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D
Poor

HERITAGE HILLS LIVING & REHABILITATION CENTER

411 NORTH WEST STREET · MCALESTER, OK 74502

9184232920 · For profit - Individual

81 beds55.6 residents62 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HERITAGE HILLS LIVING & REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 3.4384 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2675 HPRD, below the recommended 0.75. It is 0.46 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping -0.1% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4384 HPRD — needs 0.04 more hours per resident per day.
⚠️RN staffing (0.2675 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only -0.1% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.4384hrs/resident/day▼ 0.46
CMS benchmark: 3.48
RN HPRD
0.2675hrs/resident/day▼ 0.42
Recommended: 0.75
Weekend Drop-off
-0.1%
3.4374 weekday → 3.4408 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8381hrs/resident/day
Direct care aides
LPN HPRD
0.6251hrs/resident/day
Licensed practical nurses
Consistency
0.2477std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pittsburg County Average-0.19 HPRD
3.63
03.44 HPRD
vs. Oklahoma State Average-0.42 HPRD
3.86
03.44 HPRD
vs. National Average-0.46 HPRD
3.90
03.44 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HERITAGE HILLS LIVING & REHABILITATION CENTER ★
MCALESTER · This facility
—
D
3.43840.2675★☆☆☆☆
NEW HOPE RETIREMENT & CARE CENTER
MCALESTER
2 mi
B
3.96020.5633★★☆☆☆
Walnut Grove Care & Rehab Center
McAlester
3.7 mi
D
3.45330.381★★☆☆☆
BEARE MANOR
HARTSHORNE
15 mi
D
3.05770.296★★★☆☆
EUFAULA MANOR NURSING AND REHABILITATION CENTER
EUFAULA
25.9 mi
F
4.27030.1155★★★☆☆
FOUNTAIN VIEW MANOR, INC
HENRYETTA
35.1 mi
D
2.78920.3225★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
52
Total Deficiencies
$73,288
Fines Assessed
Nov 24, 2025Health
3 deficiencies cited
▼
Jul 30, 2025Health
5 deficiencies cited
▼
Dec 27, 2024Health
1 deficiency cited
▼
Oct 31, 2024Health
8 deficiencies cited· Includes actual harm
▼
Oct 12, 2023Health
2 deficiencies cited
▼
Aug 10, 2023Health
23 deficiencies cited
▼
Sep 2, 2022Health
10 deficiencies cited
▼

Penalty History

Oct 31, 2024Fine
$73,288
Oct 31, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.