Heritage Oaks
2255 Frederica Road, Saint Simons Island, GA 31522 · Glynn County · 125 certified beds · avg 57 residents/day · certified since May 1, 1995
Part of chain: ETHICA HEALTH (50 facilities, chain avg rating 3.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (10)
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 |
|---|---|---|
| Apr 16, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 16, 2026 | 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. |
| Apr 16, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 2, 2025 | F · Potential for harm, facility-wide | 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. |
| Apr 2, 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. |
| Feb 5, 2023 | F · Potential for harm, facility-wide | 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. |
| Feb 5, 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. |
| Feb 5, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Feb 5, 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. |
| Feb 5, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2025 | 2 | 0 | F |
| 2026 | 3 | 0 | D |
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 | Georgia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.05 | 3.54 | 3.95 | top 16% in Georgia; top 37% in the U.S. |
| Registered Nurse hours | 0.90 | 0.50 | 0.69 | top 5% in Georgia; top 21% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.09 | 3.50 | top 21% in Georgia; top 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.41 | 0.35 | 0.48 | top 25% in Georgia; top 47% in the U.S. |
| Total nursing staff turnover (%) | 41.4 | 46.0 | 45.8 | top 36% in Georgia; top 40% in the U.S. |
| RN turnover (%) | 33.3 | 44.5 | 42.9 | top 30% in Georgia; top 33% 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 3.45, RN 0.77, weekend 2.90. Staffing rating: 4/5.
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: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Community Health Systems INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/31/2009 |
| Health Scholarships INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/01/2025 |
| Cable, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2025 |
| Cable, Paul | Individual | Corporate Director | NOT APPLICABLE | 03/01/2025 |
| Clinical Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Clinical Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Community Ancillary Services INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Community Health Systems INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/19/2026 |
| Community Primary Care of Georgia LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Crisp, Jacqueline | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Crisp, Jacqueline | Individual | ADP of the SNF | NOT APPLICABLE | 04/07/2026 |
| Dennis, Kathryn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2025 |
| Dennis, Kathryn | Individual | Corporate Director | NOT APPLICABLE | 03/01/2025 |
| Hodges, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Lyons, Chele | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Moody, Teresa | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2025 |
| Moody, Teresa | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2025 |
| Nichols, Joseph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2025 |
| Nichols, Joseph | Individual | Corporate Director | NOT APPLICABLE | 03/01/2025 |
| Patel, Maulikkumar | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
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 we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 |
|---|---|---|---|---|---|
| Marsh's Edge | 3.8 mi | Saint Simons Island, GA | ★★★★★ | 4/5 | |
| Senior Care Center - Brunswick | 5.9 mi | Brunswick, GA | ★☆☆☆☆ | 1/5 | SFF |
| Gracemore Nursing and Rehab | 6.4 mi | Brunswick, GA | ★★★★★ | 5/5 | |
| Sears Manor Nursing Home | 6.6 mi | Brunswick, GA | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 115582.