Home / Georgia / Saint Simons Island
Heritage Oaks
2255 Frederica Road, Saint Simons Island, GA 31522 · Glynn County · (912) 638-9988
125 certified beds, about 57 residents a day · Non profit - Other · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115582 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2026, inspectors cited 3 health deficiencies (the Georgia average is 5, the national average 9.2).
None of its 10 health citations since February 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.45 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.
41.4% of nursing staff left within the year CMS measured (Georgia average 46.0%).
CMS links it to Ethica Health, an affiliated group of 50 nursing homes.
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.
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 10 health citations on file.
April 16, 2026Standard inspection, Complaint inspection · 3 citations
- 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.
Inspectors wroteBased on observations, resident and staff interviews, and a review of the facility's policy titled Preventative Maintenance Schedules, the facility failed to repair the furniture in one of 43 rooms (room [ROOM NUMBER]) and failed to ensure a homelike environment in four additional rooms (Rooms 101, 102, 103, and 107). Identified issues included a broken bed footboard, cracked and taped windows, holes in walls, loose baseboards, rusty door jambs, a missing bathroom door, and stained ceilings and floors. These deficiencies increase the risk of infection and injury and do not support a safe, clean, and homelike environment. Findings Include:Review of the facility's policy titled Preventive Maintenance Schedules documented the following INTENT: [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, staff interviews, record review, and review of the facility's policy titled Patient's Plan of Care, the facility failed to develop or implement a comprehensive, person centered care plan for one of 33 sampled residents (R) (R3). This deficient practice had the potential to place R3 at risk for unmet needs, medical complications, and diminished quality of life. Findings Include:Review of the facility's policy titled Patient's Plan of Care documented the following GUIDELINE: Each patient will have a person-centered comprehensive care plan developed and implemented to address the patient's medical, physical, mental, and psychosocial needs while also honoring their preferences and goals. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, staff interviews, record review, and review of the facility's policy titled Medication Administration-General, the facility did not ensure that medication was administered as ordered by the medical provider for one resident (R7) of 33 sampled residents. This practice had the potential to place R7 at risk for a clogged gastrostomy tube, medical complications, worsening health conditions, and hospitalization. Findings Include:Review of the facility's policy titled, Medication Administration-General, effective date 04/15/2025 under GUIDELINE documented. Medications are administered in accordance with a valid prescriber order. If a medication order is unrelated to the patient's current diagnoses or condition (s), the prescriber is contacted for clarification prior to administration of the medication. [...]
April 2, 2025Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and review of the facility policy titled, Storage Areas, the facility failed to ensure food was not expired, were properly labeled and dated, and were properly sealed in accordance with professional standards for food service safety as required for 52 census residents who received an oral diet. These failures had the potential to lead to food-borne illness among all facility residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, interviews, record review, and review of the facility policy titled, Skilled Nursing Services, Validation of Record Entries/Legal Documentation, the facility failed to apply a physician ordered neck brace displayed on the Treatment Administration Record (TAR) for one of one resident (Resident (R) 48) of 22 sample residents. This failure to apply R48's neck brace could result in further damage to her neck.
February 5, 2023Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and review of facility policies titled, Food and Nutrition, and Cleaning and Sanitizing the facility failed to maintain a clean and sanitary kitchen. The facility also failed to ensure that the ice machine in the main kitchen was clean and sanitized. Specifically, the facility failed to ensure that the deep fryer, floor, stainless steel counter, and oven were clean and sanitized on a routine basis. The deficient practice had the potential to affect 58 out of 58 residents receiving an oral diet. Findings Include: Review of facility policy titled, Food & Nutrition dated November 2016 under; Sanitary Conditions four (4). store, prepare, distribute, and serve food under sanitary conditions. Review of undated facility policy titled, Cleaning and Sanitizing under Procedures: b. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, and staff interviews the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for one of 22 sampled residents (R) (R#15). Specifically, the facility failed to ensure that quarterly assessment dated [DATE] accurately captured residents' use of a Foley catheter.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review, observations, staff interviews and review of the facility policy titled Admissions/Transfer/Discharge, the facility failed to apply for Level two (2) PASRR (Preadmission Screening and Resident Review) for evaluation and determination of specialized services for one of nine residents (R) (R#36) that had a positive Level I PASRR for mental illness and diagnoses of bipolar disorder, prior to and on admission to the facility. The deficient practice had the potential to affect R#36 psychological overall health by not providing warranted psychological services.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, and resident and staff interviews, the facility failed to ensure that one of four residents (R) (R#49) was supervised by licensed staff while consuming medications prescribed by physician. Specifically, R#49 had two white round pills, one pink oblong capsule, and one small round pink pill on the overbed table consuming them independently without licensed staff supervision.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on record review, observations, staff interviews, and review of the facility policy titled, Indwelling Catheter Insertion/Removal the failed to ensure that one of one resident (R) (R#15), Foley catheter was placed in a privacy bag and not visible to visitors and residents. The facility also failed to ensure that R#15 had a medical diagnosis for use of catheter and that the physicians order accurately identified the catheter size for use. The deficient practice had the potential to affect the adequate bladder functioning and elimination for R#15.
Fire safety inspections
17 fire safety citations on file: 6 on April 16, 2026, 3 on April 2, 2025, 8 on February 5, 2023.
Every fire safety citation17 citations
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Have properly installed electrical wiring and gas equipment.
- D Have an enclosure around a vertical opening shaft.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly located and lighted "Exit" signs.
- D Install a fire alarm system that can be heard throughout the facility.
- D Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have an enclosure around a vertical opening shaft.
- D Install a fire alarm system that can be heard throughout the facility.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of highly flammable decorations.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Georgia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.45 | 3.56 | 3.86 |
| Registered nurses | 0.77 | 0.50 | 0.69 |
| All nursing staff on weekends | 2.90 | 3.10 | 3.42 |
| Nurse aides | 1.69 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 41.4% | 46.0% | 45.8% |
| Registered nurse turnover | 33.3% | 44.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.27 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 3.68 on weekdays and 2.90 on weekends, 21% lower 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 3.82 in April to June 2025 to 3.45 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.45 | 0.77 | 3.68 | 2.90 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 3.65 | 0.64 | 3.83 | 3.20 | 0.0% | 0 of 92 | 57 |
| Jul to Sep 2025 | 3.62 | 0.56 | 3.83 | 3.08 | 0.0% | 0 of 92 | 59 |
| Apr to Jun 2025 | 3.82 | 0.70 | 4.10 | 3.11 | 0.0% | 0 of 91 | 53 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Georgia, Jan to Mar 2026 | 3.50 | 0.46 | 3.68 | 3.03 | 3.3% | 0.6% 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.
| Measure | This home | Georgia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.3 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 2.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.2 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.0 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.8 | 19.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.0 | 25.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.4 | 11.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.9 | 1.8 |
Owners and operators
Legal business name: GLYNN COUNTY HEALTHCARE LLC. CMS links this home to Ethica Health, a group of 50 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Community Health Systems Inc | Direct ownership interest | Organization | 12/31/2009 | |
| Health Scholarships Inc | Direct ownership interest | Organization | 03/01/2025 | |
| Cable, Paul | Managing control - governing body | Individual | 03/01/2025 | |
| Dennis, Kathryn | Managing control - governing body | Individual | 03/01/2025 | |
| Moody, Teresa | Managing control - governing body | Individual | 03/01/2025 | |
| Nichols, Joseph | Managing control - governing body | Individual | 03/01/2025 | |
| Rollins, Ronnie | Managing control - governing body | Individual | 03/01/2025 | |
| Sheffield, Kimberly | Managing control - governing body | Individual | 09/06/2022 | |
| Wall, Joseph | Managing control - governing body | Individual | 03/01/2025 | |
| Warnock, Ralph | Managing control - governing body | Individual | 03/01/2026 | |
| Cable, Paul | Corporate director | Individual | 03/01/2025 | |
| Dennis, Kathryn | Corporate director | Individual | 03/01/2025 | |
| Nichols, Joseph | Corporate director | Individual | 03/01/2025 | |
| Rollins, Ronnie | Corporate director | Individual | 03/01/2025 | |
| Wall, Joseph | Corporate director | Individual | 03/01/2025 | |
| Warnock, Ralph | Corporate director | Individual | 03/01/2026 | |
| Moody, Teresa | Corporate officer | Individual | 03/01/2025 | |
| Sheffield, Kimberly | Corporate officer | Individual | 09/06/2022 | |
| Clinical Services Inc | Operational/managerial control | Organization | 03/01/2025 | |
| Crisp, Jacqueline | Operational/managerial control | Individual | 03/01/2025 | |
| Hodges, Kimberly | Operational/managerial control | Individual | 03/01/2025 | |
| Lyons, Chele | Operational/managerial control | Individual | 03/01/2025 | |
| Clinical Services Inc | Adp of the SNF | Organization | 03/01/2025 | |
| Community Ancillary Services Inc | Adp of the SNF | Organization | 03/01/2025 | |
| Community Health Systems Inc | Adp of the SNF | Organization | 04/19/2026 | |
| Community Primary Care of Georgia LLC | Adp of the SNF | Organization | 03/01/2025 | |
| Systems Administrative Services LLC | Adp of the SNF | Organization | 03/01/2025 | |
| Crisp, Jacqueline | Adp of the SNF | Individual | 04/07/2026 | |
| Patel, Maulikkumar | Adp of the SNF | Individual | 03/01/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 16, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 2, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 2, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 16, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.90 hours per resident per day, below the Georgia average of 3.10.
Other nursing homes nearby
- Marsh's Edge Saint Simons Island, 3.8 mi · 5 of 5 stars · 2 citations
- Senior Care Center - Brunswick Brunswick, 5.9 mi · 1 of 5 stars · 38 citations
- Gracemore Nursing and Rehab Brunswick, 6.4 mi · 5 of 5 stars · 9 citations
- Sears Manor Nursing Home Brunswick, 6.6 mi · 2 of 5 stars · 20 citations
Georgia contacts for a concern about a nursing home
These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Georgia Department of Community Health, Healthcare Facility Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Georgia Long-Term Care Ombudsman Program, 1-866-552-4464. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: GaMap2Care, Find a Facility, where Georgia publishes its own records on licensed homes.
Common questions
- What is Heritage Oaks's Medicare star rating?
- CMS rates Heritage Oaks 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Oaks get at its last inspection?
- 3 health deficiencies at the standard inspection on April 16, 2026. The Georgia average is 5.
- Has Heritage Oaks been fined?
- CMS lists no fines in the last three years.
- Does Heritage Oaks 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 Oaks?
- CMS lists 29 owners and managers, and links the home to Ethica Health. Legal business name: GLYNN COUNTY HEALTHCARE LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.