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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