Heartland Nursing & Rehab Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

29.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 72.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 43 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 113.6 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.72 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.86 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.26 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.51 hrs/resident/day on weekends vs 3.81 on weekdays — 8% thinner on weekends. RN hours go from 0.87 to 0.83 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Dcited before2026-02-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to monitor, implement and obtain treatment services from the physician in a timely manner for an identified trauma wound for 1 of 3 sampled residents (Resident #1). The findings included:Record review revealed Resident #1 was admitted to the facility on [DATE] with a readmission from 04/09/25 -1/30/26. A comprehensive assessment dated [DATE] documented the resident had severe cognitive impairment and required substantial/maximum assist with activities of living. Record review revealed Resident #1 was care planned on 05/23/25 for potential for impairment to skin integrity related to episodes of incontinence, cognitive impairment. Interventions included to monitor/document location, size and treatment of skin injury, report abnormalities, failure to heal, signs/symptoms of infection, maceration etc. to MD (Medical Doctor). The record documented Resident #1 was care planned on 01/03/26 for an alteration in musculoskeletal status related to fracture of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-13 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to maintain grooming and personal hygiene for 5 of 28 sampled residents, as evidenced by the failure to timely wash the resident's hair for Resident #53 and #17, failure to provide timely incontinence care for Resident #55 and #79, and failure to provide nail care for Resident #80. The findings included: 1.) Review of the record revealed that Resident #53 was admitted to the facility on [DATE] with a primary diagnosis of unspecified Dementia with other behavioral disturbances. Review of the current Minimum Data Set (MDS) assessment dated [DATE] documented Resident #53 had a Brief Interview for Mental Status (BIMS) score of 0, on a 0 to 15 scale, indicating the resident was severely cognitively impaired. Review of the current care plan initiated on 01/23/25 documented Resident #53 had an ADL deficit related to weakness and decreased functional mobility due to multiple chronic diseases. The goal was will be clean, dressed, and well-groomed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-13 · tag F0805 — failed to prepare food in a form residents can eat — pattern
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, policy, and record reviews, the facility failed to provide food in a form to meet the individual needs of residents for 2 of 4 sampled residents (Resident #43, Resident #57) reviewed for pureed texture diets. This had the potential to affect 28 residents who were on pureed texture diets. The findings included: A review of the facility's policy for pureed diets, documented that it was used for patients with swallowing and chewing difficulties. It specified that all foods are smooth in texture and free from whole, minced or ground pieces. The policy stated that the pureed diet follows the recommendations for the Level 1 Dysphagia Pureed Diet of the National Dysphagia Diet. 1. During an observation on 03/10/25 at 5:37 PM, Resident #43 was served his dinner. His meal ticket said that he was on a Puree texture diet. The pureed bread was lumpy. Photographic evidence obtained. Record review revealed Resident #43 was admitted to the facility on [DATE]. His diagnoses included Sarcopenia,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-13 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, observation, record review, and interview, the facility failed to follow an infection control program to help prevent infections for 5 of 7 sampled residents as evidenced by the failure to ensure physician orders for Enhanced Barrier Precautions (EBP) for Resident #2, #32, and #46, failure to properly maintain the indwelling urinary catheter for Resident #32, and failure to ensure proper hand hygiene and don gloves during eye drop administration for Resident #87. The facility also failed to maintain the laundry area in a manner to prevent the spread of infection. The findings included: 1) Review of the record revealed Resident #2 and #46 had pressure ulcers, and Resident #32 had an indwelling urinary catheter. During an interview on 03/13/25 at 2:33 PM, when asked what was expected when a resident needed to be placed on EBP, the Director of Nursing (DON) stated there should be a physician order, signaled and personal protective equipment (PPE) at the resident's room, and documentation in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to initiate an immediate report in a timely manner in response to an allegation of abuse by 1 of 1 sampled resident reviewed for abuse, Resident #10. The findings included: The facility's policy, titled, 'Prevention of Resident Abuse, Neglect, Mistreatment or Misappropriation of Property', with a reference date of November 2019, documented: Investigation: All suspected cases of abuse or misappropriation of resident's property will be fully investigated by the Administrator, Abuse Coordinator, or designee. The findings should be reported to the appropriate governing agencies. 6. File report to governing agencies. Reporting/Documentation Requirements: Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property are reported to the administrator of the center and to other officials (including to the State Survey Agency and adult protective services…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, policy review and interview, the facility failed to ensure appropriate care and services for 3 of 28 sampled residents, as evidenced by, the failure to initiate interventions for proper positioning for Resident #95, failure to implement a brace to prevent edema and contractures for Resident #11; and failure to implement interventions in response to low blood sugar levels as per physician orders for Resident #18. The findings included: 1) Observations on 03/11/25 at 12:33 PM, 03/12/25 at 11:01 AM, and 03/12/25 at 12:33 PM revealed that Resident # 95 was positioned in a high back wheelchair with the leg rests fully elevated and a footbox over the leg rests. Resident #95 had his knees fully bent and his head and trunk were halfway down on the backrest of the wheelchair. An observation on 03/12/25 at 12:59 PM revealed two staff members lifting Resident #95 up by using the mechanical lift sling that was under him, to reposition him upright in the wheelchair prior to feeding him…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, an interview, and record reviews, the facility failed to monitor the effectiveness of interventions for nutrition for 1 of 18 sampled residents (Resident #26) reviewed for nutrition. The findings included: Record review revealed Resident #26 was admitted to the facility on [DATE]. His diagnoses included Dementia, and Dysphagia (swallowing difficulty), following Cerebrovascular Disease. On 12/17/19, Resident #26 weighed 183 lbs (pounds). On 03/01/25, Resident #26 weighed 149.4 lbs. His BMI was 20.8, which was considered underweight for advanced age. Resident #26 was at risk for malnutrition per the nutrition care plan last revised on 02/25/25. Resident #26 was also at increased risk for aspiration. His prescribed diet order effective since 03/06/25 was for the enhanced diet, with pureed texture, and moderately thick fluids. On 03/10/25 at 03:26 PM, Resident #26 was observed seated at his dining location in the 200s POD. The POD is a shared community space for meals and other activities. He…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, policy review, record reviews, and interviews, the facility failed to have a doctor's order for the administration of enteral feeding, also known as tube feeding, for 1 of 1 sampled resident (Resident #50), reviewed for dependence on enteral feeding to meet their needs for nutrition. The findings included: Review of the facility's Nursing policy on the Services Procedure for Nutrition services on Feeding Systems, dated 10/2019, documented Nursing must confirm that a physician's order is in place for enteral feeding. Record review revealed that Resident #50 was admitted to the facility on [DATE]. Resident #50 went out to the Hospital emergency room on [DATE] for replacement of the PEG tube (a percutaneous endoscopic gastrostomy tube, is a thin flexible tube inserted through the skin into the stomach to provide nutrition and medication), and she returned on the same day. Her diagnoses included Dysphagia (swallowing problem) following Unspecified Cerebrovascular Disease, Cerebral Infarction,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure non-pharmacological interventions to reduce pain during personal care for 1 of 4 sampled residents, Resident #32, who was observed during personal care. The findings included: Review of the record revealed Resident #32 was admitted to the facility on [DATE], after having sustained a fall at home with a subsequent left hip fracture. The record documented the lack of surgery for the hip with routine healing expected. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 3, on a 0 to 10 scale, indicating severe cognitive impairment. This MDS also documented the resident was dependent upon staff for any care involving her lower extremities. Review of the care plan dated 02/19/25 documented Resident #32 had a functional mobility deficit as evidenced by severe pain to her left hip, secondary to the left hip fracture. Another care plan…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-16 · tag F0770 — failed to provide lab services — isolated
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to properly store resident's refrigerated laboratory specimens at the regulatory requirements of 36 degrees F (Fahrenheit) to 46 degrees F. The findings included: During the review of the facility's policy for Laboratory Specimen Collection and Storage (Date Implemented 12/22/22 and Revised review/Revised 07/01/23), the following were noted: Policy: It is the policy of the facility to assure proper and safe collection and storage of laboratory specimens until pick up by the contracted Laboratory services. Policy Explanation and Compliance Guidelines: 1. The facility will comply with CDC, Laboratory, and other regulatory bodies to provide safe and effective storage of all specimens. 3. Collected specimen requiring refrigeration will be stored in a designated refrigerator and maintained until collected by the laboratory. 4. All specimens will be maintained under required temperature. 6. Refrigerators used for storage of specimen: (d)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to EXCELSIOR CARE GROUP — 33 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in FL