The facility operates with roughly half its required nursing staff, administrators admitted during a September complaint investigation. Where regulations call for 17 certified nurse aides and nine nurses during day shifts, the facility wasn't "even close to those numbers," Administrator told state inspectors.

Resident #6 described the daily reality of severe understaffing during a September 12 interview. They usually wait over an hour for help with a bedpan and sometimes have accidents. At night, they lie in wet beds because only one aide works the entire facility and "can't get to everyone."
The resident also misses activities they enjoy because insufficient staff means they can't get help getting out of bed.
Another resident requiring mechanical lift assistance confirmed the hour-long waits for bathroom help. They told inspectors that weekends are particularly brutal, calling conditions "nightmarish" when staffing drops even lower than weekday levels.
Director of Nursing acknowledged the facility hasn't maintained "ideal nursing staff" levels "in a very long time." Current minimum staffing falls far short of what residents need: four nurses and seven certified nurse aides during day and evening shifts, with three nurses and 4.5 aides overnight.
The nursing director admitted uncertainty about whether residents receive regular showers. Staff monitoring residents who need supervision while eating happens only "intermittently" by workers answering call lights and watching hallways between other duties.
"A nurse or Certified Nurse Aide could not realistically have a resident in sight at all times," the Director of Nursing told inspectors.
Resident #7, who can use the bathroom independently, watches their roommate endure the lengthy waits for assistance that have become routine throughout the facility.
The Administrator said Heritage Park tries offering staff incentives and hiring agency workers to fill gaps, but the facility still operates well below minimum safe staffing requirements mandated by state regulations.
The chronic understaffing affects every aspect of daily care. Residents who need two-person assistance for basic functions like using the bathroom face hour-long delays while a single aide tries to cover an entire nursing unit overnight. Those requiring supervision during meals get only occasional monitoring from staff juggling multiple responsibilities.
The facility depends on "ancillary staff" to help on nursing units, the Director of Nursing explained, though these workers aren't trained certified nurse aides.
For residents like #6, the staffing crisis means choosing between waiting over an hour for bathroom assistance or having accidents and then lying in wet bedding until morning. It means missing recreational activities that provide social interaction and mental stimulation because no staff members are available to help them get out of bed.
The September inspection documented violations affecting "many" residents at Heritage Park, where basic dignity and safety requirements go unmet due to the facility's failure to maintain adequate nursing staff levels.
State regulations require nursing homes to provide sufficient staffing to meet residents' needs for assistance with daily activities, medical care, and safety monitoring. Heritage Park's admission that it hasn't approached required staffing levels "in a while" represents a fundamental breakdown in meeting those obligations.
The Administrator's acknowledgment that the facility offers incentives and agency staff but remains "not even close" to required numbers suggests the staffing crisis has persisted despite management awareness of the problem.
Residents requiring the highest levels of assistance, including those needing mechanical lifts and two-person transfers, bear the greatest burden of the understaffing. Their hour-long waits for bathroom help represent not just inconvenience but potential health risks from delayed toileting and forced incontinence.
The overnight situation, with a single aide responsible for an entire facility, creates particularly dangerous conditions. Residents like #6 who have accidents must lie in wet bedding for hours, increasing risks of skin breakdown, infections, and other complications.
Heritage Park's staffing levels fall so far below requirements that basic care tasks like regular bathing have become uncertain. The Director of Nursing's admission of not knowing whether residents receive showers regularly indicates the crisis has reached levels where fundamental hygiene needs may go unmet.
The facility's reliance on untrained ancillary staff to assist with nursing duties raises additional safety concerns, as these workers lack the certification and training required for direct resident care responsibilities.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Heritage Park Rehab & Skilled Nursing from 2025-09-12 including all violations, facility responses, and corrective action plans.
Additional Resources
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