Heritage Hall Nursing Center
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
09/27/25, Triamcinolone Acetonide External Cream 0.1 percent on 09/15/25, 09/21/25, 09/23/25 and 09/27/25 as directed.Review of the residents POS, dated October 2025, showed staff were to apply ace wraps for edema two times a day, and Triamcinolone Acetonide External Cream 0.1 percent two times a day.Review of the resident's TAR, dated October 2025, did not contain documentation staff completed the resident's treatments as directed for Ace wraps on 10/11/25 and Triamcinolone Acetonide External Cream 0.1 percent on 10/08/25 as directed.During an interview on 11/06/25 at 10:23 A.M., the resident said he/she often does not get treatments on his/her legs even after he/she asks staff.5. Review of Resident #4's Quarterly MDS, dated [DATE REDACTED], showed staff assessed the resident as cognitively intact with diagnoses of stroke, edema, and wounds.Review of the residents POS, dated August 2025, showed staff were directed to apply ace wraps for edema and remove at bedtime one time a day.Review of the resident's TAR, dated August 2025, did not contain documentation staff completed the resident's treatments for ace wraps on 08/16/25 as directed.Review of the residents POS, dated September 2025, showed staff were directed to cleanse wound to the right foot great toe wound with wound cleanser, pat dry, and apply Sorbact (wound dressing) ribbon, gauze, and secure with tape one time a day and apply ace wraps for edema and remove at bed time one time a day.Review of the resident's TAR, dated September 2025 ,showed staff did not document they completed the resident's treatments for cleanse wound with wound cleaner, pat dry, and apply Sorbact ribbon, gauze, and secure with tape on 09/25/25 and ace wraps on 09/06/25, 09/13/25 and 09/27/25 as directed.Review of the residents POS, dated October 2025, showed staff were directed to apply ace wraps for edema and remove at bed time one time a day.Review of the resident's TAR, dated October 2025, showed staff did not document they completed the resident's treatments for ace wraps on 10/04/25 and 10/22/25 as directed.5. During an interview on 11/6/25 at 12:31 P.M., the administrator said all treatments are to be documented in the TAR in the facilities electronic health records program. He/She said if it's not documented then it wasn't done. He/She said he/she was not sure why treatments were not documented, and staff that have not documented should be written up for not following the policy.During an
interview on 11/6/25 at 12:49 P.M., the Director of Nursing (DON) said he/she expects all treatments to be documented, if for some reason a treatment was not given, the expectation is to document why the treatment was not done. He/She said he/she does not know why staff are not documenting treatments.
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HERITAGE HALL NURSING CENTER in CENTRALIA, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CENTRALIA, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HERITAGE HALL NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.