Total health inspections
4
Missouri average 6.6
Last Health inspection on Nov 2025
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.
Heritage Hall
Nursing Home in Columbia
CMS overall rating
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.
Heritage Hall
Nursing Home in Columbia
CMS overall rating
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.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 188th out of 251 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.
This home is ranked 188th out of 251 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 #188 / 251Nurse hours — state benchmarkedThis home is ranked 188th out of 251 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 251 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Missouri avg
-12%
Standout metric
Registered Nurse (RN) is +46% above state avg
| 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.
| 41m per day | ▲ 46% 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.
| 32m per day | ▼ 22% 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 7m per day | ▼ 9% State avg: 2h 20m per day · National avg: 2h 21m 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 28m per day | ▼ 19% 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.
| 17m per day | ▼ 15% State avg: 20m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
59.8%
Rank #176 / 257Occupancy rate — state benchmarkedThis home is ranked 176th out of 257 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its statewide rank out of 257. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
81 days
Occupancy rate
59.8%
Rank #176 / 257Occupancy rate — state benchmarkedThis home is ranked 176th out of 257 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its statewide rank out of 257. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
81 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
$3.7M Rank #220 / 258Revenue — state benchmarkedThis home is ranked 220th out of 258 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 %.
Operating loss
-$5.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #200 / 258Payroll — state benchmarkedThis home is ranked 200th out of 258 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.
$1.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #200 / 258Payroll — state benchmarkedThis home is ranked 200th out of 258 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.7M
Walk Score: 30 / 100 Rank #41 / 70Walk Score — state benchmarkedThis home is ranked 41st out of 70 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What does this home offer?
Pets Allowed: Yes, Pets Allowed
Room Sizes: 218 sq. ft.
Housing Options: Studio
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Heritage Hall
Skilled Nursing
Hospice Care
Health Inspection History
Inspections
Total health citations
7
Rank #7 / 255Health citations — state benchmarkedThis home is ranked 7th out of 255 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri state average, with a ranking across all 255 MO SNFs. Lower citation counts earn a better rank.
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
0
100% better than Missouri averageMissouri average: 0.7
Serious Health citations
0
0
100% better than Missouri averageMissouri average: 1
0 critical citations
0 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 06, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 06, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 14, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 14, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 14, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 14, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 14, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 14, 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.
Compare Nursing Homes around Columbia The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
| Heritage Hall |
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 | 1.8 | 0 | 43 | - | 30 | Redmond, Christina | $3.7M | $1.8M | 48.6% | 265385 | ||||
| The Neighborhoods by TigerPlace |
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 | 4.0 | 4 | 93 | - | 20 | Byergo, Lisa | $12.5M | $5.3M | 42.6% | 265840 |
Financial Assistance for
Nursing Home in Missouri
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Places of interest near Heritage Hall
23.0 miles from city center
Estimated distance in miles from Centralia's city center to Heritage Hall's address, calculated via Google Maps.
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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 averageMissouri average ratio: 1.71:1
Avg staff/day
28
Average shift
7 hours
14% worse than Missouri averageMissouri 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
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursThis 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 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
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 averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.0
44% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
Percent of long-stay residents whose need for help with daily activities has increased
14.0%
29% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.1%
Percent of long-stay residents whose ability to move independently worsened
5.1%
75% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.7%
24% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
26% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.8%
Percent of long-stay high risk residents with pressure ulcers
2.8%
44% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.2%
Percent of long-stay residents with a urinary tract infection
3.2%
16% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.9%
Percent of long-stay residents who lose too much weight
5.9%
6% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.6%
Percent of long-stay residents who have depressive symptoms
1.6%
88% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.9%
Percent of long-stay residents who received an antipsychotic medication
13.9%
37% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
11% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.1%
5% worse than Missouri averageMissouri average: 90.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.33
Number of hospitalizations per 1,000 long-stay resident days.
2.33
12% worse than Missouri averageMissouri average: 2.08
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.72
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.72
69% better than Missouri averageMissouri average: 2.35
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.4%
33% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
33% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
16.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
16.1%
75% worse than Missouri averageMissouri average: 63.5%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.7%
26% better than Missouri averageMissouri average: 25.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.0%
In line with Missouri averageMissouri average: 13.4%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
76.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
76.0%
42% better than Missouri averageMissouri average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
64.7%
Rate of successful return to home or community from a skilled nursing facility.
64.7%
28% better than Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Heritage Hall based on CMS SNF Cost Reports.
Occupancy Rate
59.8%
↓ 2.6pp vs 2022
Net Income
-$5.3K
↑ ~$304.8K vs 2022
Total Payroll
$2.0M
↓ ~$107.1K vs 2022
Profit Margin
-0.1%
↑ 8.6pp vs 2022
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