Heritage Hills Living & Rehabilitation Center
A nursing home in McAlester, Oklahoma 74502
411 North West Street, McAlester, Oklahoma 74502. (918) 423-2920.
- Cited for abuse (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle Oklahoma average: 6.5
- 3.22 nurse hours per resident per day Oklahoma average: 3.82
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
12 health citations at the latest inspection cycle
The Oklahoma average is 6.5.
Last standard inspection Oct 31, 2024.
Most serious in three years: actual harm (G), at a standard and complaint inspection on Oct 31, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
18 citations in 5 months of the last 36. Last cited Jun 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 18 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 13 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 9, 2026: complaint inspection1 citation
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Nov 24, 2025: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 30, 2025: complaint inspection5 citations
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Keep residents’ personal and medical records private and confidential.
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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.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 27, 2024: complaint inspection1 citation
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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.
Oct 31, 2024: standard inspection5 citations
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide and implement an infection prevention and control program.
Oct 31, 2024: standard and complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Respond appropriately to all alleged violations.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 1, 1997.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, individual.
- 81 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $73,288 in all.
- 1 Medicare payment denial in the last three years.
- 13 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Oct 31, 2024 | Medicare payment denial | Not given |
| Oct 31, 2024 | Fine | $73,288 |
Who does the caring?
3.22 nurse hours per resident per day
The Oklahoma average is 3.82.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Oklahoma average |
|---|---|---|
| Nurse hours per resident per day | 3.22 | 3.82 |
| Of which registered nurses | 0.30 | 0.34 |
| At weekends | 2.93 | 3.44 |
| Nursing staff turnover | 53.4% | 55.4% |
| Registered nurse turnover | 60% | 52% |
| Administrators who left | 1 | Not given |
Who owns it?
- 1996 Revocable Trust of Patricia Hardy owns 51% directly since May 24, 2024; 1996 Revocable Trust of Patricia Hardy owns 51% directly since May 24, 2024; 1996 Revocable Trust of Charles F Hardy III owns 49% directly since May 24, 2024; 1996 Revocable Trust of Charles F Hardy III owns 49% directly since May 24, 2024.
- 10 owners or officers are people: Patricia Hardy (corporate officer); Patricia Hardy (runs it (operational or managerial control)); Patricia Hardy (additional disclosable party (controls, leases property to, or provides services to the home)); William R Anderson (runs it (operational or managerial control)); William R Anderson (additional disclosable party (controls, leases property to, or provides services to the home)); Ashlie Nystrom (runs it (operational or managerial control)); Ashlie Nystrom (additional disclosable party (controls, leases property to, or provides services to the home)); Charles F Hardy (corporate officer); Charles F Hardy (runs it (operational or managerial control)); Charles F Hardy (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| 1996 Revocable Trust of Patricia Hardy | Owns 5% or more directly | 51% | May 24, 2024 |
| 1996 Revocable Trust of Patricia Hardy | Owns a share directly | 51% | May 24, 2024 |
| 1996 Revocable Trust of Charles F Hardy III | Owns 5% or more directly | 49% | May 24, 2024 |
| 1996 Revocable Trust of Charles F Hardy III | Owns a share directly | 49% | May 24, 2024 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 7, 2025 | |
| Heritage Hills Nursing Properties | Additional disclosable party (controls, leases property to, or provides services to the home) | May 24, 2024 | |
| Forvis Mazars LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2024 | |
| 1996 Revocable Trust of Patricia Hardy | Additional disclosable party (controls, leases property to, or provides services to the home) | May 24, 2024 | |
| 1996 Revocable Trust of Charles F Hardy III | Additional disclosable party (controls, leases property to, or provides services to the home) | May 24, 2024 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Oklahoma average 2.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 35.1 miles, this one had the 1st most health citations at the latest inspection cycle (12; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Heritage Hills Living & Rehabilitation Center This nursing home | 12 | |
| Mitchell Care & Rehab Center | 0.5 | 4 |
| Mcalester Nursing & Rehab | 1.5 | 10 |
| New Hope Retirement & Care Center | 2.0 | 8 |
| Walnut Grove Care & Rehab Center | 3.7 | 7 |
| Beare Manor | 15.0 | 7 |
| Lakeview Nursing & Rehab | 25.4 | 3 |
| Eufaula Manor Nursing and Rehabilitation Center | 25.9 | 3 |
| Latimer Nursing Home | 26.1 | 5 |
| Tidwell Living Center | 26.1 | 2 |
| Rainbow Terrace Care Center | 33.4 | 4 |
| Fountain View Manor, Inc. | 35.1 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.