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 Hall Nursing Center during CMS and state inspections, most recent first.
Staff failed to document physician-ordered wound and topical treatments for four residents, including those with wounds, edema, and chronic conditions. Missing documentation included wound cleansers, dressings, ace wraps, and topical medications, with some residents reporting not receiving care as ordered. The DON and administrator confirmed that all treatments should be documented in the electronic health record, but could not explain the lapses.
The facility failed to employ a full-time qualified dietitian or nutrition professional, relying instead on a part-time consultant RD. The dietary manager lacked necessary qualifications and certification, having missed the exam due to staffing issues. This deficiency potentially affects all 87 residents.
Facility staff failed to properly thaw frozen meat, store food to prevent contamination, and reheat pureed food to safe temperatures, risking food-borne illness. Observations showed improper thawing methods, undated and improperly stored food items, and inadequate reheating of pureed foods. Despite training, staff did not adhere to food safety protocols.
Facility staff failed to provide necessary ADL care for two residents, resulting in inadequate personal hygiene. One resident wore the same clothes for several days without receiving scheduled showers, while another, on hospice care, was not properly groomed or showered. Staff interviews revealed confusion over responsibilities, contributing to the deficiency.
Failure to Document Physician-Ordered Treatments for Multiple Residents
Penalty
Summary
Facility staff failed to document physician-ordered treatments for four residents, as evidenced by interviews and record reviews. The facility's Wound Treatment Management policy requires that all treatments be documented on the Treatment Administration Record (TAR) or in the electronic health record. However, multiple instances were identified where staff did not document the administration of prescribed treatments, including topical medications, wound cleansers, and dressings, on specific dates for each resident. One resident with a gluteal cleft wound did not have documentation for hydrocortisone cream and Dakin's solution treatments on several occasions. Another resident with a right gluteus wound and osteoarthritis lacked documentation for Voltaren gel applications as ordered. A third resident with lymphedema, cellulitis, and localized edema was missing documentation for wound care procedures, ace wrap applications, and topical steroid cream on multiple dates. The fourth resident, who had a history of stroke, edema, and wounds, also had missing documentation for ace wrap applications and wound care treatments. Interviews with the administrator and DON confirmed that all treatments are expected to be documented in the electronic health record, and if a treatment is not given, the reason should be recorded. Both were unable to explain why staff failed to document the treatments, and one resident reported not receiving leg treatments even after requesting them.
Lack of Qualified Director of Food and Nutrition Services
Penalty
Summary
The facility failed to designate a qualified Director of Food and Nutrition Services, as they did not employ a full-time qualified dietitian or other clinically qualified nutrition professional. The dietary manager (DM) hired on 04/20/23 lacked prior experience in a nursing facility and did not possess the necessary certification or education for the director position. The DM completed a food protection manager course but missed the opportunity to take the final exam due to staffing issues and had not rescheduled or repaid for the exam. The facility relied on a part-time consultant registered dietitian (RD) who visited once a month, and no full-time certified or clinically qualified nutritional staff were employed. Interviews revealed that the DM and the administrator were unaware of the qualifications required for the DM position until early 2024. The DM was enrolled in a course in February 2024 after a delay caused by uncertainty about the appropriate course and the RD's illness, which limited their availability. The administrator confirmed the lack of full-time qualified nutritional staff and the reliance on a part-time consultant RD. The deficiency has the potential to affect all 87 residents of the facility.
Food Safety and Storage Deficiencies
Penalty
Summary
The facility staff failed to adhere to approved methods for thawing frozen meat, which could lead to the growth of food-borne pathogens. Observations revealed a large frozen pork loin and packages of sliced turkey deli meat left to thaw improperly in a food preparation sink and on a countertop, respectively, without running water or refrigeration. Despite the dietary manager and administrator stating that staff were trained to thaw meat in the refrigerator, the cook admitted to placing the meat in the sink and on the counter to thaw. Additionally, the facility staff did not store food items in a manner that prevents contamination and ensures freshness. Observations showed multiple opened and undated food items in both the freezer and refrigerator, including hashbrown patties, sour cream, and liquid eggs, among others. There were also issues with dry goods storage, such as undated containers of cereal and bread stored on the floor. The dietary manager acknowledged the requirement for proper labeling and storage but was unaware of the existing issues. The staff also failed to reheat pureed food to the required temperature, risking food-borne illness. A cook prepared a pureed tuna noodle casserole without checking its internal temperature, which was found to be significantly below the required 165 degrees Fahrenheit. Despite being trained on the necessity of reheating pureed foods to the correct temperature, the cook did not verify the temperature before serving. The dietary manager and administrator confirmed the requirement for temperature checks but were unaware of the lapse in procedure.
Failure to Assist Residents with ADLs
Penalty
Summary
The facility staff failed to provide necessary care and services for residents who were unable to complete their own Activities of Daily Living (ADLs), specifically in maintaining good personal hygiene. This deficiency was observed in two residents, Resident #13 and Resident #17, out of a sample of 14 residents. The facility's policy on ADLs, dated 2023, mandates that care and services should be provided for bathing, dressing, grooming, toileting, and oral care, among other activities. However, the staff did not adhere to these guidelines, resulting in residents not receiving adequate assistance with grooming, clothing changes, and showers. Resident #13, who was assessed with moderate cognitive impairment and required moderate to maximum assistance for various ADLs, was observed wearing the same clothes over several days without receiving a shower as scheduled. Despite being scheduled for showers twice a week, documentation showed only one shower was given, and the resident was observed in the same stained and crumb-covered clothing over multiple days. Interviews with staff revealed a lack of clarity and responsibility regarding the resident's care, with CNAs unsure why the resident's clothes had not been changed. Resident #17, who had severe cognitive impairment and was dependent on staff for ADLs, was also not provided with adequate care. The resident, who was receiving hospice services, was not on the facility's shower list, and there was no documentation of showers being provided. Observations showed the resident with long facial hair and wearing the same clothes over several days, despite expressing a desire not to grow a beard. Interviews with staff, including the DON and CNAs, indicated a misunderstanding of responsibilities between facility staff and hospice staff, leading to a lack of proper hygiene care for the resident.
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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 Centralia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pin Oaks Living Center | 13 mi | — | 9 | 0 |
| Monroe Manor | 19.2 mi | — | 0 | 0 |
| Villa At Blue Ridge, The | 19.3 mi | — | 7 | 0 |
| Aspire Senior Living Moberly | 19.7 mi | — | 2 | 1 |
| Columbia Post Acute | 19.7 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.