Heritage Gardens Health and Rehabilitation Center

Name: Heritage Gardens Health and Rehabilitation Center
Address: 700 CHEROKEE ST, Oskaloosa, KS, 66066, US
Telephone: 7858632108

700 Cherokee St, Oskaloosa, KS 66066 · Jefferson County · 60 certified beds · avg 55 residents/day · certified since Nov 10, 1994

Part of chain: RECOVER-CARE HEALTHCARE (27 facilities, chain avg rating 2.4★)

3/5

Health inspection rating (on-site)

Serious findings on record

$13,056

Fines, last 3 years

3.61

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (42)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 22, 2025	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
May 22, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 22, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 22, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 22, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 22, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 22, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 22, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 22, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 22, 2025	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Nov 6, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 20, 2023	F · Potential for harm, facility-wide	The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Sep 20, 2023	F · Potential for harm, facility-wide	The facility did not observe each nurse aide's job performance or provide regular training as required.
Sep 20, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 20, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Sep 20, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 20, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
Sep 20, 2023	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 27, 2022	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 27, 2022	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Jan 27, 2022	E · Potential for harm, repeated	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Jan 27, 2022	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 27, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 27, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jan 27, 2022	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (14 → 10).

Year	Citations	Worst severity that year
2022	17	F
2023	15	F
2025	10	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $13,056.

Date	Type	Amount / length
Oct 3, 2023	Fine	$13,056

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Kansas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.61	4.58	3.95	bottom 22% in Kansas; bottom 42% in the U.S.
Registered Nurse hours	0.64	0.81	0.69	bottom 39% in Kansas; top 43% in the U.S.
Weekend total nurse staffing	3.27	4.05	3.50	bottom 24% in Kansas; bottom 46% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.70	0.49	0.48	top 18% in Kansas; top 16% in the U.S.
Total nursing staff turnover (%)	54.5	48.1	45.8	bottom 29% in Kansas; bottom 26% in the U.S.
RN turnover (%)	20.0	42.0	42.9	top 18% in Kansas; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.84, RN 0.68, weekend 3.48. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
BHNV 2 LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Goldstein, Avrohom	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Halberstam, Miriam	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Halberstam, Moshe	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Kamna Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Kansas SNF Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Mad Family Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Margulies, Zisha	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Midwest SNF Holdings LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	12/01/2020
MRCMM II LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	02/28/2025
Natr Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
NZM Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Rarmna Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Ratr Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Recover-Care Healthcare LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
RNR Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Wetr Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/28/2025
Akkulugari, Shyam	Individual	Operational/Managerial Control	NOT APPLICABLE	02/28/2025
Akkulugari, Shyam	Individual	ADP of the SNF	NOT APPLICABLE	03/20/2025
Hartman, Ashley	Individual	Operational/Managerial Control	NOT APPLICABLE	06/26/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
F W Huston Medical Center	8.0 mi	Winchester, KS	★★★☆☆	3/5
Valley Health Care Center	11.5 mi	Valley Falls, KS	★★★★☆	4/5
Easton Health Care Center	13.7 mi	Easton, KS	★☆☆☆☆	2/5
Nortonville Health Care Center	14.0 mi	Nortonville, KS	★☆☆☆☆	1/5	abuseSFF
Tonganoxie Terrace	14.6 mi	Tonganoxie, KS	★☆☆☆☆	1/5
Lawrence Memorial Hospital SNF	16.6 mi	Lawrence, KS	★★★☆☆	3/5
Pioneer Ridge Retirement Community	17.0 mi	Lawrence, KS	★☆☆☆☆	1/5
Lawrence Presbyterian Manor	17.8 mi	Lawrence, KS	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Oskaloosa →

Facility data as of CMS processing date 2026-08-01. CCN 175333.

The Care File

Visit checklist — Heritage Gardens Health and Rehabilitation Center

700 Cherokee St, Oskaloosa, KS 66066 · 7858632108

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $13,056

Questions for the administrator:

☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 175333 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)