Heritage Memory Care

License status

Regular

Last survey posted

November 20, 2024

Surveys posted

2

Deficiencies cited

24

Substantiated complaints

4

Surveys

• November 20, 2024 (Follow Up): 4 deficiencies cited report plan of correction
  The deficient practices resulted in the potential for harm to all residents and require a plan of correction.
  • Records and Reports: Residents' Rights. ADPH found: “The facility failed to utilize a safe method which included established community standards of care for residents' medication administration.” 420-5-20-.05(3)(d)
  • Care of Residents: Initial Physical Examination. ADPH found: “A resident's Medical Examination Record did not contain required information.” 420-5-20-.06(2)(a)(b)(c)
  • Food Service: General. ADPH found: “The facility's dietary supervisor did not have current certification through an approved Dietary Managers course.” 420-5-20-.07(1)
  • Food Service: Dietary Service. ADPH found: “Potable water on hand at the facility was insufficient to serve all residents for three days.” 420-5-20-.07(3)
• August 10, 2023 (Licensure/Complaint): 20 deficiencies cited, 4 complaints substantiated report plan of correction
  The deficient practices resulted in actual harm to four residents of the facility and placed all ten residents of the facility at significant risk of harm and neglect.
  • Administration: The Specialty Care Assisted Living Facility Governing Authority. ADPH found: “The governing authority failed to ensure the facility operated in compliance with the SBOH rules for SCALFs.” Cited as a result of a complaint investigation. ADPH noted this as a repeat deficiency from the survey of APRIL 10, 2019. 420-5-20-.03(1)(a)(b)(c)(d)
  • Administration. ADPH found: “The facility failed to follow its own policies for the daily management and operation of the facility.” 420-5-20-.03(e)
  • Administration: Responsibility. ADPH found: “No administrative designee had been authorized, in writing, to act for the administrator.” Cited as a result of a complaint investigation. 420-5-20-.03(2)(a)
  • Personnel. ADPH found: “The facility was not staffed at all times by at least one individual who had current certification in CPR.” Cited as a result of a complaint investigation. 420-5-20-.04(1)(2)
  • Personnel: Employee Screening. ADPH found: “Employees were not screened for hire as required.” 420-5-20-.04(3)
  Show all 20

  • Personnel: Medical Director. ADPH found: “The facility failed to provide an RN who devoted sufficient time and effort to all clinical duties.” Cited as a result of a complaint investigation. 420-5-20-.04(6)(7)(8)
  • Personnel: Training. ADPH found: “Employees did not receive required training.” Cited as a result of a complaint investigation. 420-5-20-.04(9)
  • Records and Reports: Residents' Rights. ADPH found: “The facility failed to provide a safe and decent environment for all residents at all times.” Cited as a result of a complaint investigation. 420-5-20-.05(3)(d)
  • Records and Reports: Incident Investigation. ADPH found: “Incidents were not reported to the ADPH Online Incident Reporting System (OIRS) as required.” 420-5-20-.05(3)(h)
  • Care of Residents: Medical Direction and Supervision. ADPH found: “The facility failed to follow physician's orders for a resident's medications.” Cited as a result of a complaint investigation. 420-5-20-.06(1)
  • Care of Residents: Initial Assessment. ADPH found: “Health supervision and assessments of residents were not completed as required.” Cited as a result of a complaint investigation. 420-5-20-.06(3)(a)(b)(c)(d)(e)
  • Care of Residents: Personal Care and Services. ADPH found: “Residents' facility care plans were not current and did not contain interventions to meet the care needs of the residents.” Cited as a result of a complaint investigation. 420-5-20-.06(4)(a)(b)
  • Care of Residents: Medications. ADPH found: “The facility failed to maintain a system to account for all controlled substances in its possession.” 420-5-20-.06(5)(i)(j)(k)(l)(m)
  • Care of Residents: Disposal of Medications. ADPH found: “Disposition of medications was not documented following discharge or transfer of residents.” 420-5-20-.06(6)
  • Care of Residents: Retention. ADPH found: “The facility retained residents who did not meet the criteria for SCALF residents.” Cited as a result of a complaint investigation. 420-5-20-.06(9)(b)
  • Food Service: Dietary Service. ADPH found: “The facility failed to provide a diet for residents which was sufficient in quantity.” Cited as a result of a complaint investigation. 420-5-20-.07(3)
  • Physical Facilities: Food Service Facilities. ADPH found: “The refrigerator in the kitchen area of the facility was not properly maintained.” 420-5-20-.08(4)
  • Fire and Safety: General. ADPH found: “The facility failed to conduct fire drills as required.” 420-5-20-.11(1)
  • Physical Environment: General Building Requirements - Group and Congregate. ADPH found: “Fire extinguishers were not visually inspected monthly by designated staff of the facility.” Cited as a result of a complaint investigation. 420-5-20-.12(5)
  • Physical Environment: Additional Requirements for Specialty Care Assisted Living Facilities. ADPH found: “Exit door locks did not release automatically upon activation of the facility fire alarm system.” 420-5-20-.12(8)

ADPH also lists 3 earlier surveys, back to 2015.

Search ADPH’s deficiency reports for license P4203 →

ADPH posts each survey’s Statement of Deficiencies as a PDF (older ones are scans, which we read by OCR). From each report we show the deficiency tags, the rules they cite, ADPH’s own one-sentence finding and the complaint outcomes ADPH states; each cited rule is named in the rule’s own words (Alabama Administrative Code, chapter 420-5-4 for assisted living and 420-5-20 for specialty care assisted living). The report, and the facility’s plan of correction when ADPH posts it, are the official record. Some reports list a complaint as substantiated with no deficiency cited; we show both as ADPH wrote them. This community is licensed for 16 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Alabama Department of Public Health, Bureau of Health Provider Standards, data as of October 15, 2026, showing surveys from the last five years. Always visit in person and ask the community about anything listed here.