Heritage Hall

Nursing Home
Overview of Heritage Hall

Receive the care and support you deserve with the distinct senior living community of Heritage Hall Skilled Nursing by Americare set in the harmonious neighborhood of East Highway 22, Centralia, MO, that offers skilled nursing, hospice, home health care, and rehabilitation. With warm and spacious studio floor plans, the community ensures seniors experience unmatched comfort and safety. Live the life you’ve always dreamed of with a kind and highly trained team handling your chores and providing help every step of the way.

Retain your independence while doing the things you love through engaging activities and enjoyable events. Moreover, the community conducts fun wellness programs for residents to maintain an active and well-engaged lifestyle. Delight with healthy and tasty meals catering to dietary needs and preferences. Surround yourself with the care you need with Heritage Hall for a glorious retirement.

(573) 682-5551

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
5/5
Missouri average: 2.5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
4/5
Missouri average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Missouri average: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Missouri average: 2.7/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 18m per day

This home provides 12% less nursing time per resident than the state average.

Missouri average: 3h 44m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 41m per day 28m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 32m per day 41m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 7m per day 2h 20m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 35m per day 3h 3m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 1m per day 2m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 17m per day 20m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 60

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 59.8%
Residents per day (avg) 43
Occupancy rate
59.8%
Residents per day (avg)
43

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

27% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

55% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

18% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Proprietary home
Partnership
Home revenue
$3.7M
Operating loss
-$5.3K
Proprietary home Partnership
Home revenue
$3,658,840.00
Operating loss
$-5,300.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
48.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.9M
Total costs $3.7M

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed: Yes, Pets Allowed

Room sizes icon
Room sizes icon

Room Sizes: 218 sq. ft.

Housing options icon
Housing options icon

Housing Options: Studio

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Heritage Hall

Skilled Nursing Hospice Care
Contact Heritage Hall

Compare Nursing Homes around Columbia

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Heritage Hall
SNF

Nursing Home 24/7 care needed

HC

Hospice Care

SN

Skilled Nursing

Centralia
60
Yes
30
REDMOND, CHRISTINA
59.8%
$3,657,213.00
$1,779,089.00
48.6%
42.50
5/5
3.3034
4/5
2/5
5/5
7
-
-22%
-12%
-10%
Studio
The Neighborhoods by TigerPlace
SNF

Nursing Home 24/7 care needed

HC

Hospice Care

SN

Skilled Nursing

Columbia
120
Yes
20
BYERGO, LISA
72.7%
$12,485,384.00
$5,315,627.00
42.6%
92.80
2/5
4.9279
2/5
3/5
3/5
28
4
-49%
+32%
+9%
Studio

Places of interest near Heritage Hall

Address 23.0 miles from city center

Address 750 MO-22, Centralia, MO 65240

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

99
Total Staff
74
Employees
25
Contractors
17,937
Total Hours (Quarter)
28
Avg Staff/Day
7
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse67.5 No
Licensed Practical Nurse57 Yes
Certified Nursing Assistant227.1 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
61 staff
7.2hs shift avg
Physicians & Practitioners
3 staff
8.3hs shift avg
Therapy Services
27 staff
6.3hs shift avg
Activities & Recreation
1 staff
5.1hs shift avg
Social Services
2 staff
1.9hs shift avg
Dietary Services
1 staff
6.4hs shift avg
Other Services
3 staff
6.7hs shift avg
Contractor Analysis
11%
of total hours from contractors
1,980 contractor hours this quarter
Certified Nursing Assistant: 3 Speech Language Pathologist: 3 Medication Aide/Technician: 1 Licensed Practical Nurse: 1 Physical Therapy Aide: 7 Nurse Aide in Training: 2 Therapeutic Recreation Specialist: 1 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant193224,05691100%7.1
Physical Therapist120122,59591100%7.3
Nurse Aide in Training142162,54591100%7
Medication Aide/Technician91101,43491100%7.2
Licensed Practical Nurse4151,17691100%7
Registered Nurse6061,1458290%7.5
Clinical Nurse Specialist2029626976%8.6
RN Director of Nursing2027616571%7.3
Speech Language Pathologist0335106470%5.4
Administrator1014866167%8
Physical Therapy Aide0774796673%6.7
Nurse Practitioner1014135459%7.6
Dietitian1013936167%6.4
Dental Services Staff1013744752%8
Therapeutic Recreation Specialist0112284549%5.1
Mental Health Service Worker2022084044%5.2
Physical Therapy Assistant022793235%2.4
Respiratory Therapy Technician022543741%1.4
Qualified Social Worker022251314%1.9
Occupational Therapy Assistant0111633%5.2

Health Inspection History

Inspections
Total health inspections 4

Missouri average 6.6


Last Health inspection on Nov 2025

Total health citations 7
Citations per inspection
1.75

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 7 citations resulted from standard inspections; and 1 of 7 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Missouri average

Missouri average: 0.7


Serious Health citations More info 0
100% better than Missouri average

Missouri average: 1

0 critical citations More info Missouri average: 0.7

0 serious citations More info Missouri average: 1

7 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Care Planning moderate citation Nov 06, 2025
Corrected

Nutrition moderate citation Jun 14, 2024
Corrected

Nutrition moderate citation Jun 14, 2024
Corrected

Quality of Care moderate citation Jun 14, 2024
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Part of: AMERICARE
Resident Census by Payment Source
41 Total Residents
Medicare 7 (17.1%)
Medicaid 21 (51.2%)
Private Pay/Other 13 (31.7%)
Specialized Care Beds
7 Total Specialty Beds
11.7% of Bed Capacity
7
Hospice Beds
11.7%
Programs & Services
Residents' Group
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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.2
44% better than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 11.0
44% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.0%
29% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.1%
75% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 13.7%
24% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
26% better than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.8%
44% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
16% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.9%
6% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.6%
88% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.9%
37% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.8%
11% better than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 86.1%
5% worse than Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.33
12% worse than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.72
69% better than Missouri average

Missouri average: 2.35

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.4%
33% better than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
33% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 16.1%
75% worse than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.7%
26% better than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.0%
In line with Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 76.0%
42% better than Missouri average

Missouri average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 64.7%
28% better than Missouri average

Missouri average: 50.6%

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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.

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