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Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 101 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
Families can expect a highly skilled rehabilitation and therapy team that is frequently praised for helping patients regain mobility. While many reviewers highlight a warm, clean, and welcoming environment, there are serious, recurring reports of medical neglect, including falls, medication errors, and inadequate nighttime supervision.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 106 analyzed
The owner uses a mix of generic templates for positive reviews and more personalized, empathetic responses for negative reviews. Recent responses show a specific effort by the new administrator to address serious grievances by introducing himself and inviting direct communication.
Personalized based on this facility's data
Key Review Excerpts
“My grandmother was admitted and within less than 24 hours, she experienced neglect that resulted in a serious fall and a hospital stay.”
“The staff is caring attentive and treat the residents with love respect and dignity. They go above and beyond to make sure that not only the residents are taken care of, but the families as well.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
1
measures
3
measures
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Families have repeatedly filed complaints that triggered inspections, with serious concerns including resident abuse, inadequate nursing competency, and medication errors appearing as recently as 2025. The facility shows recurring problems across fire safety systems, infection control, and basic care areas like daily living assistance and treatment planning. While all deficiencies show correction dates, the pattern of ongoing complaints and repeat violations in critical areas like safety and nursing care suggests persistent quality issues that families should carefully consider.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Federal Penalties
Fine
Jul 8, 2025
$38,840
Eastland Memorial Hospital District
for profit
SAVOY HEALTHCARE INC
MORLEY PATERSON
The Ensign Group
342 facilities nationwide
Chain avg rating: 2.9/5 · Rank 75 of 84 (Lowest rating)
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
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Google Reviews
101 reviews from families & visitors
Official Website
Visit heritagegardensrehab.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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