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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

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5

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.

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 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
2F
Potential for minimal harm
0A
0B
0C
April 16, 2026Standard inspection, Complaint inspection · 3 citations
  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) May 31, 2026
    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: [...]
  2. 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) May 31, 2026
    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. [...]
  3. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2026
    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
  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) May 17, 2025
    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.
  2. D
    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, isolated · Corrected (the home has a date of correction) May 17, 2025
    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
  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) March 22, 2023
    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. [...]
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2023
    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.
  3. 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) March 22, 2023
    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.
  4. 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) March 22, 2023
    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.
  5. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2023
    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
  1. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · April 16, 2026 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 16, 2026 · Corrected (the home has a date of correction)
  3. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 16, 2026 · Corrected (the home has a date of correction)
  4. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 16, 2026 · Corrected (the home has a date of correction)
  5. D
    Have an enclosure around a vertical opening shaft.
    K 311 · April 16, 2026 · Corrected (the home has a date of correction)
  6. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 16, 2026 · Corrected (the home has a date of correction)
  7. D
    Have properly located and lighted "Exit" signs.
    K 293 · April 2, 2025 · Corrected (the home has a date of correction)
  8. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · April 2, 2025 · Corrected (the home has a date of correction)
  9. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 2, 2025 · Corrected (the home has a date of correction)
  10. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 5, 2023 · Corrected (the home has a date of correction)
  11. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 5, 2023 · Corrected (the home has a date of correction)
  12. D
    Have an enclosure around a vertical opening shaft.
    K 311 · February 5, 2023 · Corrected (the home has a date of correction)
  13. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 5, 2023 · Corrected (the home has a date of correction)
  14. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 5, 2023 · Corrected (the home has a date of correction)
  15. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 5, 2023 · Corrected (the home has a date of correction)
  16. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 5, 2023 · Corrected (the home has a date of correction)
  17. D
    Have restrictions on the use of highly flammable decorations.
    K 753 · February 5, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeGeorgiaUnited States
All nursing staff (RN, LPN and aides)3.453.563.86
Registered nurses0.770.500.69
All nursing staff on weekends2.903.103.42
Nurse aides1.69
Licensed practical nurses0.99
Nursing staff turnover (share who left in a year)41.4%46.0%45.8%
Registered nurse turnover33.3%44.5%42.9%
Administrators who left0

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.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.450.773.682.90 0.0%0 of 9057
Oct to Dec 20253.650.643.833.20 0.0%0 of 9257
Jul to Sep 20253.620.563.833.08 0.0%0 of 9259
Apr to Jun 20253.820.704.103.11 0.0%0 of 9153
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Georgia, Jan to Mar 20263.500.463.683.033.3%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.

MeasureThis homeGeorgiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.315.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.02.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.82.61.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.215.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.05.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.819.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.025.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.411.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.91.8

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.

NameRoleTypeShareSince
Community Health Systems IncDirect ownership interestOrganization12/31/2009
Health Scholarships IncDirect ownership interestOrganization03/01/2025
Cable, PaulManaging control - governing bodyIndividual03/01/2025
Dennis, KathrynManaging control - governing bodyIndividual03/01/2025
Moody, TeresaManaging control - governing bodyIndividual03/01/2025
Nichols, JosephManaging control - governing bodyIndividual03/01/2025
Rollins, RonnieManaging control - governing bodyIndividual03/01/2025
Sheffield, KimberlyManaging control - governing bodyIndividual09/06/2022
Wall, JosephManaging control - governing bodyIndividual03/01/2025
Warnock, RalphManaging control - governing bodyIndividual03/01/2026
Cable, PaulCorporate directorIndividual03/01/2025
Dennis, KathrynCorporate directorIndividual03/01/2025
Nichols, JosephCorporate directorIndividual03/01/2025
Rollins, RonnieCorporate directorIndividual03/01/2025
Wall, JosephCorporate directorIndividual03/01/2025
Warnock, RalphCorporate directorIndividual03/01/2026
Moody, TeresaCorporate officerIndividual03/01/2025
Sheffield, KimberlyCorporate officerIndividual09/06/2022
Clinical Services IncOperational/managerial controlOrganization03/01/2025
Crisp, JacquelineOperational/managerial controlIndividual03/01/2025
Hodges, KimberlyOperational/managerial controlIndividual03/01/2025
Lyons, CheleOperational/managerial controlIndividual03/01/2025
Clinical Services IncAdp of the SNFOrganization03/01/2025
Community Ancillary Services IncAdp of the SNFOrganization03/01/2025
Community Health Systems IncAdp of the SNFOrganization04/19/2026
Community Primary Care of Georgia LLCAdp of the SNFOrganization03/01/2025
Systems Administrative Services LLCAdp of the SNFOrganization03/01/2025
Crisp, JacquelineAdp of the SNFIndividual04/07/2026
Patel, MaulikkumarAdp of the SNFIndividual03/01/2025

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.

  1. 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."
  2. 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."
  3. 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."
  4. 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."
  5. 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

Georgia contacts for a concern about a nursing home

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

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

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