Inspection visit
Inspection
1 citation recorded
Inspector’s narrative
What the inspector wrote
This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0583
Keep residents' personal and medical records private and confidential.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure that each resident has a right to
secure and confidential personal and clinical records for 15 (Resident #1, Resident # 2, Resident #3, #4,
Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, Resident #10, Resident #11, Resident
#12, Resident #13, Resident #14 and Resident #15) out of 15 residents on 200 Hall of the facility. A. The
personal health information of 15 residents was left unlocked and displayed on the charting kiosk's screen
on the hallway wall by CNA L. This failure could result in fifteen residents' personal information being
exposed to unauthorized individuals. The findings included:Observation on 12/09/2025 at 9:35 a.m.
revealed the charting kiosk #2's screen on the 200 Hall was open and unlocked with Resident #1, Resident
# 2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #9, Resident
#10, Resident #11, Resident #12, Resident #13, Resident #14 and Resident #15's personal information
displayed. When Resident #1's name was clicked, it opened more detailed clinical information which could
be done for other 14 residents displayed on the screen. After 7 minutes the charting kiosk was open, RN G
approached the kiosk and attempted to shut down the screen. During the observation of the kiosk's screen
from 9:35 a.m. to 9:42 a.m. the confidential information of 15 residents was opened for anyone such as
visitors or other residents to see. During an interview on 12/09/2025 at 10:34 a.m. with CNA F, she stated
that she had an in-service on HIPAA last month and it included not discussing residents' private clinical
information with unauthorized people and locking the computer screen when leaving to do something else.
She stated that everybody who works with charting kiosks was responsible for closing it and locking it when
not in attendance. She stated that CNA L was responsible for shutting down the charting kiosk and locking
the screen. She said that she was not sure why CNA L left the screen unlocked. She stated that leaving the
screen unlocked with clinical information displayed on it could be harmful for residents as anybody can see
it. During an interview on 12/09/2025 at 10:42 a.m. with RN G, she stated that CNA L was responsible for
shutting down and locking the charting kiosk's screen when CNA L left for her break or was called by a
resident for assistance. She stated that she received HIPAA training one month ago. She said that
everybody who works on the hallway and uses a charting kiosk was responsible for closing the screen
when leaving it. She stated that leaving a computer without minimizing the computer screen can lead to
exposing residents' private medical information to other residents or family members. During an interview
on 12/09/2025 at 10:47 a.m. with CNA L, she stated that she was responsible for shutting down the
charting kiosk's screen when she was called by a resident for assistance. She stated that she received
HIPAA training several months ago, but she could not remember exact day. CNA L stated that leaving a
charting kiosk without locking the screen can lead to exposing residents' private medical information to
unauthorized people and residents' privacy would be violated. During an interview on 12/09/2025 at 4:21
p.m. with DON B, she said that the facility's policy was to minimize the charting kiosk' screen on hallways
Residents Affected - Some
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 4
Event ID:
675581
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675581
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Heritage Oaks
3002 W 2nd Ave
Corsicana, TX 75110
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0583
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
when stepping away from it. She stated that if the screen was not minimized someone could have
unauthorized access to private clinical information displayed on the screen. She said that all these charting
kiosks were new to CNAs as new company just bought them and nursing staff members were still learning
the process. She stated that HIPAA policy in-service was provided to all employees at hire and annually
through computer modules educating them on locking the computer screens. She said that the person who
works with residents' private clinical information should lock the screen before walking away. The potential
negative effect would be sharing private residents' information with unauthorized personnel. During an
interview on 12/09/2025 at 4:39 p.m. with ADM A, he stated that all staff including him were trained on
HIPAA at the time of hire and annually through computer modules and at least annually after that. He stated
that it was the responsibility of whoever works at the charting kiosk to make sure it was closed before
leaving. ADM A stated that leaving the charting kiosk open would make the private clinical information
about residents (specific stuff about care, date of birth , social security numbers, and diagnosis) visible for
visitors or other residents to see. It could possibly have negative psychosocial effects on those residents
whose information was displayed. ADM A stated that all staff take HIPAA in-services through computer
modules at hire and annually. He stated that CNA L completed her annual training on the computer per his
understanding but could not provide the record.Record review of Resident #1's face sheet, dated
12/09/2025, revealed, a 90-years-old female admitted on [DATE]. Resident's #1's diagnoses included
dementia (severe mental function loss (memory, thinking, language, problem-solving) impacting daily life),
major depressive disorder (a serious mood illness causing persistent sadness, loss of interest, fatigue, and
impaired daily functioning), schizophrenia (a serious brain disorder causing a breakdown in the connection
between thoughts, emotions, and reality). Record review of Resident #2 's face sheet, dated 12/09/2025,
revealed, a 91-years-old female admitted on [DATE]. Resident's #2's diagnoses included Type 2 diabetes
mellitus (a chronic condition where the body either doesn't make enough insulin or doesn't use insulin
effectively, leading to high blood sugar levels, as the body can't get glucose into cells for energy), chronic
cough, and urinary tract infection. Record review of Resident #3's face sheet, dated 12/09/2025, revealed,
an 89-years-old female admitted on [DATE]. Resident's #3's diagnoses included dementia (severe mental
function loss (memory, thinking, language, problem-solving) impacting daily life), insomnia (a common
sleep disorder making it hard to fall or stay asleep, causing daytime fatigue, concentration issues, and
irritability), and atopic dermatitis (a chronic skin condition causing severe itching, redness, dryness, and
inflammation). Record review of Resident #4's face sheet, dated 12/09/2025, revealed, an 81-years-old
male admitted on [DATE]. Resident's #4's diagnoses included cerebrovascular disease (involves problems
with blood flow to the brain, caused by narrowing, clots, or ruptures in blood vessels), squamous cell
carcinoma (a common type of skin cancer that appearing as red, scaly patches), and actinic keratosis (a
common, rough, scaly skin patch caused by long-term sun exposure, considered a precancerous growth
that can develop into squamous cell carcinoma (skin cancer)). Record review of Resident 5's face sheet,
dated 12/09/2025, revealed, a 91-years-old female admitted on [DATE]. Resident's 5's diagnoses included
chronic systolic congestive heart failure (the heart's main pumping chamber (left ventricle) is weakened and
can't squeeze effectively, leading to reduced blood flow and fluid backup, causing symptoms like
breathlessness, swelling, fatigue), bronchitis (inflammation of the airways (bronchial tubes) in your lungs,
causing a persistent cough that brings up mucus, chest tightness, wheezing, and shortness of breath), and
urinary tract infection. Record review of Resident 6's face sheet, dated 12/09/2025, revealed, a 69-years-old
female admitted on [DATE]. Resident's #6's diagnoses included dementia (severe mental function loss
(memory,
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675581
If continuation sheet
Page 2 of 4
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675581
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Heritage Oaks
3002 W 2nd Ave
Corsicana, TX 75110
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0583
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
thinking, language, problem-solving) impacting daily life), dysuria (painful or uncomfortable urination), and
candidiasis (a common fungal infection caused by an overgrowth of Candida yeast). Record review of
Resident #7's face sheet, dated 12/09/2025, revealed, a 103-years-old female admitted on [DATE].
Resident's #7's diagnoses included hypertensive heart disease with heart failure ( heart conditions that
result from chronic high blood pressure), candidiasis (a common fungal infection caused by an overgrowth
of Candida yeast), and type 2 diabetes mellitus (a chronic condition where the body either doesn't make
enough insulin or doesn't use insulin effectively, leading to high blood sugar levels, as the body can't get
glucose into cells for energy). Record review of Resident #8's face sheet, dated 12/09/2025, revealed, an
86-years-old female admitted on [DATE]. Resident's #8's diagnoses included dementia (severe mental
function loss (memory, thinking, language, problem-solving) impacting daily life), urinary tract infection, and
constipation (common gastrointestinal problem where bowel movements are tough or occur less often than
normal). Record review of Resident #9's face sheet, dated 12/09/2025, revealed, a 96-years-old female
admitted on [DATE]. Resident's #9's diagnoses included Alzheimer's disease (a progressive brain disorder,
the most common cause of dementia, characterized by memory loss, impaired thinking, and behavioral
changes), dermatitis (skin condition that causes inflammation and irritation of the skin), and Type 2
Diabetes Mellitus (a chronic condition where the body either doesn't make enough insulin or doesn't use
insulin effectively, leading to high blood sugar levels, as the body can't get glucose into cells for energy).
Record review of Resident #10's face sheet, dated 12/09/2025, revealed, a 101-years-old female admitted
on [DATE]. Resident's #10's diagnoses cerebral infarction (death of brain tissue caused by a lack of blood
supply), hypokalemia (lower than normal concentration of potassium in the blood, and anxiety disorder
(persistent and excessive worry about various things that is out of proportion to the actual situation).
Record review of Resident #11's face sheet, dated 12/09/2025, revealed, a 77-years-old female admitted
on [DATE]. Resident's #11's diagnoses included Alzheimer's disease (a progressive brain disorder, the
most common cause of dementia, characterized by memory loss, impaired thinking, and behavioral
changes), candidiasis (a common fungal infection caused by an overgrowth of Candida yeast), and dysuria
(painful or uncomfortable urination). Record review of Resident #12's face sheet, dated 12/09/2025,
revealed, a 76-years-old female admitted on [DATE]. Resident's #12's diagnoses displaced trimalleolar
fracture of right lower leg (broken three parts (malleoli) of your ankle joint-the inner (medial), outer (lateral),
and back (posterior)-with the pieces shifted out of place, a serious injury requiring surgery), dementia
(severe mental function loss (memory, thinking, language, problem-solving) impacting daily life), and
insomnia (a common sleep disorder making it hard to fall or stay asleep, causing daytime fatigue,
concentration issues, and irritability). Record review of Resident #13's face sheet, dated 12/09/2025,
revealed, a 72-years-old male admitted on [DATE]. Resident's #13's diagnoses acute posthemorragic
anemia (a serious condition from rapid, significant blood loss), unspecified protein-calorie malnutrition (a
person isn't getting enough protein and calories causing fatigue, weight loss, muscle wasting, and
increased illness risk), and cerebral infarction (when a blood clot blocks an artery in the brain, cutting off
oxygen and nutrients, leading to brain tissue death). Record review of Resident #14's face sheet, dated
12/09/2025, revealed, an 84-years-old male admitted on [DATE]. Resident's #14's diagnoses paraplegia
(inability to voluntarily move the lower parts of the body), seizures a temporary disruption of the brain's
electrical activity, causing sudden, uncontrolled changes in behavior or/and movement), and Parkinson's
disease a progressive neurological disorder caused by dopamine-producing brain cells dying, leading to
movement issues like tremors, stiffness, and slow movement). Record review of Resident #15's face sheet,
dated 12/09/2025, revealed, a
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675581
If continuation sheet
Page 3 of 4
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675581
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
12/11/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Heritage Oaks
3002 W 2nd Ave
Corsicana, TX 75110
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0583
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
FORM CMS-2567 (02/99)
Previous Versions Obsolete
94-years-old female admitted on [DATE]. Resident's #15's diagnoses included dementia (severe mental
function loss (memory, thinking, language, problem-solving) impacting daily life), urinary tract infection and
hypothyroidism (abnormally low activity of the thyroid gland resulting in slowing down the body's functions).
Record review of staff in-service dated 12/09/2025 and titled Kiosk revealed, Turn off the Kiosk when you
walk away, do not leave the screen on. Could be a HIPAA violation if seen by a family member or others.
Check before leaving that it goes off. This training was provided by DON B and completed by 11 nursing
staff members including CNA L. Record reviews did not reveal in-services on HIPAA completed by CNA L
and documented before this incident.Record review of Residents Rights policy, undated, revealed, The
resident has a right to secure and confidential personal and medical records.
Event ID:
Facility ID:
675581
If continuation sheet
Page 4 of 4
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Back to topCitations
1 citation recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F583 - Privacy and Confidentiality
Keep residents' personal and medical records private and confidential.
FAQ · About this visit
Common questions about this visit
What happened during the December 11, 2025 survey of THE VILLAGE AT HERITAGE OAKS?
This was a inspection survey of THE VILLAGE AT HERITAGE OAKS on December 11, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at THE VILLAGE AT HERITAGE OAKS on December 11, 2025?
Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Keep residents' personal and medical records private and confidential."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.