HERITAGE HOUSE AT KELLER REHAB & NURSING has an overall 5-star rating, with strong health inspection and quality scores but weak staffing at 2 stars and nurse staffing below the federal benchmark (3.18 vs 4.1 hours per resident per day). It also has a recent federal penalty and $15,162 in fines over the last 24 months.
Last inspection: March 28, 2026Penalties, last 24 months: $15,162recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1837.
Staffing detail
Registered nurses
0.62
Licensed practical nurses
0.88
Nurse aides
1.68
Weekend nursing
2.83
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 47%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
6.1%6.1%No change
Residents with a fall causing major injury
3.8%5.8%Worsening
Residents with pressure ulcers (bedsores)
2%1.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.4%1.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7%13%Worsening
Residents whose ability to walk got worse
—29.9%—
Long-stay residents on antianxiety or sleep medication
13.1%17.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.9%11.7%Improving
Residents with depressive symptoms
1.3%3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.1%—
Short-stay residents given the pneumonia vaccine
99.2%99.4%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide bedroom privacy when residents needed it. Cited July 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 914 — 42 CFR §483.90 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $15,162 was recorded.
PENALTY
A federal fine of $14,901 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $22,608 in total fines.
Federal fine
Nov 19, 2025
$15,162
Federal fine
Oct 24, 2023
$7,446
Operator & ownership
Ownership
Government - Hospital district
Chain
Part of ADVANCED HEALTHCARE SOLUTIONS · 29 homes · 2.9 stars avg
Occupancy
113 residents on an average day (94% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.