Heritage Hills Living & Rehabilitation Center

411 North West Street · McAlester, OK · 74502 · 9184232920

81 certified beds For profit - Individual

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $73,288 in fines in the last 24 months.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$73,288 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 64
Staffing 20% 57
Federal penalties 15% 44
Trend 10% 67
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.433.48 min · 4.1 strong
RN hours / resident-day0.360.55–0.75
Weekend hours / resident-day3.33≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $73,288

Inspection citations (52 in the current record)

  • Potential for harm · D November 24, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 17, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 24, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 17, 2025 · Quality of Life and Care

  • Potential for harm · E November 24, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 17, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 30, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected September 20, 2025 · Resident Rights

  • Potential for harm · E July 30, 2025 · found via complaint

    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.

    Corrected September 20, 2025 · Resident Rights

  • Potential for harm · D July 30, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 30, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 30, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 20, 2025 · Quality of Life and Care

  • Potential for harm · D December 27, 2024 · found via complaint

    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.

    Corrected February 14, 2025 · Resident Rights

  • Actual harm · G October 31, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E October 31, 2024

    Ensure each resident receives an accurate assessment.

    Corrected November 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected November 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 25, 2024 · Quality of Life and Care

  • Potential for harm · E October 31, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 25, 2024 · Quality of Life and Care

  • Potential for harm · F October 31, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 25, 2024 · Infection Control

  • Potential for harm · D October 31, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F October 31, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 25, 2024 · Nutrition and Dietary

  • Potential for harm · E October 12, 2023 · found via complaint

    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.

    Corrected November 3, 2023 · Resident Rights

  • Potential for harm · E October 12, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 3, 2023 · Infection Control

  • Potential for harm · D August 10, 2023

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected September 28, 2023 · Resident Rights

  • Potential for harm · D August 10, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected September 28, 2023 · Resident Rights

  • Potential for harm · E August 10, 2023

    Keep residents' personal and medical records private and confidential.

    Corrected September 28, 2023 · Resident Rights

  • Potential for harm · D August 10, 2023

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected September 28, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E August 10, 2023

    Ensure each resident receives an accurate assessment.

    Corrected September 28, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 10, 2023

    Ensure a qualified health professional conducts resident assessments.

    Corrected September 28, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 31, 2024Fine$73,288
October 31, 2024Payment Denial2 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375317 · certified since August 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.