Nursing homeActive
Heritage Gardens Health And Rehabilitation Center
700 Cherokee St, Oskaloosa, KS 66066785863210860 certified beds · 55 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
42
● 1● 41● 0
Penalties · 3 yrs
$13,056
1 fine
Last survey
2025-05-22
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-05-22 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2023-11-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-20 | Standard | 1130 | CMS-2567 (Care Compare) | — |
| 2022-01-27 | Standard | 0170 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F628
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F695
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F744
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F804
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-19Record 175333-20250522-F883
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 175333-20231106-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F550
F575Post 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.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F575
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F582
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F686
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F690
F730Observe each nurse aide's job performance and give regular training.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F730
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F744
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 175333-20230920-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2023-10-27Record 175333-20230920-F732
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F550
F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F559
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F570
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F576
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F582
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F689
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F740
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F757
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F760
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F761
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-02-22Record 175333-20220127-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-10-03 | Civil money penalty | $13,056 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.68
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day3.84
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours3.48
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover55%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover20%
Facility
Kansas
National
Kansas 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.9% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.9% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.7% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 29.8% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.7% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 43.6% | 23.2% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Akkulugari, Shyam Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hartman, Ashley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Margulies, Zisha Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mrc SNF Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Reynolds, Stephanie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Akkulugari, Shyam Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bhnv 2 LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Goldstein, Avrohom Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Halberstam, Miriam Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Halberstam, Moshe Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Hartman, Ashley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kamna Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kansas SNF Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kansas SNF Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mad Family Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mad Family Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Margulies, Zisha Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Midwest SNF Holdings LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mrc SNF Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mrcmm II LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Natr Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Natr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nzm Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rarmna Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rarmna Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ratr Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ratr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Recover-Care Healthcare LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rnr Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rnr Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wetr Trust Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Wetr Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Recover-Care Healthcare — 27 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.
No county cost figures on file for Jefferson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| F W Huston Medical Center Winchester | 8.0 mi | 2025-08-12 | 1150 |
| Valley Health Care Center Valley Falls | 11.5 mi | 2025-04-09 | 040 |
| Nortonville Health Care Center Nortonville | 14.0 mi | 2026-01-14 | 15112 |
| Easton Health Care Center Easton | 13.7 mi | 2026-01-13 | 2253 |
| Lawrence Memorial Hospital SNF Lawrence | 16.6 mi | 2024-10-14 | 170 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |