Heritage Hall Nursing Center
HERITAGE HALL NURSING CENTER in CENTRALIA, MO — inspection on November 6, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident #4's Quarterly MDS, dated [DATE], 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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.