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Nursing Home

Heritage Hall

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 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.
5/5
Missouri average: 2.5/5
Health Inspection Info 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.
4/5
Missouri average: 2.8/5
Staffing Info 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.
2/5
Missouri average: 2.2/5
Quality Measures Info 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.
5/5
Missouri average: 2.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 18m per day

This home provides 12% less nursing time per resident than the Missouri 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
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

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$3.7M
Operating loss
-$5.3K
Privately-owned community Operated by a partnership between two or more business owners.
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

Health Inspection History

Inspections
Total health inspections 4

Missouri average 6.6


Last Health inspection on Nov 2025

Total health citations 7

Missouri average 36.5

Citations per inspection
1.75

Missouri average 5.67


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 Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Nov 06, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 14, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 14, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jun 14, 2024
Corrected

Compare Nursing Homes around Columbia The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.

2 facilities compared · CMS & MO Dept. of Health data · Updated Apr 2026

Heritage Hall
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).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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).

Centralia
60
59.8%
-10%
3.30
-22%
-12%
0
7
0
43
30
Redmond, Christina
$3,7M
$1,8M
48.6%
265385
Studio
The Neighborhoods by TigerPlace
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).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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).

Columbia
120
72.7%
+9%
4.93
-49%
+32%
0
28
4
93
20
Byergo, Lisa
$12,5M
$5,3M
42.6%
265840
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 (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 99
Employees 74
Contractors 25
Staff to resident ratio 2.41:1
41% better than Missouri average

Missouri average ratio: 1.71:1

Avg staff/day 28
Average shift 7 hours
14% worse than Missouri average

Missouri average: 8.1 hours

Total staff hours (quarter) 17,937
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

11%

1,980 contractor hours this quarter

Physical Therapy Aide: 7 Certified Nursing Assistant: 3 Speech Language Pathologist: 3 Nurse Aide in Training: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Medication Aide/Technician: 1 Licensed Practical Nurse: 1 Therapeutic Recreation Specialist: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant 19 3 22 4,056 91 100% 7.1
Physical Therapist 12 0 12 2,595 91 100% 7.3
Nurse Aide in Training 14 2 16 2,545 91 100% 7
Medication Aide/Technician 9 1 10 1,434 91 100% 7.2
Licensed Practical Nurse 4 1 5 1,176 91 100% 7
Registered Nurse 6 0 6 1,145 82 90% 7.5
Clinical Nurse Specialist 2 0 2 962 69 76% 8.6
RN Director of Nursing 2 0 2 761 65 71% 7.3
Speech Language Pathologist 0 3 3 510 64 70% 5.4
Administrator 1 0 1 486 61 67% 8
Physical Therapy Aide 0 7 7 479 66 73% 6.7
Nurse Practitioner 1 0 1 413 54 59% 7.6
Dietitian 1 0 1 393 61 67% 6.4
Dental Services Staff 1 0 1 374 47 52% 8
Therapeutic Recreation Specialist 0 1 1 228 45 49% 5.1
Mental Health Service Worker 2 0 2 208 40 44% 5.2
Physical Therapy Assistant 0 2 2 79 32 35% 2.4
Respiratory Therapy Technician 0 2 2 54 37 41% 1.4
Qualified Social Worker 0 2 2 25 13 14% 1.9
Occupational Therapy Assistant 0 1 1 16 3 3% 5.2
22 Certified Nursing Assistant
% of Days 100%
12 Physical Therapist
% of Days 100%
16 Nurse Aide in Training
% of Days 100%
10 Medication Aide/Technician
% of Days 100%
5 Licensed Practical Nurse
% of Days 100%
6 Registered Nurse
% of Days 90%
2 Clinical Nurse Specialist
% of Days 76%
2 RN Director of Nursing
% of Days 71%
3 Speech Language Pathologist
% of Days 70%
1 Administrator
% of Days 67%
7 Physical Therapy Aide
% of Days 73%
1 Nurse Practitioner
% of Days 59%
1 Dietitian
% of Days 67%
1 Dental Services Staff
% of Days 52%
1 Therapeutic Recreation Specialist
% of Days 49%
2 Mental Health Service Worker
% of Days 44%
2 Physical Therapy Assistant
% of Days 35%
2 Respiratory Therapy Technician
% of Days 41%
2 Qualified Social Worker
% of Days 14%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

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

Total census
41 residents
Residents by payment source
Medicare
7 residents (17.1%)
Medicaid
21 residents (51.2%)
Private pay or other
13 residents (31.7%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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
Above average Missouri avg: 3.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
Significantly above average Missouri avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%

Guides for Better Senior Living

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Financial Aid for Missouri Seniors

Get financial aid guidance

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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