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Heritage Hills Living & Rehabilitation Center

411 North West Street, McAlester, OK 74502 · Pittsburg County · (918) 423-2920

81 certified beds, about 57 residents a day · For profit - Individual · Medicare and Medicaid since 1997

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 375317 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 31, 2024, inspectors cited 8 health deficiencies (the Oklahoma average is 6.4, the national average 9.2).

Of 52 health citations since September 2022, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $73,288 in the last three years; the largest was $73,288, and the latest is dated October 31, 2024.

Nurses and nurse aides worked 3.29 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.28 of those hours.

54.4% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 52 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
19D
28E
4F
Potential for minimal harm
0A
0B
0C
June 9, 2026Complaint inspection · 1 citation
  1. E
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on record review and interview, the facility failed to convey funds to next of kin within 30 days of death for 3 (#8, 9, and #10) of 3 expired residents whose trust fund accounts were reviewed for conveyance of funds. The administrator identified 16 residents with funds in the facility.
November 24, 2025Complaint inspection · 3 citations
  1. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 17, 2025
    Inspectors wroteBased on observation and interview, the facility failed to securely store protected health information. The DON identified 50 residents resided in the facility.
  2. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 17, 2025
    Inspectors wroteBased on record review and interview, the facility failed to maintain an abuse free environment for 1 (Resident #1) of 4 sampled residents reviewed for allegations of abuse. The facility DON identified 50 residents resided in the facility.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 17, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to secure chemicals which had the potential to harm residents if the chemicals were touched, inhaled, or ingested. The DON identified 50 residents resided in the facility.
July 30, 2025Complaint inspection · 5 citations
  1. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 20, 2025
    Inspectors wroteBased on observation and interview, the facility failed to ensure protected health information was secure for 1 (East/West Hall) of 1 medication cart observed. The administrator identified 54 residents resided in the facility.
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 20, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the environment was free from flies. The administrator identified 54 residents resided in the facility.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 20, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure care plans were developed to address the use of illegal substances for 2 (#3 and #4) of 2 sampled residents reviewed for care plans. The administrator identified 54 residents resided in the facility.
  4. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 20, 2025
    Inspectors wroteBased on record and interview, the facility failed to ensure residents with substance abuse were provided services for 2 (#3 and #4) of 2 sampled residents reviewed for substance abuse. The administrator identified 54 residents resided in the facility.
  5. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 20, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were free from abuse for 1 (#1) of 9 sampled residents reviewed for abuse. The administrator identified 54 residents resided in the facility.
December 27, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observation and interview, the facility failed to maintain and clean, safe, and sanitary homelike environment during two of two observations. The administrator identified 59 residents resided in the facility.
October 31, 2024Standard inspection, Complaint inspection · 8 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were free from abuse for two (#33 and #59) of three sampled residents reviewed for abuse. The administrator identified 58 residents who resided in the facility.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on observation and interview, the facility failed to maintain the physical environment of the kitchen and ensure employees with facial hair wore a beard guard in the kitchen. The administrator identified 58 residents who resided in the facility.
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on record review and interview, the facility failed to implement a water management program to prevent the growth of Legionella and other opportunistic waterborne pathogens in the building water system. The administrator identified 58 residents who resided in the facility.
  4. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were accurate for two (#30 and #41) of 15 sampled residents whose resident assessments were reviewed for accuracy. The administrator identified 58 residents who resided in the facility. 1. Res #30 had diagnoses which included depression, anxiety, mood disorder, and intermittent explosive disorder. An annual resident assessment, dated 08/31/24, documented a diagnosis of psychotic disorder. 2. Res #41 had diagnoses which included impulse disorder. A quarterly resident assessment, dated 11/24/21, documented a diagnosis of psychotic disorder. On 10/29/24 at 1:05 p.m., the IP reported no resident had a diagnosis of psychotic disorder in the facility. They were unsure as to why resident assessments would document the diagnosis of psychotic disorder. [...]
  5. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to change and label oxygen tubing according to physician orders for four (#17, 28, 31, and #50) of four sampled residents reviewed for respiratory treatments. The DON identified 13 residents who received oxygen therapy.
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to conduct a thorough investigation into an incident of abuse for two (#33 and #59) of three sampled residents reviewed for abuse. The administrator identified 58 residents who resided in the facility.
  7. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on record review and interview, the facility failed to notify the OHCA of a new possible serious mental disorder diagnosis for two (#37 and #20) of six sampled residents reviewed for PASARR assessments. The administrator identified 58 residents who resided in the facility.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 25, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure: a. vaping of tobacco did not occur inside the facility, and smoking assessments were completed quarterly for one (#35) of two sampled residents reviewed for smoking; and b. oxygen tanks were stored properly for one (#12) of five sampled residents reviewed for oxygen. The DON identified 23 residents who smoked/vaped tobacco products and 13 residents who received oxygen therapy.
October 12, 2023Complaint inspection · 2 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on record review, observation, and interview the facility failed to ensure a safe and homelike environment for the residents. The Resident Census and Conditions of Residents report documented 59 residents resided in the facility.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on record review, observation, and interview the facility failed to ensure: a. the ice machine was locked to prevent possible cross contamination. b. dietary staff washed hands after handling dirty items and before touching clean items. c. hand washing was completed during wound care treatment. The administrator identified 59 residents who resided in the facility and two residents who received wound care treatments.
August 10, 2023Standard inspection · 22 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation and interview the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  2. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents' rights to privacy by providing a means of attaining full visual privacy during personal care and/or treatments for three (#1, 4, and #47) of 26 resident's whose rooms were observed. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  3. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation and interview the facility failed to ensure the facility maintained a safe, clean, comfortable and homelike environment. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  4. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wrote2. Res #20 had diagnoses which included multiple fractures due to a MVA. A quarterly assessment, dated 05/22/23, a significant change assessment, dated 02/20/23, and a quarterly assessment dated [DATE], had the following diagnoses listed as active diagnoses: left humerus fracture, left skull/facial bones fracture, laceration of lip, left radial styloid process fracture, and left clavicle fracture. On 08/08/23 at 1:02 p.m., the MDS coordinator reported they needed to remove the multiple fractures and laceration of lip diagnoses and stated the diagnoses were old and were no longer active diagnoses for Res #20. 3. Res #40 was admitted with diagnoses which included anxiety, schizophrenia, and PTSD. A physician order, dated 09/25/21, read in part, Invega Sustenna 156mg/ml 1 vial IM on the 25th of each month. On 02/16/23, the consultant pharmacist recommended a GDR for Ivega. [...]
  5. E
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a resident with a new possible serious mental disorder was referred to OHCA for two (#26 and #56) of seven sampled residents whose PASRR screenings were reviewed. The Resident Census and Conditions of Residents form documented 60 residents resided at the facility.
  6. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure care plans were updated to meet the residents' needs for five (#3, 26, 40, 46, and #59) of 26 sampled residents whose care plans were reviewed. The facility failed to: a. update the care plan related to falls for Res #40, 26, and #59. b. update the care plan to include diuretic medications and updates for psychotropic medication use for Res #3. c. update the care plan to include new diabetes interventions for #46. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  7. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the physician was notified of a foul odor of a surgical wound in a timely manner for one (#21) of five residents sampled for non-pressure skin issues and failed to notify a physician of out of parameters FSBS readings for one (#46) of five residents reviewed for medications. The Resident Census and Conditions of Residents form documented 60 residents resided at the facility.
  8. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure pressure ulcers were assessed routinely for two (#4 and #19) of three sampled residents reviewed for pressure ulcers. The Resident Census and Conditions of Residents form documented two residents had pressure ulcers.
  9. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents received the supervision and assistance to prevent falls for three (#26, 40, and #59) of three sampled residents reviewed for falls and for two (#30 and #39) of two sampled residents reviewed for smoking hazards. The DON identified 27 resident who had falls in 2023 and the Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  10. E
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure to adequately monitor residents for behaviors and adverse side effects for four (#1, 3, 26, and #28) of five sampled residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 48 residents who lived in the facility received psychotropic medications.
  11. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were free from significant medication errors for one (#3) of five residents sampled for medications. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  12. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents were informed in advance of the risks and benefits of treatment for two (#3 and #26) of five residents whose medications were reviewed. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  13. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on interview and record review the facility failed to honor a resident's choice of leaving the facility without staff for one (#9) of one sampled residents reviewed for choices. The Resident Census and Conditions of Residents report, documented 60 residents resided in the facility.
  14. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to complete a quarterly assessment for one (#40) of 18 sampled residents whose clinical records were reviewed for resident assessments. The Resident Census and Conditions of Residents form documented a census of 60 residents.
  15. D
    Ensure a qualified health professional conducts resident assessments.
    F642 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure an RN coordinated and signed the resident assessment for one (#46) of 18 sampled residents whose resident assessments were reviewed. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  16. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure OHCA was contacted when a resident with a PASRR level I assessment with a diagnosis of a serious mental illness for three (#3, 26, and #56) of six sampled residents reviewed for PASRR assessments. The Resident Census and Conditions of Residents form documented 44 residents had documented psychiatric diagnoses.
  17. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to develop a care plan related to edema and diuretic use for one (#11) of one resident sampled for edema. The Resident Census and Conditions of Residents form documented 60 residents resided at the facility.
  18. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure a discharge summary documented the required components for one (#61) of two sampled residents whose discharge summaries were reviewed. The DON identified eight residents who were discharged in 2023.
  19. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow their policy for medications regimen reviews for one (#1) of five residents reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 48 residents who resided in the facility received psychotropic medications.
  20. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents receiving medications were adequately monitored for side effects for two (#3 and #26) of five residents who were reviewed for unnecessary medications. The Resident Census and Conditions of Residents form documented 60 residents resided in the facility.
  21. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation and interview the facility failed to ensure controlled medications in the medication room refrigerator were stored in a permanently affixed compartment. The DON identified one resident who received controlled medications from the refrigerator.
  22. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure standard precautions to be followed to prevent spread of infections during wound care for one (#30) three residents review for wound care. The Resident Census and Conditions of Residents form documented two residents had pressure ulcers.
September 2, 2022Standard inspection · 10 citations
  1. F
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 7, 2022
    Inspectors wroteBased on record review and interview, the facility failed to provide an advance directive acknowledgment for 10 (#12, 13, 14, 30, 33, 38, 54, 55, 56, and #160) of 10 residents sampled for advance directives. The Resident Census and Condition of Residents, dated 08/30/22, documented a census of 61 residents.
  2. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents' rights were honored by failing to provide a nicotine free environment. The administrator reported there were 33 non-smoking residents.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to develop a comprehensive person centered care plan for four (#14, 33, 56 and #58) of four residents sampled for care plans. The Resident Census and Conditions of Residents, dated 08/30/22, documented a census of 61 residents.
  4. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide restorative care as ordered by the physician for two (#54 and #111) of three residents sampled for restorative care. The Resident Census and Condition of Residents, dated 08/30/22, documented 14 residents required restorative care.
  5. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow a safe smoking policy for. The Resident Census and Conditions of Residents, dated 08/30/22, documented a census of 61 residents.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 21, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to follow their Covid 19 policy for visitors. The Resident Census and Conditions of Residents, dated 08/30/22, documented a census of 61 residents.
  7. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2022
    Inspectors wroteBased on observation and interview, the facility failed to maintain a safe, clean and sanitary environment. The Resident Census and Conditions of Residents, dated 08/30/22, documented a census of 61 residents.
  8. E
    Put firmly secured handrails on each side of hallways.
    F924 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2022
    Inspectors wroteBased on observation and interview, the facility failed to ensure handrails were secure for one of four halls in the facility. The Resident Census and Conditions of Residents, dated 08/30/22, documented a census of 61 residents.
  9. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2022
    Inspectors wroteBased on observation and interview, the facility failed to have an effective pest control program. The Resident Census and Conditions of Residents, dated 08/30/22, documented a census of 61 residents.
  10. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2022
    Inspectors wroteBased on record review and interview, the facility failed to review and revise a care plan for one (#58) of five residents whose care plans were reviewed. The Resident Census and Conditions of Residents, dated 08/30/22, documented a census of 61 residents.

Fire safety inspections

12 fire safety citations on file: 3 on October 31, 2024, 1 on August 10, 2023, 8 on September 2, 2022.

Every fire safety citation12 citations
  1. E
    Provide properly protected cooking facilities.
    K 324 · October 31, 2024 · Corrected (the home has a date of correction)
  2. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · October 31, 2024 · Corrected (the home has a date of correction)
  3. E
    Have power receptacles that are properly grounded.
    K 912 · October 31, 2024 · Corrected (the home has a date of correction)
  4. E
    Have power receptacles that are properly grounded.
    K 912 · August 10, 2023 · Corrected (the home has a date of correction)
  5. F
    Establish policies and procedures for volunteers.
    E 24 · September 2, 2022 · Corrected (the home has a date of correction)
  6. F
    Establish roles under a Waiver declared by secretary.
    E 26 · September 2, 2022 · Corrected (the home has a date of correction)
  7. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · September 2, 2022 · Corrected (the home has a date of correction)
  8. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 2, 2022 · Corrected (the home has a date of correction)
  9. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · September 2, 2022 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 2, 2022 · Corrected (the home has a date of correction)
  11. E
    Provide properly protected cooking facilities.
    K 324 · September 2, 2022 · Corrected (the home has a date of correction)
  12. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 2, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 31, 2024Fine $73,288
October 31, 2024Payment Denial 2 days from November 23, 2024

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOklahomaUnited States
All nursing staff (RN, LPN and aides)3.293.793.86
Registered nurses0.280.340.69
All nursing staff on weekends3.303.443.42
Nurse aides2.44
Licensed practical nurses0.57
Nursing staff turnover (share who left in a year)54.4%55.5%45.8%
Registered nurse turnovernot reported53.6%42.9%
Administrators who left1

CMS expects 2.71 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.29 on weekdays and 3.30 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.21 in April to June 2025 to 3.29 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.290.283.293.30 0.0%0 of 9057
Oct to Dec 20253.430.363.463.33 0.0%0 of 9254
Jul to Sep 20253.440.273.433.44 0.0%0 of 9256
Apr to Jun 20253.210.163.243.14 0.0%0 of 9158
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Oklahoma, Jan to Mar 20263.790.323.943.422.2%1.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOklahomaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.913.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.51.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.02.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.04.73.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.013.714.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.84.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
31.017.515.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.72.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
6.43.01.8

Owners and operators

Legal business name: HERITAGE HILLS NURSING CENTER INC.

NameRoleTypeShareSince
1996 Revocable Trust of Charles F Hardy IIIDirect ownership interestOrganization05/24/2024
1996 Revocable Trust of Patricia HardyDirect ownership interestOrganization05/24/2024
Hardy, CharlesCorporate officerIndividual01/01/1993
Hardy, PatriciaCorporate officerIndividual01/01/1993
Anderson, WilliamOperational/managerial controlIndividual04/01/2024
Hardy, CharlesOperational/managerial controlIndividual01/01/1993
Hardy, PatriciaOperational/managerial controlIndividual01/01/1993
Nystrom, AshlieOperational/managerial controlIndividual12/22/2025
1996 Revocable Trust of Charles F Hardy IIIAdp of the SNFOrganization05/24/2024
1996 Revocable Trust of Patricia HardyAdp of the SNFOrganization05/24/2024
Forvis Mazars LLPAdp of the SNFOrganization02/01/2024
Heritage Hills Nursing PropertiesAdp of the SNFOrganization05/24/2024
Anderson, WilliamAdp of the SNFIndividual04/01/2024
Hardy, CharlesAdp of the SNFIndividual01/01/1993
Hardy, PatriciaAdp of the SNFIndividual01/01/1993
Nystrom, AshlieAdp of the SNFIndividual12/22/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 14 problems in this area, most recently on November 24, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 11 problems in this area, most recently on June 9, 2026: "Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on November 24, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on August 10, 2023: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.30 hours per resident per day, below the Oklahoma average of 3.44.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Oklahoma contacts for a concern about a nursing home

These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.

Common questions

What is Heritage Hills Living & Rehabilitation Center's Medicare star rating?
CMS rates Heritage Hills Living & Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heritage Hills Living & Rehabilitation Center get at its last inspection?
8 health deficiencies at the standard inspection on October 31, 2024. The Oklahoma average is 6.4.
Has Heritage Hills Living & Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $73,288 in the last three years.
Does Heritage Hills Living & Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Heritage Hills Living & Rehabilitation Center?
CMS lists 16 owners and managers. Legal business name: HERITAGE HILLS NURSING CENTER INC.

Sources

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