Havenwood-Heritage Heights

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.

50.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 84 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.1% 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 49 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 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% 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 70 beds and averages 64.3 residents a day — about 92% 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 5.23 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.03 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.30 is at or above 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 4.96 hrs/resident/day on weekends vs 5.34 on weekdays — 7% thinner on weekends. RN hours go from 1.17 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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 unchanged from the previous inspection. 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.

• Potential for harm · F2026-04-22 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review, the facility failed to submit to the Centers for Medicare & Medicaid Services (CMS) complete and accurate direct care staffing information based on payroll data for Fiscal Year Quarter 1 2026 (October 1 - December 31).Findings include:Review on 4/20/26 of the facility's Payroll Based Journal Staffing Data Report for Fiscal Year Quarter 1 2026 (October 1 - December 31) revealed that the facility failed to submit data for the quarter.Interview on 4/21/26 at 8:45 a.m. with Staff B (Administrator) confirmed the above and stated that the facilities Payroll Based Journal Staffing Data for Fiscal Year Quarter 1 2026 had been rejected.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-04-22 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that the facility failed to have a water management plan that included all the necessary elements to prevent the growth and spread of Legionella and other opportunistic waterborne pathogens in a facility with a census of 64 residents.Findings include:Review on 4/21/26 of the facility's Water Management Plan, dated 1/1/26, revealed the facility used guideline materials from the Center for Disease Control for Legionella and other opportunistic pathogens to establish the facility plan. Further review revealed, The water system will be visually inspected monthly to include sinks/showers, holding tanks and mixing valves Inspection and maintenance of thermal mixing valves (TMVs) will occur monthly to make sure that adequate temperatures are maintained to prevent the growth of legionella Flushing of low use water systems will be completed monthly .HHH [Havenwood Heritage Heights] will contract with an outside contractor to provide testing for our water system annually. The water management plan did not contain a risk assessment, and…

  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 · E2025-03-13 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 interview and record review, it was determined that the facility failed to ensure that residents were offered or provided education on the risks and benefits of the pneumococcal vaccination for 4 of 5 residents reviewed for immunizations (Resident identifiers are #12, #18, #30, and #67). Findings include: Resident #12 Review on 3/12/25 of Resident #12's medical record revealed that Resident #12 was [AGE] years old and was admitted to the facility in 9/2023. Resident #12's immunization record revealed that pneumovax 23 was given on 9/25/12 and prevnar 13 was given on 9/3/15. Further review of Resident #12's medical record revealed that there was no indication that further pneumococcal vaccination was offered or that education was provided on the pneumococcal vaccination. Resident #18 Review on 3/12/25 of Resident #18's medical record revealed that Resident #18 was [AGE] years old and was admitted to the facility in 5/2024. Resident #18's immunization record revealed that the pneumovax 23 was given on…

  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 F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, it was determined that the facility failed to ensure that PRN (as need) psychotropic drugs were limited to 14 days and document the rationale in the resident's medical record for extending PRN psychotropic drugs beyond 14 days for 1 of 6 residents reviewed for unnecessary medications in a final sample of 16 residents (Resident Identifier is #67). Findings include: Review on 3/13/25 of Resident #67's February 2025's Physician's Orders revealed the following physician's order written on 2/23/25 with a stop date of 2/26/25: 1. Lorazepam 2 mg/ml conc [concentrate] 0.25 ml [milliliters] (0.5 mg [milligram]) SL[sublingual] every 4 hrs [hours] PRN mild anxiety/agitation . 2. Lorazepam 2 mg/ml conc 0.5 ml (1 mg) SL every 4 hrs PRN mod [moderate-severe anxiety/agitation. Review on 3/13/25 of Resident #67's February 2025's Physician's Orders revealed the following physician's order written on 2/27/25 with no stop date: 1. Lorazepam 2 mg/ml conc [concentrate] 0.25 ml [milliliters] (0.5 mg [milligram]) SL[sublingual] every 4 hrs [hours] PRN mild…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-22 · 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

  Based on record review, observation, interview, and policy review, it was determined that the facility failed to follow policies for managing healthcare personnel with symptoms of SARS-CoV-2 (COVID-19) working in the facility (Staff identifiers are F, G, H, I, J, K, L, and M) and to sanitize a dining utility cart between uses on 1 of 2 units observed (second floor dining room). Findings include: Observation on 2/21/24 at 8:00 a.m. of the facility's staff entrance revealed COVID-19 screening for staff to attest every time a staff member enters the facility. Observation further revealed a form that each staff member has to record the date, time, name, temp, and yes or no to Have you experienced any new symptoms of COVID-19 in the past 48 hours? and In the past 10 days, have you tested positive for COVID-19 or had contact with anyone confirmed to have COVID-19? Interview on 2/21/24 at 8:10 a.m. with Staff N (Administrator) revealed that the facility was currently in an outbreak with COVID-19, 9 residents were on isolation precautions and 21 staff had tested positive on 2/19/24. Review…

  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 · D2024-02-22 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, it was determined that the facility failed to properly label medication in 1 of 4 medication carts observed (second floor 2F unit medication cart). Findings include: Observation on 2/21/24 at approximately 10:30 a.m. of the second floor 2F unit medication cart revealed an open Lispro insulin flex pen without an open date and/or an open expiration/discard date that was in use for Resident #119. Interview on 2/21/24 with Staff E (Medication Nurse Assistant) confirmed the above finding. Review on 2/22/24 of the facility's policy titled Storage and Destruction of Medications dated 2/8/18, revealed: .3.medications shall include all necessary information, such as .Date opened Review on 2/22/24 of Humalog Insulin Lispro Injection manufacturer specifications, dated 3/2013, revealed: .16.2 Storage and Handling .In-use HUMALOG vials, cartridges, pens, and HUMALOG KwikPen .must be used within 28 days or be discarded, even if they still contain HUMALOG .

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• No harm found · B2024-02-22 · tag F0637 — pattern
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, it was determined that the facility failed to ensure that Significant Change in Status Minimum Data Set (MDS) were completed timely by the 14th calendar day of a resident being admitted to hospice services for 2 of 3 residents reviewed for hospice in a final sample of 16 residents (Resident Identifiers are #31 and #35). Findings include: Resident #31 Review on 2/21/24 of Resident #31's Hospice Medicare Election Statement dated 2/14/23 revealed that Resident #31 was admitted to hospice care on 2/14/23. Review on 2/21/24 of Resident #31's Significant Change in Status MDS with an Assessment Reference Date (ARD) of 2/28/23 revealed it was completed on 3/14/23, fourteen days late. Interview on 2/22/24 at 1:55 p.m. with Staff D (MDS Coordinator) confirmed that the above MDS assessment for Resident #31 should have been completed within fourteen days after signing onto hospice services and was completed late. Resident #35 Review on 2/21/24 of Resident #35's Hospice Medicare Election Statement dated 9/21/23 revealed that Resident #35 was admitted to…

  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.

  Resident Assessment and Care Planning 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.

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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 NH