Atlantic, IA

Heritage House

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1200 Brookridge Circle, Atlantic, IA

(712) 243-1850

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

61

Certified beds

Average residents

57

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wesleylife

Operator or chain grouping

Approved since

2005-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.80

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.12

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.32

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.69

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

4.88

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,169

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

51.30

Composite VBP score used to determine payment impact.

Payment multiplier

1.0056

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.38

Performance 18.48% · Measure score 6.38 · Achievement 6.38 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

3.37

Baseline 6.38% · Performance 6.83% · Measure score 3.37 · Achievement 3.37 · Improvement 0

Total nurse turnover

3.97

Baseline 37.50% · Performance 47.44% · Measure score 3.97 · Achievement 3.97 · Improvement 0

Adjusted total nurse staffing

6.81

Baseline 3.78 hours · Performance 5.01 hours · Measure score 6.81 · Achievement 6.81 · Improvement 5.67

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.54%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 117 · Observed rate 5.98% · Lower 95% interval 6.72%
Discharge to community	39.85%	50.57% 10.7 pts worse	Worse than the National Rate · Eligible stays 96 · Observed rate 36.46% · Lower 95% interval 33.18%
Medicare spending per beneficiary	0.69	1.02 0.3 pts better
Drug regimen review with follow-up	79.59%	95.27% 15.7 pts worse	Numerator 39 · Denominator 49
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 49
Discharge self-care score	50%	53.69% 3.7 pts worse	Numerator 22 · Denominator 44
Discharge mobility score	38.64%	50.94% 12.3 pts worse	Numerator 17 · Denominator 44
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 49 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.83%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 63 · Observed rate 4.76% · Lower 95% interval 3.54%
Staff COVID-19 vaccination coverage	3.15%	8.2% 5 pts worse	Numerator 4 · Denominator 127
Staff flu vaccination coverage	33.56%	42% 8.4 pts worse	Numerator 49 · Denominator 146
Discharge function score	59.09%	56.45% 2.6 pts better	Numerator 26 · Denominator 44
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 26 · Denominator 26
Resident COVID-19 vaccinations up to date	20%	25.2% 5.2 pts worse	Numerator 4 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.5 0.2 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.6%	94.0% 3.4 pts worse	93.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 77.8% · Q3 95.7% · Q4 87.8% · 4Q avg 90.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.7% 1.1 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 0.0% · Q3 2.1% · Q4 2.0% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.4%	4.0% 2.4 pts worse	11.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.1% · Q3 2.3% · Q4 14.0% · 4Q avg 6.4%
Percentage of long-stay residents who lose too much weight	3.1%	4.9% 1.8 pts better	5.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.1% · Q3 2.4% · Q4 0.0% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.1%	20.6% 4.5 pts better	19.6% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 15.0% · Q3 14.3% · Q4 18.2% · 4Q avg 16.1%
Percentage of long-stay residents who received an antipsychotic medication	18.2%	19.8% 1.6 pts better	16.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 18.8% · Q3 12.1% · Q4 17.1% · 4Q avg 18.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.8%	18.5% 0.3 pts worse	16.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 22.6% · Q3 11.3% · Q4 14.1% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.5%	18.3% 0.8 pts better	14.9% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 17.9% · Q3 14.3% · Q4 18.2% · 4Q avg 17.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.2%	2.5% 0.7 pts worse	1.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 4.3% · Q4 4.3% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.6%	26.0% 3.6 pts worse	19.8% 9.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 35.3% · Q3 29.3% · Q4 23.7% · 4Q avg 29.6%
Percentage of long-stay residents with pressure ulcers	3.8%	4.3% 0.5 pts better	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 6.6% · Q4 4.5% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.6%	84.3% 14.7 pts worse	81.7% 12.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 68.6% · Q3 66.7% · Q4 52.8% · 4Q avg 69.6%
Percentage of short-stay residents who had an outpatient emergency department visit	9.3%	13.1% 3.8 pts better	12.0% 2.7 pts better	Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 8.1% · Expected 9.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.9% 1 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q4 5.0% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	57.1%	73.3% 16.2 pts worse	79.7% 22.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 57.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	0.0%	21.3% 21.3 pts better	23.9% 23.9 pts better	Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 15.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

4 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-10-10 · Fire 2024-10-10

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-08-10 · Fire 2023-08-10

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-11

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-09-16

F · Potential for more than minimal harm 2025-09-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-09-16

E · Potential for more than minimal harm 2025-09-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-11

E · Potential for more than minimal harm 2025-09-11

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-09-11

F · Potential for more than minimal harm 2024-10-10

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-11-17

F · Potential for more than minimal harm 2024-10-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-17

D · Potential for more than minimal harm 2024-10-10

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-11-17

F · Potential for more than minimal harm 2023-08-10

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-08-30

F · Potential for more than minimal harm 2023-08-10

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-08-24

F · Potential for more than minimal harm 2023-08-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-08-24

D · Potential for more than minimal harm 2023-08-10

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-08-24

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-11

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-10-01

E · Potential for more than minimal harm 2025-09-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-11

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-01

E · Potential for more than minimal harm 2023-08-10

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-09-10

E · Potential for more than minimal harm 2023-08-10

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2023-09-10

E · Potential for more than minimal harm 2023-08-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-09-10

Penalties and ownership

What sits behind the stars

Ownership

Wesleylife

5% Or Greater Direct Ownership Interest · Organization

100% 10 facilities 2010-09-21

Albertson, Kermit