Total health inspections
3
Missouri average 6.6
Last Health inspection on Oct 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Heartland Care and Rehabilitation Center
Nursing Home
Heartland Care and Rehabilitation Center
Nursing Home
Heartland Care and Rehabilitation Center offers compassionate care and a variety of stimulating activities. Services are provided under the direction of the resident’s attending physician, with a therapeutic team initiating a personalized care plan. The center aims to help residents achieve a secure and comfortable lifestyle.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
102
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
73.3%
Residents per day (avg)
73
Occupancy rate
73.3%
Residents per day (avg)
73
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
28% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
32% of new residents, often for short stays.
Typical stay
25 days
Medicaid
40% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Corporation
Home revenue
$7.7M
Profit
$337.1K
Proprietary home
Corporation
Home revenue
$7,719,012.00
Profit
$337,148.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.4M
102-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility Type
SNF
Additional licensing details
CMS Certification Number:
265503
Certification type:
Medicare/Medicaid
County:
CAPE GIRARDEAU
Ownership & operating entity
Heartland Care and Rehabilitation Center is administrated by MELISSA WELKER.
Owner name:
CAPE GIRARDEAU #1, INC
Care Services
Rehabilitation Services
Programs & Activities
Specific Programs
Services, Facility, Resources, Staff, Calendar
Compare Nursing Homes around Cape Girardeau
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Heartland Care and Rehabilitation Center
+39%
-13%
+10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63701-8551
102
No
BOLLINGER, MELISSA
73.3%
$7,633,091.00
$2,233,093.00
29.3%
72.90
3.2588
-
16
-
+39%-13%+10%
Fountainbleau Lodge
+2%
+21%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63701-2193
89
No
CHAUDHRY, BILKISS
79.6%
$4,844,233.00
$1,848,265.00
38.2%
30.40
4.5232
1
22
1
+2%+21%+19%
Life Care Center of Cape Girardeau
-27%
+4%
+25%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MO 63703-5725
120
No
CUMMINS, DERICK
83.0%
$16,515,847.00
$5,966,002.00
36.1%
93.20
3.8822
3
44
7
-27%+4%+25%
Heartland Care and Rehabilitation Center
Type of care:
SNF
AL
Community:
MO 63701-8551
Bed Count:
102
Pets Allowed:
No
Operator:
BOLLINGER, MELISSA
CCN:
265503
Occupancy:
73.3%
Home Revenue:
$7,633,091.00
Payroll Costs:
$2,233,093.00
Payroll %:
29.3%
Avg Residents/Day:
72.90
Overall Rating:
Adj Nurse Hours:
3.2588
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
16
RN share vs State Avg:
+39%
+39%
Staffing vs State Avg:
-13%
-13%
Occupancy vs State Avg:
+10%
+10%
Fountainbleau Lodge
Type of care:
SNF
AL
Community:
MO 63701-2193
Bed Count:
89
Pets Allowed:
No
Operator:
CHAUDHRY, BILKISS
CCN:
265383
Occupancy:
79.6%
Home Revenue:
$4,844,233.00
Payroll Costs:
$1,848,265.00
Payroll %:
38.2%
Avg Residents/Day:
30.40
Overall Rating:
Adj Nurse Hours:
4.5232
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
22
Severe Citations:
1
RN share vs State Avg:
+2%
+2%
Staffing vs State Avg:
+21%
+21%
Occupancy vs State Avg:
+19%
+19%
Life Care Center of Cape Girardeau
Type of care:
SNF
AL
Community:
MO 63703-5725
Bed Count:
120
Pets Allowed:
No
Operator:
CUMMINS, DERICK
CCN:
265185
Occupancy:
83.0%
Home Revenue:
$16,515,847.00
Payroll Costs:
$5,966,002.00
Payroll %:
36.1%
Avg Residents/Day:
93.20
Overall Rating:
Adj Nurse Hours:
3.8822
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
44
Severe Citations:
7
RN share vs State Avg:
-27%
-27%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
+25%
+25%Places of interest near Heartland Care and Rehabilitation Center
0.0 miles from city center
CAPE GIRARDEAU, MO 63701-8551
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
101
Total Staff
84
Employees
17
Contractors
23,026
Total Hours (Quarter)
31
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 11 | 8.9 | No |
| Licensed Practical Nurse | 11 | 9 | No |
| Certified Nursing Assistant | 24 | 8.6 | No |
Staff by Category
Administration ⓘ
2 staff
7.8hs shift avg
Nursing Staff ⓘ
78 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
1 staff
7.9hs shift avg
Therapy Services ⓘ
14 staff
4.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
6hs shift avg
Dietary Services ⓘ
2 staff
7.6hs shift avg
Other Services ⓘ
2 staff
7.7hs shift avg
Contractor Analysis
8%
of total hours from contractors
1,831 contractor hours this quarter
Speech Language Pathologist: 4
Qualified Social Worker: 2
Physical Therapy Assistant: 1
Respiratory Therapy Technician: 4
Physical Therapy Aide: 2
Occupational Therapy Assistant: 2
Medical Director: 1
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 24 | 0 | 24 | 6,333 | 91 | 100% | 8.6 |
| Medication Aide/Technician | 10 | 0 | 10 | 3,643 | 91 | 100% | 9.5 |
| Nurse Aide in Training | 22 | 0 | 22 | 3,603 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,472 | 91 | 100% | 9 |
| Registered Nurse | 11 | 0 | 11 | 2,155 | 90 | 99% | 8.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 651 | 65 | 71% | 5.6 |
| Dental Services Staff | 2 | 0 | 2 | 548 | 62 | 68% | 7.7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 66 | 73% | 7.9 |
| Dietitian | 2 | 0 | 2 | 402 | 53 | 58% | 7.6 |
| Physical Therapy Aide | 0 | 2 | 2 | 380 | 57 | 63% | 6.5 |
| Qualified Social Worker | 0 | 2 | 2 | 350 | 57 | 63% | 6 |
| Physical Therapy Assistant | 0 | 1 | 1 | 253 | 62 | 68% | 4.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 126 | 58 | 64% | 2 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 39 | 6 | 7% | 6.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 26 | 3 | 3% | 8.5 |
| Medical Director | 0 | 1 | 1 | 7 | 3 | 3% | 2.3 |
Health Inspection History
Inspections
Total health citations
16
Citations per inspection
5.33
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 16 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
14 moderate citations
2 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Oct 25, 2024
Corrected
Pharmacy moderate citation
Oct 25, 2024
Corrected
Quality of Care moderate citation
Oct 25, 2024
Corrected
Care Planning moderate citation
Oct 25, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Individual
Resident Census by Payment Source
74
Total Residents
Medicare
3
(4.1%)
ⓘ
Medicaid
66
(89.2%)
ⓘ
Private Pay/Other
5
(6.8%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.3
22% worse than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.5
11% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
23% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.2%
Percent of long-stay residents whose ability to move independently worsened
27.2%
32% worse than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.2%
27% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
32% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
18% worse than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.2%
Percent of long-stay residents with a urinary tract infection
3.2%
19% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.3%
Percent of long-stay residents who lose too much weight
6.3%
14% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.6%
Percent of long-stay residents who have depressive symptoms
2.6%
80% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.3%
Percent of long-stay residents who received an antipsychotic medication
21.3%
In line with Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.1%
In line with Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.1%
7% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Heartland Care and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
73.3%
↑ 1.5pp vs 2022
Net Income
$337,148
↑ ~$27K vs 2022
Total Payroll
$2,985,993
↑ ~$282K vs 2022
Profit Margin
4.4%
↓ 0.0pp vs 2022
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