Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Heartland Care Center during CMS and state inspections, most recent first.
A resident with a history of respiratory failure and other serious conditions experienced inadequate respiratory care when staff changed oxygen therapy from scheduled to PRN without proper monitoring or consultation with the resident and family. The resident's oxygen levels repeatedly dropped below safe thresholds, monitoring frequency decreased, and documentation was lacking. The resident became lethargic and cyanotic, ultimately requiring hospitalization for respiratory distress.
The facility failed to follow the menu as written for one meal and did not ensure that menus were reviewed and approved by a dietician. Incorrect portions were served, and changes to the menu were made without dietician approval, leading to a deficiency.
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards. Observations revealed greasy stove hoods, improper glove use by a cook, and food temperatures below the required levels, violating facility policies and FDA guidelines.
A resident diagnosed with c-diff was discharged without a required discharge summary that included a recapitulation of their stay. The DON confirmed that the recap was not completed as mandated by the facility's policy.
The facility failed to ensure that restorative care was completed as planned for a resident with Alzheimer's and a seizure disorder. The care plan required passive ROM exercises for both upper and lower extremities 5-7 days per week, but the facility did not consistently perform these exercises. The DON acknowledged insufficient staffing on weekends and lack of documentation for missed sessions, while the MDS Coordinator had not conducted recent follow-ups.
The facility failed to provide proper care and services to prevent infection for a resident with a urinary catheter. The resident's catheter bag was improperly placed on multiple occasions, and staff did not follow correct procedures for catheter care, as outlined in the facility's competency assessment.
The facility failed to educate and offer the pneumonia vaccine to a resident with COPD, lacking documentation of vaccine receipt, education, and consent or refusal, despite the facility's policy requiring it upon admission.
The facility failed to ensure that a resident had access to the most recent COVID-19 vaccine. The clinical records lacked documentation that the resident or their responsible party had been educated on, offered, or received the 2023-2024 COVID-19 vaccine. The DON had not yet asked the resident about the updated vaccine, despite CDC guidelines recommending vaccination to protect against serious illness.
Failure to Provide Adequate Respiratory Care and Monitoring
Penalty
Summary
The facility failed to provide adequate respiratory care for a resident who required supplemental oxygen therapy. The resident, who had a history of respiratory failure, coronary artery disease, renal insufficiency, pneumonia, and sarcoidosis of the lungs, was admitted with a care plan specifying continuous oxygen at 2L, to be increased to 3.5L with ambulation. Despite this, staff changed the oxygen order from scheduled to as-needed (PRN) without increased monitoring or proper consultation with the resident and family. Documentation shows that the resident's oxygen saturation levels were repeatedly below 90% on room air following the order change, and there was a significant decrease in the frequency of oxygen monitoring. Therapy and nursing notes indicated that the resident experienced significant drops in oxygen saturation during therapy sessions, sometimes falling into the low 80s and requiring time to recover. After the order was changed to PRN, the resident's oxygen levels were not checked as frequently, and there was a lack of documentation regarding the rationale for the order change or communication with the family. Staff interviews revealed confusion about who authorized the order change, and the primary care physician was not familiar with the resident or the change. Family members reported that the resident was taken off oxygen abruptly without discussion, and observed him to be lethargic, shaking, and cyanotic prior to hospitalization. Ultimately, the resident was found with oxygen saturations in the low 70s, was placed back on continuous oxygen, and was subsequently hospitalized for shortness of breath, weakness, and pulmonary congestion. Facility policy required that residents and families be informed of new orders, especially those related to changes in condition, and that nurses observe and document signs of respiratory distress. These procedures were not followed, leading to inadequate respiratory care and a negative outcome for the resident.
Failure to Follow Menu and Obtain Dietician Approval
Penalty
Summary
The facility failed to follow the menu as written for one meal and did not ensure that menus were reviewed and approved by a dietician. On 4/3/24, the noon menu included specific portions of creamed chipped beef, mashed potatoes, green beans, and bread. However, Staff A, the cook, served incorrect portions using different scoop sizes. Staff A and the Dietary Manager (DM) were unable to identify the correct scoop sizes, leading to discrepancies in the meal portions served to residents. The DM acknowledged that Staff A gave extra chipped beef gravy but did not adjust the other portions accordingly. Additionally, the facility's menus from Sunday through Saturday had changes made in writing, but none were signed by a dietician. The Administrator and DM confirmed that the facility had been without a dietician for some time, relying on a dietician from an affiliated hospital who visited once a month. The DM admitted to making changes to the menu based on residents' preferences without dietician approval. This lack of oversight and adherence to the menu planning policy resulted in the deficiency noted by the surveyors.
Failure to Maintain Food Safety Standards
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. During an observation, the stove hood appeared greasy and grimy, and the sprinklers above the oven had a greasy feel with fuzz hanging intermittently. The Dietary Supervisor was unaware of the last cleaning date for the hood, and the Administrator confirmed that the oven hood was not on the cleaning schedule. The facility policy required stove hoods and filters to be cleaned at least monthly, but there was no record of the last cleaning before the recent one on Monday. Additionally, during the noon meal service, a cook wore the same gloves throughout various tasks, including touching multiple surfaces and handling food, which violated the facility's policy and the FDA Food Code 2017. Furthermore, food temperatures were not maintained at the required levels. After serving the main dining room, the temperature of the mashed potatoes and chipped beef gravy was recorded at 120 degrees, below the required 135 degrees. This failure to maintain proper food temperatures was against the facility's policy, which mandated that all food be cooked, held, and served at appropriate internal temperatures.
Failure to Provide Required Discharge Summary
Penalty
Summary
The facility failed to provide a discharge summary that included a recapitulation of the resident's stay for a resident who was discharged. The resident, who had no cognitive impairment and was diagnosed with enterocolitis due to clostridium difficile (c-diff), was admitted to the facility because he was unable to care for himself at home and experienced severe diarrhea. The resident's baseline care plan indicated that he was receiving physical therapy to regain strength and had good family support. On the day of discharge, the resident packed his belongings, received discharge paperwork, and left the facility with his family. However, the clinical record lacked a discharge summary that included a recap of the resident's stay, which was confirmed by the Director of Nursing (DON) who acknowledged that the recap was not done as required by the facility's policy. The facility's undated Discharge Summary/Recapitulation Policy mandates that a discharge summary, including a recapitulation of the resident's stay, be completed for every resident at the time of discharge. This summary should include diagnoses, treatments, therapies provided, and a final summary of the resident's status. The failure to provide this required documentation was identified during a review of the resident's clinical record and confirmed through staff interviews, highlighting a lapse in adherence to the facility's discharge procedures.
Failure to Complete Restorative Care as Planned
Penalty
Summary
The facility failed to ensure that restorative care was completed as planned for a resident with Alzheimer's disease and a seizure disorder. The resident, who had long and short-term memory problems and severely impaired skills for daily decision-making, depended on staff for activities of daily living. The care plan required passive range of motion (ROM) exercises for both upper and lower extremities to be performed 5-7 days per week as tolerated by the resident. However, the facility did not consistently perform these exercises as scheduled, with numerous weeks showing incomplete or missing sessions for both upper and lower extremities. The Director of Nursing (DON) acknowledged that the days marked as 'not applicable' could mean the resident refused the exercises, but there was no documentation to support this. Additionally, the DON admitted that the facility lacked sufficient staff to perform the exercises on weekends. The MDS Coordinator, who oversaw the restorative program, had not conducted any recent follow-ups to ensure compliance with the care plan. This lack of adherence to the prescribed restorative care regimen was identified through record reviews and staff interviews, highlighting a significant deficiency in the facility's care practices.
Failure to Provide Proper Catheter Care and Prevent Infection
Penalty
Summary
The facility failed to provide appropriate care and services to prevent infection for a resident with a urinary catheter. The resident, who had severe cognitive impairment and required substantial assistance with daily activities, was observed with the catheter bag improperly placed on multiple occasions. On one instance, the catheter bag was hung from a garbage can, and on another, it was found lying on the floor. The resident's care plan included specific interventions to monitor for signs and symptoms of urinary tract infections (UTIs) and to provide catheter care, but these were not adequately followed as evidenced by the improper handling of the catheter bag. During pericare, staff were observed using improper techniques, such as placing an incontinent pad before removing gloves and not following the correct procedure for cleansing the catheter. The Director of Nursing (DON) acknowledged that the catheter bag should not be hung on the trash can. The facility's competency assessment for catheter care outlined specific steps for cleansing the catheter and genital area, which were not adhered to by the staff, leading to a failure in preventing potential infections for the resident.
Failure to Educate and Offer Pneumonia Vaccine
Penalty
Summary
The facility failed to ensure that residents and/or their representatives were educated on the options for the pneumonia vaccination and given the opportunity to accept or decline it. Specifically, for one resident, who had no cognitive impairment and was diagnosed with chronic obstructive pulmonary disease (COPD), the clinical record lacked documentation of receiving a pneumococcal vaccine, education on the vaccine, and a signed consent or refusal. The Director of Nursing (DON) confirmed that the resident had not been offered the pneumonia vaccine, despite the facility's policy stating that all residents would be offered the vaccine upon admission, with risks and benefits provided to them or their representatives.
Failure to Ensure Access to Updated COVID-19 Vaccine
Penalty
Summary
The facility failed to ensure that residents had access to the most recent COVID-19 vaccine for one of the five residents reviewed. Specifically, the clinical records for Resident #6 lacked documentation that they, or their responsible party, had been educated on the 2023-2024 COVID-19 vaccination, been offered, or received a dose of the vaccine. This deficiency was identified during a review of the facility's records and staff interviews, which revealed that the Director of Nursing (DON) had not yet asked Resident #6 about the updated COVID-19 vaccine. The DON stated that some residents received the COVID-19 vaccine at the clinic, and she administered some at the facility. Initially, she had to obtain 10 doses at a time, which required enough residents to express interest. However, she mentioned that it was now possible to get fewer doses at a time. Despite this, Resident #6 had not been approached regarding the updated vaccine. The CDC's updated guidelines recommended the 2023-2024 COVID-19 vaccines to protect against serious illness, emphasizing the importance of vaccination for individuals aged 5 years and older, and particularly for those who are moderately or severely immunocompromised.
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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 Marcus
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Happy Siesta Health Care Center | 8.3 mi | — | 0 | 0 |
| Careage Hills Rehabilitation And Healthcare | 13.5 mi | — | 3 | 0 |
| Cherokee Specialty Care | 13.7 mi | — | 0 | 0 |
| Accura Healthcare Of Cherokee, Llc | 14.3 mi | — | 6 | 0 |
| Good Samaritan - Lemars | 17.5 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 August 2026) and official state health department websites.