordinator confirmed that ADLs should have been included in the care plan, and the administrator was unaware of the incomplete care plans.
Failure to Label Tube Feeding Bottles
Penalty
Summary
The facility failed to ensure that bottles containing tube feeding were properly labeled and dated for two residents who were observed receiving tube feeding. During an observation, the tube feeding for one resident was running at 60 ml/hr, but the bottle was not labeled with the date or time it was opened, nor with the initials of the person who hung the bottle. This resident had multiple diagnoses, including dysphagia, diabetes mellitus, major depressive disorder, chronic pain, and cerebral infarction. A physician's order specified the feeding regimen, but the labeling requirement was not met. The RN was informed of the issue, and it was confirmed that the bottle lacked the necessary information. Another resident, who was admitted with a diagnosis of cachexia, also had a tube feeding running at 60 ml/hr without a label or date. The Assistant Director of Nursing (ADON) stopped the feeding for wound care, and it was noted that the bottle was not labeled as per the facility's policy. A corporate nurse confirmed that the bottle should have been labeled with the date, time, and initials of the person who hung it. The administrator was made aware of these observations and acknowledged that the bottles should have been labeled according to the facility's policy.
Failure to Secure Protected Health Information
Penalty
Summary
The facility failed to ensure the security of protected health information for one resident. During an observation, a computer on a cart near the nurses' station was found open, displaying the resident's protected health information, with no staff or residents present. The facility's policy, as stated in the admission agreement, mandates that medical records are confidential and should not be accessed by unauthorized individuals without the resident's consent. The Assistant Director of Nursing (ADON) admitted to leaving the screen open while busy with a medical task, acknowledging it as a violation of the Health Insurance Portability and Accountability Act (HIPAA). The administrator confirmed that the ADON was aware of the requirement to keep protected health information secure.
Failure to Monitor and Change PICC Line Dressing
Penalty
Summary
The facility failed to monitor and intervene appropriately for a PICC line in one of the two residents with PICC lines. On March 26, 2025, a PICC line on a resident's left shoulder was observed with a dressing dated March 16, 2025, and brown drainage was noted under the clear dressing. The resident was admitted with a diagnosis of encephalopathy and severe sepsis with septic shock. According to the facility's IV Nursing Policies and Procedures, sterile dressing changes should be performed every 7 days and immediately if the dressing's integrity is compromised. However, the dressing had not been changed as required. The Assistant Director of Nursing (ADON) acknowledged the failure to change the dressing, stating there was no excuse for the delay. The RN/administrator was unaware of the issue until the morning of March 27, 2025, when they received an order to discontinue the PICC line and subsequently removed it.
Failure to Post Nurse Staffing Information
Penalty
Summary
The facility failed to post nurse staffing information in a prominent place accessible to residents and visitors. On two separate occasions, surveyors observed that no staffing board was visible in the facility. On the first occasion, at 8:00 a.m., no staffing board was observed. On the second occasion, at 9:15 a.m., the situation remained unchanged. Later, at 10:58 a.m., the Director of Nursing pointed out a schedule on a cork board behind the nurses' desk, but only half of the schedule was visible. The administrator identified that 65 residents resided in the facility at the time of the survey.
Infection Control Deficiency: Improper Glove Usage
Penalty
Summary
The facility failed to ensure proper infection control practices were followed concerning glove usage. During an observation, a registered nurse (RN) was seen wearing gloves while performing a finger stick blood sugar test on a resident. After the procedure, the RN changed gloves to administer insulin to the same resident but did not sanitize their hands between the glove changes. Furthermore, the RN was observed wearing the same gloves in the hallway to retrieve sanitizing wipes from the nurses' cart, which they then used to clean the glucometer before removing the gloves. The facility's Personal Protective Equipment policy emphasizes the importance of hand hygiene between glove changes to prevent the transmission of infectious organisms. The RN acknowledged the oversight in hand sanitization and was unaware of the infection control issue related to wearing gloves in the hallway after administering insulin.
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 17 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 Tecumseh
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Golden Rule Home | 3.5 mi | ★★★★★ | 0 | 0 |
| The Regency Skilled Nursing And Therapy | 6.5 mi | ★★★★★ | 0 | 0 |
| Shawnee Colonial Estates Nursing Home | 6.5 mi | ★★★★★ | 0 | 0 |
| Shawnee Care Center | 7.1 mi | ★★★★★ | 1 | 0 |
| Seminole Pioneer Nursing Home | 13.9 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.