Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (40% of admissions), and a typical Medicaid stay runs around 2 - 3 years.
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.
Heartland Care and Rehabilitation Center is legally operated by Cape Girardeau #1, Inc., and administered by 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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 82 | 35 | This facility has 134% more total deficiencies than a typical Missouri nursing home (82 vs. MO avg 35).↑ 134% worse |
|
Deficiencies per inspection
| 9.1 | 2.9 | This facility has 214% more deficiencies per inspection than a typical Missouri nursing home (9.1 vs. MO avg 2.9).↑ 214% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 9 | 12 | This facility has had 25% fewer total inspections than the Missouri average (9 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer |
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.
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,709 contractor hours this quarter
| Certified Nursing Assistant | 21 | 0 | 21 | 6,819 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,978 | 92 | 100% | 8.7 |
| Medication Aide/Technician | 9 | 0 | 9 | 3,119 | 92 | 100% | 9.5 |
| Nurse Aide in Training | 18 | 0 | 18 | 2,980 | 92 | 100% | 9.3 |
| Registered Nurse | 7 | 0 | 7 | 2,092 | 91 | 99% | 9.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 665 | 67 | 73% | 5.8 |
| Nurse Practitioner | 2 | 0 | 2 | 575 | 70 | 76% | 7.5 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 507 | 62 | 67% | 5.6 |
| Dietitian | 2 | 0 | 2 | 506 | 62 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 496 | 59 | 64% | 8.4 |
| Qualified Social Worker | 0 | 1 | 1 | 256 | 55 | 60% | 4.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 150 | 34 | 37% | 4.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 69 | 11 | 12% | 6.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 42 | 6 | 7% | 7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 14 | 3 | 3% | 4.5 |
| Medical Director | 0 | 1 | 1 | 8 | 6 | 7% | 1.3 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive 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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for Heartland Care and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (40% of admissions), and a typical Medicaid stay runs around 2 - 3 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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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.
| Chaffee Nursing Center | NH HOS SNF | Chaffee | 71
Facility
71
MO AVG
96
Rank
#300 / 450 |
87.3%
Facility
87.3%
MO AVG
65.1
Rank
#55 / 418 | +34% | 3.96
Facility
3.96
MO AVG
3.74
Rank
#97 / 270 | -3% | +6% | $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
#22 / 274 | - | 62 | - |
25
Facility
25
MO AVG
45
Rank
#425 / 563 | Chaffee Nursing, LLC | $5.6MFiscal year ending 12/2023
Facility
$5.6MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#171 / 277 | $3.0MFiscal year ending 12/2023
Facility
$3.0MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#178 / 277 | 53.1%Fiscal year ending 12/2023
Facility
53.1%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#156 / 277 | 265492 | ||||
| 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
65.1
Rank
#248 / 418 | -5% | 3.26
Facility
3.26
MO AVG
3.74
Rank
#196 / 270 | +8% | -13% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 16
Facility
16
MO AVG
36.5
Rank
#50 / 274 | 5.3
Facility
5.3
MO AVG
5.7
Rank
#142 / 274 | - | 63 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Melissa Bollinger | $5.5MFiscal year ending 12/2023
Facility
$5.5MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#107 / 277 | $2.4MFiscal year ending 12/2023
Facility
$2.4MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#179 / 277 | 44.1%Fiscal year ending 12/2023
Facility
44.1%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#259 / 277 | 265503 | ||||
| Fountainbleau Lodge | NH AL SNF | Cape Girardeau | 89
Facility
89
MO AVG
96
Rank
#243 / 450 |
33.7%
Facility
33.7%
MO AVG
65.1
Rank
#388 / 418 | -48% | 4.52
Facility
4.52
MO AVG
3.74
Rank
#45 / 270 | +7% | +21% | $8.8k
Facility
$8.8k
MO AVG
$76.9k
Rank
#162 / 276 | 22
Facility
22
MO AVG
36.5
Rank
#84 / 274 | 5.5
Facility
5.5
MO AVG
5.7
Rank
#156 / 274 | 1 | 30 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Bilkiss Chaudhry | $4.1MFiscal year ending 10/2023
Facility
$4.1MFiscal year ending 10/2023
MO AVG
$8.4M
Rank
#153 / 277 | $2.1MFiscal year ending 10/2023
Facility
$2.1MFiscal year ending 10/2023
MO AVG
$3.3M
Rank
#192 / 277 | 51.1%Fiscal year ending 10/2023
Facility
51.1%Fiscal year ending 10/2023
MO AVG
45.6%
Rank
#208 / 277 | 265383 | ||||
| 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
65.1
Rank
#219 / 418 | +1% | 3.88
Facility
3.88
MO AVG
3.74
Rank
#108 / 270 | -45% | +4% | $149.6k
Facility
$149.6k
MO AVG
$76.9k
Rank
#258 / 276 | 44
Facility
44
MO AVG
36.5
Rank
#195 / 274 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#70 / 274 | 7 | 79 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Derick Cummins | $11.3MFiscal year ending 12/2023
Facility
$11.3MFiscal year ending 12/2023
MO AVG
$8.4M
Rank
#21 / 277 | $6.9MFiscal year ending 12/2023
Facility
$6.9MFiscal year ending 12/2023
MO AVG
$3.3M
Rank
#29 / 277 | 60.8%Fiscal year ending 12/2023
Facility
60.8%Fiscal year ending 12/2023
MO AVG
45.6%
Rank
#222 / 277 | 265185 |
Heartland Care and Rehabilitation Center is located in CAPE GIRARDEAU, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Heartland Care and Rehabilitation Center is legally operated by Cape Girardeau #1, Inc., and administered by Melissa Welker.
Heartland Care and Rehabilitation Center has a walk score of 66. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to MO state health department records, Heartland Care and Rehabilitation Center's license number is 052572.
According to MO state health department records, Heartland Care and Rehabilitation Center's license expires on March 31, 2027.
Heartland Care and Rehabilitation Center's occupancy is 62%.
Heartland Care and Rehabilitation Center has been operating for approximately 31 years, based on available licensing and registration records.
No, Heartland Care and Rehabilitation Center has a no-pet policy.
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