Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Heritage House

Atlantic, IA · 61 certified beds · Last Life Safety survey September 11, 2025

CMS Certification Number 165561 · first certified October 2005

Ownership

Operated by WESLEYLIFE · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within IA

12 citations — more than 47% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to October 2026. This facility’s last Life Safety survey was September 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility12IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0842024-1042025-09
Citations at each Life Safety survey
Survey dateCitations
August 10, 20234
October 10, 20244
September 11, 20254

Most-cited tags

Most-cited tags at this facility
K-07123K-03543K-03411K-07111K-09231K-03721K-03531K-02811
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32025-09-11
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.32025-09-11
K-0341Install a fire alarm system that can be heard throughout the facility.12024-10-10
K-0711Provide a written emergency evacuation plan.12023-08-10
K-0923Have proper medical gas storage and administration areas.12025-09-11
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-10-10
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-09-11
K-0281Install proper backup exit lighting.12023-08-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 11, 2025 — 4 citations

Citations issued on September 11, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 11, 2025)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (September 16, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 16, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 11, 2025)

October 10, 2024 — 4 citations

Citations issued on October 10, 2024
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (November 13, 2024)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (November 17, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 17, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 17, 2024)

August 10, 2023 — 4 citations

Citations issued on August 10, 2023
TagWhat the surveyor checksStatus
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (August 24, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (August 30, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (August 24, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 24, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.