Heartland Care and Rehabilitation Center

Heartland Care and Rehabilitation Center is a Nursing Home in Missouri

Heartland Care and Rehabilitation… is a Nursing Home in Missouri

Heartland Care and Rehabilitation Center

CAPE GIRARDEAU, MO 63701-8551 View Map

Heartland Care and Rehabilitation Center is a Nursing Home in Missouri

Heartland Care and Rehabilitation… is a Nursing Home in Missouri

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Overview of 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

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.26/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
4/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
5/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5

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.

Lower demand than the Missouri average
Occupancy rate 73.3%
Residents per day (avg) 73
Occupancy rate
73.3%
Residents per day (avg)
73

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

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 Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
28.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.1M
Total costs $7.4M
Bed community size
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

Amenities & Lifestyle

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
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
4/5
3.2588
5/5
2/5
1/5
-
Fountainbleau Lodge
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
3/5
4.5232
4/5
3/5
1/5
1

Places of interest near Heartland Care and Rehabilitation Center

Address 0.0 miles from city center

Address 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 Nurse118.9 No
Licensed Practical Nurse119 No
Certified Nursing Assistant248.6 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 Assistant240246,33391100%8.6
Medication Aide/Technician100103,64391100%9.5
Nurse Aide in Training220223,60391100%8.2
Licensed Practical Nurse110113,47291100%9
Registered Nurse110112,1559099%8.9
Speech Language Pathologist0446516571%5.6
Dental Services Staff2025486268%7.7
Administrator1015206571%8
Nurse Practitioner1015206673%7.9
Dietitian2024025358%7.6
Physical Therapy Aide0223805763%6.5
Qualified Social Worker0223505763%6
Physical Therapy Assistant0112536268%4.1
Respiratory Therapy Technician0441265864%2
Occupational Therapy Assistant0223967%6.5
Occupational Therapy Aide0112633%8.5
Medical Director011733%2.3

Health Inspection History

Total Health inspections 3
55% below Missouri average
Missouri average: 6.6

Last Health inspection on Oct 2024

Total Health citations 16
56% below Missouri average
Missouri average: 36.5

5.33 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 16 citations
Complaint investigations 0 citations
Breakdown of citations
Critical Health citations 0
100% below Missouri average
Missouri average: 0.7
Serious Health citations 0
100% below Missouri average
Missouri average: 1.0
Moderate Health citations 14

Minor Health citations 2
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

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.

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 13.3
22% worse than Missouri average
Missouri average: 10.9
Functional decline score 21.5
11% worse than Missouri average
Missouri average: 19.5
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 24.3%
23% above Missouri average.

Walking Ability Worsened 27.2%
32% above Missouri average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 13.2%
27% below Missouri average.
Safety & clinical stability

Falls with Major Injury 2.8%
32% below Missouri average.

High Risk Residents with Pressure Ulcers 5.9%
18% above Missouri average.

Urinary Tract Infection 3.2%
19% above Missouri average.
Emotional & behavioral wellbeing

Depressive Symptoms 2.6%
80% below Missouri average.

Antipsychotic Use 21.3%
3% below Missouri average.
Preventive care

Pneumococcal Vaccine 99.7%
17% above Missouri average.

Influenza Vaccine 94.7%
4% above Missouri average.
Nutrition & physical health

Lost Too Much Weight 6.3%
14% above Missouri average.
Short-stay resident measures
Pneumococcal Vaccine 67.1%

Near Missouri average
Antipsychotic medication increase 0.0%

100% better than Missouri average
Influenza Vaccine 59.1%

7% worse than Missouri average

Guides for Better Senior Living

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Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.