Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
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 Heritage Care And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a history of schizophrenia and dementia experienced an unwitnessed fall, resulting in head abrasions. Despite documenting multiple neurological assessments, an LPN only performed the initial check. Staff expressed concerns about the resident's condition, but the LPN did not reassess. The resident was later sent to the hospital after another LPN noted a change in condition. Video footage confirmed the lack of follow-up assessments, highlighting a deficiency in care.
A facility failed to ensure accurate documentation of assessments for a resident after a fall. An LPN documented neurological assessments that were not performed, as confirmed by video footage. Concerns were raised by other staff, and the resident, with a history of seizures, was sent to the hospital for a change in condition. The facility lacked a policy on falsification of documentation.
Failure to Conduct Neurological Assessments After Resident Fall
Penalty
Summary
The facility failed to provide follow-up assessments and interventions for a resident who experienced an unwitnessed fall. The resident, who had a history of schizophrenia, chronic ischemic heart disease, non-Alzheimer's dementia, and renal insufficiency, was found on the floor with abrasions on his head and wrist. Despite the resident's report of hitting his head, the covering LPN, Staff A, documented that she completed eight neurological assessments, but video footage and staff interviews revealed that only the initial assessment was conducted. Staff members, including CNAs and a CMA, repeatedly expressed concerns about the resident's condition, noting changes such as leaning, tremors, and altered mental status. Despite these observations and requests for further assessment, Staff A did not perform the necessary neurological checks or reassess the resident. The resident was eventually transferred to the hospital after another LPN, Staff B, observed a change in the resident's condition and contacted the on-call provider. The facility's video footage confirmed that Staff A did not perform the documented neurological checks, and the facility's policy required immediate notification of the resident's physician and responsible party in the event of an accident or change in medical condition. The failure to conduct proper assessments and follow facility policy resulted in a deficiency in the care provided to the resident.
Failure to Accurately Document Resident Assessments
Penalty
Summary
The facility failed to ensure accurate documentation of assessments for a resident, leading to a deficiency. Staff A, an LPN, documented that she completed neurological assessments on a resident following a fall, which she did not actually perform. The incident was brought to light when the Administrator noticed a delay in documentation of the fall in the progress notes and upon further inquiry, Staff A vaguely admitted to not performing the neuro checks. Video footage from the facility confirmed that Staff A did not conduct all the neuro checks as documented, showing her entering the resident's room only once and not returning for subsequent checks. The Director of Nursing (DON) and the Administrator reviewed the situation after concerns were raised by other staff members. Staff E, a Certified Medication Aide, initially reported suspicions that Staff A did not perform the neuro assessments. Despite Staff A's claims of having completed the checks, the video evidence contradicted her documentation. The resident, who had a history of seizures, was sent to the hospital for a change in condition, where it was later reported that he had suffered a heart attack. The facility lacked a policy related to the falsification of documentation, which contributed to the deficiency.
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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 Mason City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Shepherd Health Center | 0.8 mi | — | 7 | 0 |
| I O O F Home And Community Therapy Center | 2 mi | — | 3 | 0 |
| Mercyone North Iowa Medical Services | 4.1 mi | — | 0 | 0 |
| Nora Springs Care Center | 8.3 mi | — | 4 | 0 |
| Manly Specialty Care | 9.5 mi | — | 7 | 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.