Heritage House
1200 Brookridge Circle, Atlantic, IA 50022 · Cass County · 61 certified beds · avg 59 residents/day · certified since Oct 1, 2005
Part of chain: WESLEYLIFE (10 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (11)
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 |
|---|---|---|
| Sep 11, 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. |
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Sep 11, 2025 | D · Potential for harm, one-off | 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. |
| Aug 10, 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 |
| Aug 10, 2023 | E · Potential for harm, repeated | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Aug 10, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 10, 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. |
| Aug 10, 2023 | 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. |
| Aug 10, 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. |
| Aug 10, 2023 | D · Potential for harm, one-off | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2025 | 4 | 0 | 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.96 | 4.37 | 3.95 | top 19% in Iowa; top 14% in the U.S. |
| Registered Nurse hours | 0.83 | 0.85 | 0.69 | top 44% in Iowa; top 25% in the U.S. |
| Weekend total nurse staffing | 4.43 | 3.86 | 3.50 | top 19% in Iowa; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.51 | 0.48 | bottom 40% in Iowa; top 46% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 44.0 | 45.8 | top 24% in Iowa; top 20% in the U.S. |
| RN turnover (%) | 40.0 | 42.1 | 42.9 | top 47% in Iowa; top 46% 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 3.96, RN 0.67, weekend 3.54. Staffing rating: 5/5.
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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Wesleylife | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/21/2010 |
| Albertson, Kermit | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Hoeksema, Nicole | Individual | Corporate Director | NOT APPLICABLE | 12/31/2017 |
| Kretzinger, Robert | Individual | Corporate Director | NOT APPLICABLE | 06/01/2005 |
| Lagree, Roger | Individual | Corporate Director | NOT APPLICABLE | 06/01/2005 |
| Rasmussen, Chad | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Ruch, Robert | Individual | Corporate Director | NOT APPLICABLE | 06/01/2005 |
| Simpson, Janet | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2016 |
| Stout, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Taylor, Christina | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Watson, Susan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Wesley Retirement Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/08/1992 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can I see a sample menu, and how do you handle special diets like low-sodium or diabetic meals?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "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 |
|---|---|---|---|---|---|
| Atlantic Specialty Care | 0.5 mi | Atlantic, IA | ★★★☆☆ | 2/5 | |
| Caring Acres Nursing and Rehab Center | 12.3 mi | Anita, IA | ★☆☆☆☆ | 1/5 | SFF |
| Salem Lutheran Home | 13.8 mi | Elk Horn, IA | ★☆☆☆☆ | 1/5 | |
| Exira Care Center | 14.4 mi | Exira, IA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165561.