Heritage The
HERITAGE THE in FINDLAY, OH — inspection on February 25, 2026.
Found 6 citations. 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
(injury/decline/room, etc.) that affect the resident.
medical record review, staff interviews, and facility policy review, the facility failed to notify the
change in condition.
The facility census was 81.Findings include:
Record review for Resident #10 revealed the resident was admitted to the facility on [DATE] and expired on [DATE].
Diagnoses included Alzheimer's disease and memory deficit following cerebral infarction.Review of a Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #10 had impaired cognition evidenced by a Brief Interview for Mental Status (BIMS) score of nine (9).
The resident was assessed to require supervision with toileting, bathing, and dressing, was frequently incontinent of bladder and bowel, and had no skin issues.Review of progress notes dated [DATE] at 1:20 P.M. revealed Registered Nurse (RN) #131 documented Resident #10 was not acting like herself, not eating, getting up, or using the restroom. RN #131 contacted Resident #10's daughter and offered to send her to the emergency room, and the daughter decline at that time.
There was no evidence the facility notified the facility of the resident's change in condition.
Further review revealed on [DATE] at 2:26 P.M., Resident #10 was transferred to emergency room without physician notification.Interview on [DATE] at 5:50 P.M. with Regional Nurse #128 verified the physician was not notified of change of condition for Resident #10.Review of facility policy titled, Notification of Change in Condition, dated [DATE], revealed a significant change in a resident's physical, mental, or psychosocial status results in reasons to notify the physician immediately.This deficiency represents non-compliance investigated under Complaint Number 2731910.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
365541 02/25/2026
Heritage The 2820 Greenacre Dr Findlay, OH 45840
Review of the undated facility policy titled, Standard Operate Procedure (SOP)-Room Cleaning-Health Center, revealed daily cleaning include organize, trash pickup and dusting, spraying approved disinfectants, wipe surfaces clean, and vacuum room, and mop bathroom.This deficiency represents non-compliance investigated under Complaint Number 2731910.
365541 02/25/2026
Heritage The 2820 Greenacre Dr Findlay, OH 45840
catheter care, and appropriate care to prevent urinary tract infections.
observation, medical record review, staff interview, and review of a facility policy, the facility failed
for urinary catheters.Findings include:
Review of the medical record for Resident #12 revealed he was admitted on [DATE] with diagnoses including hereditary spastic paraplegia, chronic obstructive pulmonary disease, heart disease, cough, wheezing, shortness of breath, malignant neoplasm of bladder, and suprapubic urostomy.Review of a functional assessment dated [DATE] revealed Resident #12 required set-up to partial assistance with activities of daily living, utilized a motorized wheelchair, and was independent with mobility.
Review an admission note dated 02/08/26 for Resident #12 revealed he was alert and oriented.Observation on 02/25/26 at 9:00 A.M. of Resident #12's urinary catheter bag revealed it was round, taut, and full of yellow liquid.Interview on 02/25/26 at 9:10 A.M. with Certified Nurse Aide (CNA) #138 confirmed Resident #12's urinary catheter bag was round, taut, and filled with urine.
Subsequent observation of CNA #138 emptying the urinary catheter bag revealed 3,000 milliliters (mL) of urine was emptied from the bag.
Review of the manufacturer's label for Resident #12's urinary catheter bag revealed the capacity of the bag was 2,000 mL.Review of facility policy dated 12/16/24 and titled, Emptying Urinary Bags, revealed the facility would empty urinary catheter bags each shift or more often if needed to prevent the bag from becoming full.This deficiency represents non-compliance investigated under Complaint Number 2752534.
365541 02/25/2026
Heritage The 2820 Greenacre Dr Findlay, OH 45840
Review of facility policy titled, Respiratory Equipment, dated 05/11/16, revealed to change the
plastic bag when not used.
Review of facility policy dated 12/13/24 and titled, Administration of Oxygen, revealed the facility would date oxygen tubing and administer oxygen according to physician orders.
This deficiency represents non-compliance investigated under Complaint Number 2752534 and Complaint Number 2731910.
365541 02/25/2026
Heritage The 2820 Greenacre Dr Findlay, OH 45840
Further review of this policy revealed the facility would maintain accurately documented clinical
This deficiency represents non-compliance investigated under Complaint Number 2731910.
365541 02/25/2026
Heritage The 2820 Greenacre Dr Findlay, OH 45840
Review of the medical record for Resident #59 revealed she was admitted on [DATE] with diagnoses including type two diabetes mellitus, metabolic encephalopathy, urogenital implants, and hydronephrosis.Review of the quarterly MDS assessment dated [DATE] revealed Resident #59 was cognitively impaired and did not display any behaviors at the time of the assessment.
She utilized a wheelchair independently, was dependent for transfers, and required substantial assistance with activities of daily living.
The assessment indicated Resident #59 utilized a urinary catheter for management of neurogenic bladder.Observation on 02/23/26 at 3:00 P.M. of Resident #59 in her wheelchair in the dining room while participating in activities revealed her urinary catheter bag was on the floor lodged under the small front right wheel of her wheelchair.Interview on 02/23/26 at 3:02 P.M. with LPN #142 confirmed Resident #59's urinary catheter bag was on the floor lodged under the small front right wheel of her wheelchair.
Subsequent observation revealed LPN #142 removed the urinary catheter bag from under the wheel and placed the urinary catheter bag under Resident #59's wheelchair, with half of the urinary catheter bag touching the floor. LPN #142 verbally confirmed Resident #59's wheelchair was low, the urinary catheter bag was on the floor, and there was currently no feasible option to hang the urinary catheter bag on the chair to provide placement both below the bladder and off the floor.Observation on 02/23/26 at 3:20 P.M. of Resident #59 in her wheelchair at the nurses' desk in the back of the facility revealed her urinary catheter bag was lying on the floor under her wheelchair.
Review of the manufacturer's label for Resident #59's urinary catheter bag revealed the bag should not be on the floor.Review of facility policy dated 12/16/26 and titled, Emptying Urinary Bags, revealed the facility would keep urinary catheter bags off the floor to prevent damage and contamination.This deficiency represents an incidental finding discovered during the complaint survey.