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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 178th out of 239 homes in Missouri.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 25m per day | ▼ 11% State avg: 28m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 39m per day | ▼ 5% State avg: 41m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 12m per day | ▼ 5% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 34m per day | ▼ 16% State avg: 3h 3m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 22m per day | ▲ 10% State avg: 20m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
28% of new residents, usually for short-term rehab.
32% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #159 / 245Payroll — state benchmarkedThis home is ranked 159th out of 245 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Missouri average: 66.6%Heartland Care and Rehabilitation Center is legally operated by Cape Girardeau #1, Inc., and administrated by Ms MELISSA WELKER.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Missouri average: 35 deficiencies
Missouri average 6.6
Last Health inspection on Oct 2024
Missouri average 36.5
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.
100% better than Missouri averageMissouri average: 0.7
0
100% better than Missouri averageMissouri average: 1
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 25, 2024
Corrected
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 25, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 25, 2024
Corrected
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.
Heartland Care and Rehabilitation Center is located in CAPE GIRARDEAU, Missouri.
Here are the financial assistance programs available to residents in Missouri.
0.0 miles from city center
Estimated distance in miles from CAPE GIRARDEAU's city center to Heartland Care and Rehabilitation Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
20% worse than Missouri averageMissouri average ratio: 1.71:1
0% compared with Missouri averageMissouri average: 8.1 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Total hours from contractors
1,831 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
23% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
27.2%
32% worse than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
32% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
5.9%
18% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
3.2%
19% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
6.3%
14% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
2.6%
80% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
21.3%
In line with Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.7%
In line with Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.81
13% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.80
23% better than Missouri averageMissouri average: 2.35
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.1%
In line with Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.1%
7% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.3%
32% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.5%
8% worse than Missouri averageMissouri average: 13.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| 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 | +39% | -13% | 0 | 16 | 5.3 | 0 | 73 | A+ | - | Bollinger, Melissa | $7.7M | $2.2M | 28.9% | 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 | 56 | 79.6% | +19% | 4.52 | +2% | +21% | 1 | 22 | 5.5 | 1 | 30 | A+ | - | Chaudhry, Bilkiss | $6.0M | $1.8M | 30.6% | 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 | -27% | +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 | - | - | - | Armour Management Llc | - | - | - | - |
Historical financial and operational data for Heartland Care and Rehabilitation Center based on CMS SNF Cost Reports.
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