Federal inspection record · CMS data as of October 1, 2026
Heritage Gardens Health And Rehabilitation Center
700 Cherokee St, Oskaloosa, KS · (785) 863-2108
- Certified beds
- 60
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Recover-Care Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 10, 1994
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Heritage Gardens Health And Rehabilitation Center carries 67 inspection points. That is fewer than 46% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
42 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care17E
- E
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Rights11F
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Assure the security of all personal funds of residents deposited with the facility.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Infection Control4F
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning4D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service3E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
Nursing and Physician Services2F
- F
Observe each nurse aide's job performance and give regular training.
- C
Post nurse staffing information every day.
Nutrition and Dietary1E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspection history
2025-05-22
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-09-20
14 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2022-01-27
18 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 5 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
4 h 5 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.7 pts worse | 3.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse | 3.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts better | 94.3% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 96.6% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 2.4% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.6 pts better | 0.0% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 4.2% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication20.9 pts worse | 44.3% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.7 pts better | 7.0% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.5 pts worse | 20.0% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.6 pts worse | 31.0% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.7% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.8 pts better | 0.0% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.8 pts worse | 29.4% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 1.7% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13 pts worse | 64.1% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.9 pts worse | 12.3% | 11.4% | 11.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 26.0% | 22.3% | 23.4% |
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Who owns and runs it
32 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Akkulugari, Shyam | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Akkulugari, Shyam | Adp Of The SNF · Individual | 0% | 6 facilities |
| Bhnv 2 LLC | Indirect Ownership Interest · Organization | 0% | 14 facilities |
| Goldstein, Avrohom | Indirect Ownership Interest · Individual | 0% | 18 facilities |
| Halberstam, Miriam | Indirect Ownership Interest · Individual | 0% | 15 facilities |
| Halberstam, Moshe | Indirect Ownership Interest · Individual | 0% | 17 facilities |
| Hartman, Ashley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hartman, Ashley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kamna Holdings LLC | Indirect Ownership Interest · Organization | 0% | 15 facilities |
| Kansas SNF Holdings LLC | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Kansas SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Mad Family Holdings LLC | Indirect Ownership Interest · Organization | 0% | 31 facilities |
| Mad Family Holdings LLC | Adp Of The SNF · Organization | 0% | 31 facilities |
| Margulies, Zisha | Indirect Ownership Interest · Individual | 0% | 19 facilities |
| Margulies, Zisha | Operational/Managerial Control · Individual | 0% | 19 facilities |
| Midwest SNF Holdings LLC | Direct Ownership Interest · Organization | 0% | 15 facilities |
| Mrc SNF Management LLC | Operational/Managerial Control · Organization | 0% | 25 facilities |
| Mrc SNF Management LLC | Adp Of The SNF · Organization | 0% | 25 facilities |
| Mrcmm Ii LLC | Direct Ownership Interest · Organization | 0% | 11 facilities |
| Natr Trust | Indirect Ownership Interest · Organization | 0% | 31 facilities |
| Natr Trust | Adp Of The SNF · Organization | 0% | 31 facilities |
| Nzm Holdings LLC | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Rarmna Holdings LLC | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Rarmna Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Ratr Trust | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Ratr Trust | Adp Of The SNF · Organization | 0% | 30 facilities |
| Recover-Care Healthcare LLC | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Reynolds, Stephanie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rnr Holdings LLC | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Rnr Holdings LLC | Adp Of The SNF · Organization | 0% | 30 facilities |
| Wetr Trust | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Wetr Trust | Adp Of The SNF · Organization | 0% | 30 facilities |
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Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Have an enclosure around a vertical opening shaft.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Emergency Preparedness5F
- F
Establish an Emergency Preparedness Program (EP).
- F
Develop Emergency Preparedness policies and procedures.
- F
Develop a communication plan.
- F
Establish emergency prep training and testing.
- F
Include a process for Emergency Preparedness collaboration.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure proper usage of power strips and extension cords.
Egress3F
- F
Provide rooms that can be unlocked from inside without a key.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- F
Have elevators that firefighters can control in the event of a fire.
Construction1F
- F
Use approved construction type or materials.
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Other homes nearby
-
F W Huston Medical Center
Winchester, KS
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Valley Health Care Center
Valley Falls, KS · Midwest Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Easton Health Care Center
Easton, KS
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 21 min
- Fines
- $22,431