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.
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Nursing Home in Cape Girardeau
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Heartland Care and Rehabilitation Center
Nursing Home in Cape Girardeau
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Heartland Care and Rehabilitation Center
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$7.7M
Profit
$337.1K
Privately-owned community
Operated by a business 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.
31 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeSnf
CountyCAPE GIRARDEAU
CMS Certification Number265503
Certification TypeMedicare/Medicaid
Heartland Care and Rehabilitation Center is administrated by Melissa Welker.
Owner NameCAPE GIRARDEAU #1, INC
Rehabilitation Services
Specific ProgramsServices, Facility, Resources, Staff, Calendar
Health Inspection History
Inspections
Total health citations
16
Missouri average 36.5
Citations per inspection
5.33
Missouri average 5.67
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
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 25, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 25, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 25, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 25, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 25, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 25, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 25, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
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.
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.
Filter by care type
Heartland Care and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
CAPE GIRARDEAU
102
73.3%
+10%
3.26
-13%
0
16
5.3
0
73
A+
Bollinger, Melissa
$7.6M
$2.2M
29.3%
265503
Fountainbleau Lodge
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
CAPE GIRARDEAU
89
79.6%
+19%
4.52
+21%
1
22
5.5
1
30
A+
Chaudhry, Bilkiss
$4.8M
$1.8M
38.2%
265383
Life Care Center of Cape Girardeau
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
CAPE GIRARDEAU
120
83.0%
+25%
3.88
+4%
3
44
4.0
7
93
A+
Cummins, Derick
$16.5M
$6.0M
36.1%
265185
Newbridge Retirement Community
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
CAPE GIRARDEAU
94
-
-
-
-
0
0
0.0
0
-
-
-
-
-
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Places of interest near Heartland Care and Rehabilitation Center
0.0 miles from city center
2525 BOUTIN DR, CAPE GIRARDEAU, MO 63701-8551
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
101
Employees
84
Contractors
17
Staff to resident ratio
1.36:1
20% worse than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
31
Average shift
8.2 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
23,026
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
8%
1,831 contractor hours this quarter
Speech Language Pathologist: 4
Respiratory Therapy Technician: 4
Qualified Social Worker: 2
Physical Therapy Aide: 2
Occupational Therapy Assistant: 2
Physical Therapy Assistant: 1
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
| 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 |
24 Certified Nursing Assistant
% of Days
100%
10 Medication Aide/Technician
% of Days
100%
22 Nurse Aide in Training
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
99%
4 Speech Language Pathologist
% of Days
71%
2 Dental Services Staff
% of Days
68%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
73%
2 Dietitian
% of Days
58%
2 Physical Therapy Aide
% of Days
63%
2 Qualified Social Worker
% of Days
63%
1 Physical Therapy Assistant
% of Days
68%
4 Respiratory Therapy Technician
% of Days
64%
2 Occupational Therapy Assistant
% of Days
7%
1 Occupational Therapy Aide
% of Days
3%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
74 residents
Residents by payment source
Medicare
3 residents (4.1%)
Medicaid
66 residents (89.2%)
Private pay or other
5 residents (6.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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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Guides for Better Senior Living
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