710 No Ruddle Road, Blytheville, AR 72316 · Mississippi County · (870) 763-3654
86 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045366 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 8, 2025, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).
Of 16 health citations since December 2022, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $7,913 in the last three years; the largest was $7,913, and the latest is dated May 8, 2025.
Nurses and nurse aides worked 3.76 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.
47.9% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
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.
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 16 health citations on file.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to document and complete a person-centered care plan to facilitate the ability to plan and provide necessary care and services for one (Resident #72) of one resident, whose comprehensive care plan was reviewed. Specifically, the facility failed to develop a comprehensive care plan that was correct for Resident #72 for restraints.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to monitor and supervise severely cognitively impaired residents and ensure exit door codes were secured to prevent elopement for one (Resident 46) of three residents reviewed for wandering/elopement. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.25 (Quality of Care) at a scope and severity of J. The IJ began on 6/29/2024 at approximately 8:10 pm, when Resident #46 used a door code provided by facility staff to exit the facility without staff knowledge and travel unattended down a nearby street to a point approximately 250 feet away. [...]
Inspectors wroteBased on observation and interview, the facility failed to ensure the walls were free of scrapes, blotchy and/or missing paint, and that the floors were clean and free of dead insects (roaches).
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure facial hair was removed from 1 (Resident #1) of 7 sampled residents who were dependent on staff for shaving; failed to provide nail care for 2 (Residents #39 and #61) of 28 sampled residents who were dependent on staff for nail care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician orders and maintain oxygen concentrations in accordance with physician orders for one (Resident #21) of 8 sampled residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen use was included on the plan of care for 1 (Resident #21) of 1 sampled resident.
Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure the privacy and confidentiality of residents' medical records was maintained on 2 of 3 wings of the facility. Observations revealed residents' personal health information (PHI) was not kept secure when computers containing the resident's electronic health record (EHR) were on and the screens were not locked when staff were not present.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents fingernails were cleaned and trimmed to promote good personal hygiene and grooming for 2 (Residents #49 and #16) of 4 (Residents #15, #16, #47 and #49) sampled residents who were dependent on staff for nail care.
Inspectors wroteBased on observations, record reviews, interviews, and facility policy review, the facility failed to ensure the medication error rate was not 5% or greater. Observations revealed there were 3 medication errors out of 28 opportunities for error observed for 3 (Resident #4, Resident #23, and Resident #26) of 3 residents, which resulted in a medication error rate of 10.71%.
Inspectors wroteBased on record review and interview, the facility failed to ensure three partially vaccinated staff members completed their primary vaccination series in 60 days to prevent the potential spread of COVID-19. This failed practice had the potential to effect 64 residents according to the Resident Matrix provided by the Administrator on 12/19/22 at 11:05 AM.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to develop a comprehensive person-centered care plan for 2 (Resident #24 and Resident #66) of 19 residents whose comprehensive care plans were reviewed. Specifically, the facility failed to develop a comprehensive care plan for Resident #24 to prevent pressure ulcers, which resulted in Resident #24 developing a pressure ulcer to a lower extremity. The facility failed to ensure the diagnoses of schizoaffective disorder, depression, long-term use of anticoagulants, pain, and edema were also addressed in Resident #24's care plan. Also, the facility failed to develop a care plan to address hospice services for Resident #66.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a Peripherally Inserted Central Catheter (PICC) line dressing was changed weekly to prevent the potential for infection for 1 (Resident #49) of 1 sampled resident who had a PICC line in the last three months.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure care and services were provided to prevent new pressure ulcer development for 1 (Resident #24) of 3 residents reviewed for pressure ulcers and/or skin concerns. Specifically, the facility failed to monitor the resident's skin on the resident's right heel after the resident verbalized complaints of pain to the heel, and the resident developed a stage 3 pressure ulcer to the right outer heel.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident performed safe practices while smoking and tobacco was stored and locked up to prevent potential injury for 1 (Resident #37) of 3 (Resident #24, #30 and #37) sampled residents who smoked.
Inspectors wroteBased on observations, interviews, and facility policy review, the facility failed to ensure medications were locked and secured properly on 1 of 2 medication carts reviewed for medication storage.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, it was determined that the facility failed to ensure medical records were accurate for 1 (Resident #66) of 1 residents reviewed for tracheostomy care. Observations and record review revealed Resident #66 had a tracheostomy, but a review of the record revealed no physician's order for the care of the tracheostomy.
11 fire safety citations on file: 2 on May 8, 2025, 2 on March 14, 2024, 7 on December 21, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| May 8, 2025 | Fine | $7,913 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.76 | 4.02 | 3.86 |
| Registered nurses | 0.26 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.45 | 3.42 |
| Nurse aides | 2.61 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 47.9% | 49.5% | 45.8% |
| Registered nurse turnover | 57.1% | 44.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 2.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.00 on weekdays and 3.17 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.76 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 | 3.76 | 0.26 | 4.00 | 3.17 | 0.4% | 0 of 90 | 76 |
| Oct to Dec 2025 | 3.72 | 0.26 | 3.91 | 3.23 | 0.7% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.43 | 0.24 | 3.63 | 2.91 | 0.6% | 0 of 92 | 75 |
| Apr to Jun 2025 | 3.57 | 0.25 | 3.80 | 3.00 | 1.1% | 0 of 91 | 72 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arkansas, Jan to Mar 2026 | 4.05 | 0.40 | 4.28 | 3.47 | 2.0% | 0.1% 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Arkansas, all employers | |||
| CNAs (nursing assistants) | $16.55 | $14.52 to $17.34 | 17,260 |
| LPNs and LVNs | $27.22 | $23.82 to $29.43 | 10,010 |
| Registered nurses | $37.95 | $32.04 to $43.40 | 29,400 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Arkansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.0 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.9 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.6 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.1 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.7 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.7 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Heritage Square Healthcare Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Arkansas: 7 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 24 eligible stays.
11.0% this home
No different from the national rate
US median of homes 10.7% · Arkansas: 0 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 39 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Arkansas: 0 better, 7 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 24 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Arkansas64.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 12 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Arkansas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 17 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Arkansas2.7% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 17 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Arkansas98.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CHC HERITAGE SQUARE NURSING CENTER, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bwdv Holdings, LLC | 5% or greater direct ownership interest | Organization | 01/27/2021 | |
| Vann, David | 5% or greater direct ownership interest | Individual | 11/01/2018 | |
| Wright, Boyd | 5% or greater direct ownership interest | Individual | 11/01/2018 | |
| Wright, Blake | 5% or greater indirect ownership interest | Individual | 10% | 11/01/2018 |
| First Arkansas Bank and Trust | 5% or greater mortgage interest | Organization | 01/27/2021 | |
| Barker, David | Managing control - governing body | Individual | 04/04/2022 | |
| Smith, Philander | Managing control - governing body | Individual | 02/04/2025 | |
| Wilkes, Pamela | Managing control - governing body | Individual | 10/12/2021 | |
| Vann, David | Corporate officer | Individual | 11/01/2018 | |
| Wright, Blake | Corporate officer | Individual | 11/01/2018 | |
| Wright, Boyd | Corporate officer | Individual | 11/01/2018 | |
| Care Systems, LLC | Operational/managerial control | Organization | 11/01/2018 | |
| Credence Health Care, LLC | Operational/managerial control | Organization | 11/01/2018 | |
| Pharmacy Consults, LLC | Operational/managerial control | Organization | 11/01/2018 | |
| Barker, David | Operational/managerial control | Individual | 04/04/2022 | |
| Smith, Philander | Operational/managerial control | Individual | 02/04/2025 | |
| Wilkes, Pamela | Operational/managerial control | Individual | 10/12/2021 | |
| Bwdv Holdings, LLC | Adp of the SNF | Organization | 01/27/2021 | |
| Care Systems, LLC | Adp of the SNF | Organization | 04/09/2025 | |
| Credence Health Care, LLC | Adp of the SNF | Organization | 04/09/2025 | |
| First Arkansas Bank and Trust | Adp of the SNF | Organization | 01/27/2021 | |
| Pharmacy Consults, LLC | Adp of the SNF | Organization | 04/09/2025 | |
| Barker, David | Adp of the SNF | Individual | 04/04/2022 | |
| Hahn, Mark | Adp of the SNF | Individual | 11/01/2018 | |
| McGinnis, Larry | Adp of the SNF | Individual | 11/01/2018 | |
| Smith, Philander | Adp of the SNF | Individual | 02/04/2025 | |
| Vann, David | Adp of the SNF | Individual | 11/01/2018 | |
| Wilkes, Pamela | Adp of the SNF | Individual | 10/12/2021 | |
| Wright, Boyd | Adp of the SNF | Individual | 01/27/2021 |
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.
Chosen from this home's own inspection record.
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.