Best Nursing Homes in Cape Girardeau, MO

Why trust this guide? Our editorial team analyzed 4 nursing homes in Cape Girardeau, MO using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MO
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We analyzed These are the facilities in Cape Girardeau, MO our team has analyzed — not a count of every nursing home provider in Cape Girardeau, MO.
4 homes
Other senior care options in Cape Girardeau:
Avg Overall CMS Rating: 3.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Cape Girardeau, MO. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.8/ 5The average Staffing Rating across all CMS-certified nursing homes in Cape Girardeau, MO. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 4.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Cape Girardeau, MO. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Cape Girardeau (Metro Area)

Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Chaffee Nursing Center
NH
HOS
SNF
Chaffee
71
Facility 71
MO AVG 96
Rank #300 / 450
86.8%
Facility 86.8%
MO AVG 66.5
Rank #56 / 407
+30%
4.00
Facility 4.00
MO AVG 3.74
Rank #88 / 268
-3%+7%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
9
Facility 9
MO AVG 36.5
Rank #10 / 274
3.0
Facility 3.0
MO AVG 5.7
Rank #23 / 274
-62-
25
Facility 25
MO AVG 46
Rank #423 / 545
Chaffee Nursing, LLC
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
MO AVG $7.4M
Rank #127 / 251
$3.0MFiscal year ending 12/2023
Facility $3.0MFiscal year ending 12/2023
MO AVG $3.9M
Rank #142 / 251
53.1%Fiscal year ending 12/2023
Facility 53.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #134 / 251
265492
Fountainbleau Lodge
NH
AL
SNF
Cape Girardeau
89
Facility 89
MO AVG 96
Rank #243 / 450
33.7%
Facility 33.7%
MO AVG 66.5
Rank #388 / 407
-49%
5.46
Facility 5.46
MO AVG 3.74
Rank #18 / 268
+7%+46%
$8.8k
Facility $8.8k
MO AVG $76.9k
Rank #161 / 276
22
Facility 22
MO AVG 36.5
Rank #85 / 274
5.5
Facility 5.5
MO AVG 5.7
Rank #157 / 274
130A+
66
Facility 66
MO AVG 46
Rank #113 / 545
Bilkiss Chaudhry
$4.1MFiscal year ending 10/2023
Facility $4.1MFiscal year ending 10/2023
MO AVG $7.4M
Rank #197 / 251
$2.1MFiscal year ending 10/2023
Facility $2.1MFiscal year ending 10/2023
MO AVG $3.9M
Rank #198 / 251
51.1%Fiscal year ending 10/2023
Facility 51.1%Fiscal year ending 10/2023
MO AVG 54.9%
Rank #147 / 251
265383
Heartland Care and Rehabilitation Center
NH
SNF
Cape Girardeau
102
Facility 102
MO AVG 96
Rank #167 / 450
61.8%
Facility 61.8%
MO AVG 66.5
Rank #248 / 407
-7%
3.37
Facility 3.37
MO AVG 3.74
Rank #163 / 268
+8%-10%
$0
Facility $0
MO AVG $76.9k
Rank #1 / 276
16
Facility 16
MO AVG 36.5
Rank #51 / 274
5.3
Facility 5.3
MO AVG 5.7
Rank #143 / 274
-63A+
66
Facility 66
MO AVG 46
Rank #113 / 545
Melissa Bollinger
$5.5MFiscal year ending 12/2023
Facility $5.5MFiscal year ending 12/2023
MO AVG $7.4M
Rank #130 / 251
$2.4MFiscal year ending 12/2023
Facility $2.4MFiscal year ending 12/2023
MO AVG $3.9M
Rank #177 / 251
44.1%Fiscal year ending 12/2023
Facility 44.1%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #210 / 251
265503
Life Care Center of Cape Girardeau
NH
SNF
Cape Girardeau
120
Facility 120
MO AVG 96
Rank #87 / 450
65.8%
Facility 65.8%
MO AVG 66.5
Rank #220 / 407
-1%
3.14
Facility 3.14
MO AVG 3.74
Rank #204 / 268
-45%-16%
$149.6k
Facility $149.6k
MO AVG $76.9k
Rank #258 / 276
44
Facility 44
MO AVG 36.5
Rank #196 / 274
4.0
Facility 4.0
MO AVG 5.7
Rank #71 / 274
779A+
66
Facility 66
MO AVG 46
Rank #113 / 545
Derick Cummins
$11.3MFiscal year ending 12/2023
Facility $11.3MFiscal year ending 12/2023
MO AVG $7.4M
Rank #38 / 251
$6.9MFiscal year ending 12/2023
Facility $6.9MFiscal year ending 12/2023
MO AVG $3.9M
Rank #21 / 251
60.8%Fiscal year ending 12/2023
Facility 60.8%Fiscal year ending 12/2023
MO AVG 54.9%
Rank #67 / 251
265185

Rank badges are statewide: each community is ranked against every MO community we track that reports that metric, not just the 4 analyzed for Cape Girardeau.

Overview of Chaffee Nursing Center

Located in the harmonious neighborhood of MO-77, Chaffee, MO, is the unique senior living community of Chaffee Nursing Center Skilled Nursing by Americare provides skilled nursing, hospice, home health care, and rehabilitation. Enjoy unmatched comfort and convenience with carefully built and sophisticated studio accommodations. The community takes pride in a team of kind and highly skilled professionals delivering top-tier care and assistance for seniors to flourish and live to their potential.

Explore new interests and relive old hobbies through fun activities and stimulating programs for a joyful and well-engaged retirement. Interact with the community over delightful and healthy meals for an unforgettable dining experience. Chaffee Nursing Center strives to provide a safe place for seniors who want to maximize their freedom while receiving support for their special needs.

Contact Chaffee Nursing Center

Fountainbleau Lodge

2001 North Kingshighway, Cape Girardeau, MO 63701-2193
Overview of Fountainbleau Lodge

Fountainbleau Lodge is a skilled nursing community in Cape Girardeau, Missouri. Its location on North Kingshighway is moderately walkable and provides convenient access to local services and nearby transit. Fountainbleau of Cape Girardeau, Inc. operates the home under the ownership of Bilkiss Chaudhry. It accepts Medicare, Medicaid, and private pay, so families have flexibility to cover the cost of care. The 89-bed community has served the Cape Girardeau area for 40 years, reflecting a long tenure in the community.

The facility’s current occupancy rate is 34%. Residents stay an average of 199 days, including short-term rehabilitation residents and those receiving longer-term skilled care. Daily nurse staffing averages 4 hours and 31 minutes per resident. Registered nurses, licensed practical nurses, and nurse aides work throughout the day to provide hands-on care.

State inspections identified concerns related to medication security and management, staff compliance, infection control practices, food safety and sanitation, and pest management. Families touring the home should ask how these important operational areas are managed daily to ensure residents’ safety and environmental cleanliness.

The community mainly provides rehabilitation services, health and wellness programs, and transportation services to help with appointments and outings. Dining is heavily focused on nutrition and taste. There’s a Chalet Dining program and regular dining options, and residents have access to a weekly schedule of events and activities. On-site amenities include a beauty and barber shop, an enclosed courtyard for outdoor time, designated smoking areas, and monthly activities.

Contact Fountainbleau Lodge

Overview of Heartland Care and Rehabilitation Center

Located on Boutin Drive in Cape Girardeau, Missouri, Heartland Care and Rehabilitation Center is a nursing home operated by Cape Girardeau #1, Inc and owned by Melissa Bollinger. The 102-bed home has been operating for 31 years and currently serves approximately 63 residents. It accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover short-term rehabilitation and longer-term nursing care.

The facility focuses on rehabilitation services, so it’s well-suited for residents recovering from surgery, illness, or hospitalization. Most stay an average of 359 days, including post-acute rehab patients and those requiring ongoing nursing care. Daily nurse staffing averages 3 hours and 16 minutes per resident. Support is distributed across registered nurses, licensed practical nurses, and nurse aides who provide consistent clinical oversight throughout the day.

State inspections by the Missouri Department of Health and Senior Services documented issues around facility maintenance, environmental cleanliness, and clinical documentation. The facility’s location in Cape Girardeau has a Walk Score of 66, which indicates moderate walkability. Some errands can be done on foot, so family members will find it convenient to visit from the surrounding area.

Contact Heartland Care and Rehabilitation Center

Overview of Life Care Center of Cape Girardeau

Life Care Center of Cape Girardeau is a 120-bed skilled nursing and rehabilitation facility operated by Cape Girardeau Operations, LLC, at 365 South Broadview Street in Cape Girardeau, Missouri. At 66 percent occupancy aligned with Missouri’s state average, the facility has some availability. Accepted are Medicare, Medicaid, and private pay, with a mix of short-term rehabilitation and long-term care averaging 46 days of stay length.

The facility is scored 1 star by CMS, 62 percent below Missouri’s average, driven by a health inspection sub-rating running 65.5 percent below the state mean. Quality measures are the one above-average sub-rating at 43.4 percent above state figure. Across 13 inspections since 2022, the facility recorded 44 total citations including 2 critical and 5 serious findings. A substantiated immediate jeopardy citation was issued in June 2025 after staff performed CPR on a resident with a documented DNR order; a $82,000 federal fine and a 19-day payment denial followed in May 2025, bringing total fines to $150,000 across four penalties in the past three years. Nurse hours run 3h 53m per resident daily, essentially aligned with Missouri’s average.

A community re-entry program, a certified dietitian, landscaped grounds and courtyards, and a beauty salon and barber shop are among the amenities. Alzheimer’s and dementia care is a confirmed program.

Life Care Center of Cape Girardeau serves in Cape Girardeau County a mix of post-acute rehabilitation and long-term care patients.

Contact Life Care Center of Cape Girardeau

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Cape Girardeau, MO

What's the difference between assisted living and a nursing home in Missouri?

Assisted living in Missouri is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Missouri Medicaid cover nursing home care?

Yes — Missouri Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 4 nursing homes in Cape Girardeau, MO. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Cape Girardeau, MO?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Cape Girardeau, MO, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Cape Girardeau, MO?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.