Heritage Hall
Nursing Home, Skilled Nursing & Hospice Care · Columbia, MO
CMS overall rating Info 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.

Heritage Hall

Nursing Home, Skilled Nursing & Hospice Care · Columbia, MO
CMS overall rating Info 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.
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Heritage Hall accepts Medicare, Medicaid, and private pay.

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.
▲ 101.3% Above MO avg. ▲ 101.3% Above MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 44.2% Above MO avg. ▲ 44.2% Above MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 8.6% Below MO avg. ▼ 8.6% Below MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 88.1% Above MO avg. ▲ 88.1% Above MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 203rd out of 276 homes in Missouri. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 18m per day
Rank #203 / 276Nurse hours — State benchmarkedThis home is ranked 203rd out of 276 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 276 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Missouri avg (3h 44m per day)
vs Missouri avg
-12%

5 of 6 metrics below state avg

Standout metric Registered Nurse (RN) is +46% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 41m per day ▲ 46% State avg: 28m per day · National avg: 41m per day
LPN / LVN Info 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. 32m per day ▼ 22% State avg: 41m per day · National avg: 52m per day
Nurse Aide Info 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 7m per day ▼ 9% State avg: 2h 20m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info 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 28m per day ▼ 19% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Info 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) Info 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. 17m per day ▼ 15% State avg: 20m per day · National avg: 29m per day

Types of Care at Heritage Hall

Skilled Nursing Hospice Care

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Lower occupancy than the Missouri average: 66.6%
Occupancy rate 59.8% Rank #202 / 282Occupancy rate — State benchmarkedThis home is ranked 202nd out of 282 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 282. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay 81 days
Occupancy rate
59.8% Rank #202 / 282Occupancy rate — State benchmarkedThis home is ranked 202nd out of 282 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 282. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
81 days
Walk Score
Walk Score: 30 / 100 Rank #223 / 288Walk Score — State benchmarkedThis home is ranked 223rd out of 288 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Contact Heritage Hall

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 101
Employees 69
Contractors 32
Staff to resident ratio 2.46:1
44% better than Missouri average
Missouri average ratio: 1.71:1 Missouri average ratio: 1.71:1See full Missouri ranking
Avg staff/day 26
Average shift 6.9 hours
15% worse than Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 16,491

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
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 8
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 13
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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

14.2%

2,344 contractor hours this quarter

Physical Therapy Aide: 5 Physical Therapy Assistant: 4 Speech Language Pathologist: 3 Physical Therapist: 3 Certified Nursing Assistant: 3 Licensed Practical Nurse: 2 Respiratory Therapy Technician: 2 Nurse Aide in Training: 2 Medication Aide/Technician: 2 Dental Services Staff: 1 Qualified Social Worker: 1 Therapeutic Recreation Specialist: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Physician Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Nurse Aide in Training162183,80692100%7.1
Physical Therapist113142,80292100%7.2
Certified Nursing Assistant103132,1939098%7.1
Medication Aide/Technician122141,35192100%7.3
Licensed Practical Nurse6281,2589098%7
Registered Nurse6061,1358289%7.5
Dental Services Staff2136535762%7.2
Clinical Nurse Specialist1015685661%10.1
RN Director of Nursing2024505257%6.9
Administrator1014325459%8
Speech Language Pathologist0334316571%5.1
Nurse Practitioner1014015459%7.4
Dietitian1013795358%7.1
Physical Therapy Aide0553006773%4.4
Therapeutic Recreation Specialist0111704953%3.5
Physical Therapy Assistant044382224%1.7
Respiratory Therapy Technician022372932%1.2
Qualified Social Worker011272426%1.1
Medical Director0112433%8
Physician Assistant0112433%8
Occupational Therapy Assistant0111433%4.5
18 Nurse Aide in Training
% of Days 100%
14 Physical Therapist
% of Days 100%
13 Certified Nursing Assistant
% of Days 98%
14 Medication Aide/Technician
% of Days 100%
8 Licensed Practical Nurse
% of Days 98%
6 Registered Nurse
% of Days 89%
3 Dental Services Staff
% of Days 62%
1 Clinical Nurse Specialist
% of Days 61%
2 RN Director of Nursing
% of Days 57%
1 Administrator
% of Days 59%
3 Speech Language Pathologist
% of Days 71%
1 Nurse Practitioner
% of Days 59%
1 Dietitian
% of Days 58%
5 Physical Therapy Aide
% of Days 73%
1 Therapeutic Recreation Specialist
% of Days 53%
4 Physical Therapy Assistant
% of Days 24%
2 Respiratory Therapy Technician
% of Days 32%
1 Qualified Social Worker
% of Days 26%
1 Medical Director
% of Days 3%
1 Physician Assistant
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%

Penalties and fines

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.

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: 2.7 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: 2.1 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%

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

Facility Characteristics

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

Total residents 41
Medicare
7
17.1% of residents
Medicaid
21
51.2% of residents
Private pay or other
13
31.7% of residents
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.

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
$3.7M Rank #250 / 286Revenue — State benchmarkedThis home is ranked 250th out of 286 homes in Missouri. Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$5.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #247 / 286Payroll — State benchmarkedThis home is ranked 247th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.0M
54.3% of revenue Rank #147 / 286Payroll % — State benchmarkedThis home is ranked 147th out of 286 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri SNFs typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.7M
Total costs $3.7M

What does this home offer?

Pets allowed icon
Pets allowed icon

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

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.

Places of interest near Heritage Hall

Address 23.0 miles from city center Info Estimated distance in miles from Centralia's city center to Heritage Hall's address, calculated via Google Maps.

Calculate Travel Distance to Heritage Hall

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Address

Financial Assistance for
Nursing Home in Missouri

Heritage Hall is located in Centralia, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

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

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

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

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Compare Nursing Home 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

Filter by care type
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.

Centralia60 59.8% -10%3.30 -25%-12%$071.8-43 30 Christina Redmond$3.7M$2.0M54.3%265385
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.

Columbia120 72.7% +9%4.93 -78%+32%$0284.0493 20 Lisa Byergo$12.5M$6.0M48.1%265840

Frequently Asked Questions about Heritage Hall

Is Heritage Hall in a walkable area?

Heritage Hall has a walk score of 30. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Heritage Hall?

Heritage Hall's occupancy is 59.8%.

What is the phone number of Heritage Hall?

(573) 682-5551 will put you in contact with the team at Heritage Hall.

Is Heritage Hall Medicare or Medicaid certified?

Yes — Heritage Hall is a CMS-certified provider of Medicare and Medicaid.

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