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 Heritage Hall King George during CMS and state inspections, most recent first.
A resident was left unattended in a whirlpool bath for approximately four hours, resulting in the resident being found unresponsive and requiring emergency medical attention. The CNA responsible was overwhelmed and fatigued, leading to a lapse in supervision. The facility's policy of not leaving residents unattended in the bath was not followed, resulting in a serious oversight.
A facility failed to develop a comprehensive care plan for a resident, lacking specific interventions for ADL assistance and measurable objectives. The care plan was incomplete, with a missing goal section and generic interventions, contrary to facility policy requiring individualized and detailed care plans.
Two residents in the facility experienced significant medication errors related to blood pressure management. One resident received Hydralazine and Isosorbide Dinitrate despite having a systolic blood pressure below the prescribed threshold, while another resident was given Midodrine outside of the specified parameters. Interviews with an LPN revealed a lack of understanding of the importance of adhering to blood pressure parameters, contributing to these deficiencies.
Resident Left Unattended in Whirlpool Bath
Penalty
Summary
The facility staff failed to provide adequate supervision to prevent accidents for a resident who was left unattended in a whirlpool bath for approximately four hours. This incident occurred when the resident requested a whirlpool bath instead of a shower, and the CNA, despite being tired from working extended hours, agreed to the resident's request. The CNA left the resident in the tub to attend to other residents' needs, which led to the resident being found unresponsive and requiring emergency medical attention. The CNA admitted to being overwhelmed and fatigued, which contributed to forgetting about the resident in the whirlpool bath. The CNA was attending to multiple other residents' needs, including toileting, cleaning up after incontinence episodes, and passing meal trays, which distracted him from returning to the resident in the bath. The facility's policy clearly states that residents should not be left unattended in the bath or shower, but this policy was not followed in this instance. The resident was eventually found unresponsive in the tub by another CNA, leading to immediate medical intervention and hospitalization. The resident later recalled being left in the tub and waking up in the hospital, but expressed no fear of using the whirlpool bath again, as assurances were made that such an incident would not recur. The failure to supervise the resident as per the facility's policy resulted in a serious oversight that endangered the resident's health and safety.
Deficiency in Comprehensive Care Plan Development
Penalty
Summary
The facility staff failed to develop and implement a comprehensive care plan for a resident, which included measurable objectives and timeframes to meet the resident's medical, nursing, and mental and psychosocial needs. Specifically, the care plan for the resident did not include specific interventions for Activities of Daily Living (ADL) assistance. The care plan had a focus on impaired coping, but the goal section was not filled in, and the interventions listed were generic, such as providing assistance with ADLs/IADLs as needed and providing care in a calm and reassuring manner. During an interview, RN C confirmed that a care plan should direct the care of the resident and be individualized to each resident, specifying the exact ADL assistance needed. The facility's policy on care plans states that they should include measurable objectives and timelines to meet the resident's needs. Despite these requirements, the care plan for the resident in question lacked specificity and measurable objectives, leading to the deficiency noted by the surveyors.
Medication Administration Errors in Blood Pressure Management
Penalty
Summary
The facility staff failed to ensure that residents were free from significant medication errors, as evidenced by the administration of blood pressure medications outside of prescribed parameters. For one resident, blood pressure medications Hydralazine and Isosorbide Dinitrate were administered multiple times despite the resident's systolic blood pressure being below the threshold of 110, as specified in the physician's orders. This occurred on numerous occasions over a period of several months, indicating a pattern of non-compliance with medication administration protocols. The facility's policy mandates that medications be administered in accordance with prescriber orders, including any specified parameters, which was not adhered to in this case. Another resident was affected by similar medication administration errors. The resident was prescribed Midodrine to be given when systolic blood pressure was below 120, but it was administered even when the blood pressure was above this level. Furthermore, after the order was updated to hold the medication for systolic blood pressure greater than 139, the medication was still given when the blood pressure exceeded this limit. Interviews with facility staff revealed a lack of understanding of the significance of adhering to blood pressure parameters, which could lead to adverse effects such as sudden drops in blood pressure, dizziness, or fainting. The facility's failure to follow its own medication administration policy contributed to these deficiencies.
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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 King George
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westmoreland Rehabilitation & Healthcare Center | 11.6 mi | — | 1 | 0 |
| Woodmont Center | 13.9 mi | — | 5 | 0 |
| Fredericksburg Health And Rehab | 18 mi | — | 2 | 0 |
| Bowling Green Health & Rehabilitation Center | 18 mi | — | 0 | 0 |
| Falls Run Nursing And Rehabilitation | 18.2 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.