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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Life Care Center of Cape Girardeau is a 120-bed skilled nursing and rehabilitation facility operated by Cape Girardeau Operations, LLC, at 365 South Broadview Street in Cape Girardeau, Missouri. At 66 percent occupancy aligned with Missouri’s state average, the facility has some availability. Accepted are Medicare, Medicaid, and private pay, with a mix of short-term rehabilitation and long-term care averaging 46 days of stay length.
The facility is scored 1 star by CMS, 62 percent below Missouri’s average, driven by a health inspection sub-rating running 65.5 percent below the state mean. Quality measures are the one above-average sub-rating at 43.4 percent above state figure. Across 13 inspections since 2022, the facility recorded 44 total citations including 2 critical and 5 serious findings. A substantiated immediate jeopardy citation was issued in June 2025 after staff performed CPR on a resident with a documented DNR order; a $82,000 federal fine and a 19-day payment denial followed in May 2025, bringing total fines to $150,000 across four penalties in the past three years. Nurse hours run 3h 53m per resident daily, essentially aligned with Missouri’s average.
A community re-entry program, a certified dietitian, landscaped grounds and courtyards, and a beauty salon and barber shop are among the amenities. Alzheimer’s and dementia care is a confirmed program.
Life Care Center of Cape Girardeau serves in Cape Girardeau County a mix of post-acute rehabilitation and long-term care patients.
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.
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.
This home is ranked 111th out of 276 homes in Missouri for nurse hours. 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.
| Staff type | Hours / Day / Resident | 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.
| 25m per day | ▼ 11% 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.
| 1h 13m per day | ▲ 79% 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 9m per day | ▼ 7% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 3h 25m per day | ▲ 12% 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.
| 6m per day | ▲ 219% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
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.
| 12m per day | ▼ 41% State avg: 20m per day · National avg: 28m per day |
Similar to the Missouri average: 66.6%Life Care Center of Cape Girardeau is legally operated by Cape Girardeau Operations, Llc, and administrated by Christine Hopson.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 100 | 35 | This facility has 186% more total deficiencies than a typical Missouri nursing home (100 vs. MO avg 35).↑ 186% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 12.5 | 4.4 | This facility has 184% more deficiencies per year than a typical Missouri nursing home (12.5 vs. MO avg 4.4).↑ 184% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4 | 5 | This facility has 20% fewer deficiencies per inspection than a typical Missouri nursing home (4 vs. MO avg 5).↓ 20% better |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 25 | 7 | This facility has 257% more total inspections than a typical Missouri nursing home (25 vs. MO avg 7).↑ 257% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Missouri average 6.6
Last Health inspection on Jun 2025
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.
28 of 44 citations resulted from standard inspections; 13 of 44 resulted from complaint investigations; and 3 of 44 came from combined inspections (standard and complaint).
186% worse than Missouri averageMissouri average: 0.7
400% worse than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Missouri average
7% better than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursAssists with medical care and medications.
43 total: 15 full-time employees and 28 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
All 46 CNA Staff are full-time employees. No contractors work on this role.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,532 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 0 | 46 | 15,184 | 92 | 100% | 9 |
| Licensed Practical Nurse | 15 | 28 | 43 | 9,343 | 92 | 100% | 10 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,658 | 91 | 99% | 10.2 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,449 | 66 | 72% | 6.3 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,413 | 66 | 72% | 7.7 |
| Registered Nurse | 6 | 0 | 6 | 1,325 | 71 | 77% | 10.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 844 | 66 | 72% | 6.7 |
| Physical Therapy Aide | 4 | 0 | 4 | 799 | 68 | 74% | 6.4 |
| Physical Therapy Assistant | 4 | 0 | 4 | 702 | 66 | 72% | 5.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 664 | 83 | 90% | 7.3 |
| Nurse Practitioner | 2 | 0 | 2 | 576 | 66 | 72% | 8 |
| Occupational Therapy Aide | 1 | 1 | 2 | 553 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 502 | 61 | 66% | 8.2 |
| Qualified Social Worker | 5 | 0 | 5 | 468 | 68 | 74% | 5.1 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 439 | 57 | 62% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 373 | 49 | 53% | 7.6 |
| Dental Services Staff | 1 | 0 | 1 | 318 | 44 | 48% | 7.2 |
| Mental Health Service Worker | 3 | 0 | 3 | 260 | 32 | 35% | 8.1 |
| Nurse Aide in Training | 1 | 0 | 1 | 194 | 27 | 29% | 7.2 |
| Medical Director | 0 | 1 | 1 | 35 | 3 | 3% | 11.5 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 28 | 3 | 3% | 9.4 |
Includes penalties issued in 2024-2025
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 (Data as of Jan 2026)
105% higher than Missouri averageMissouri average: $73K
64% more fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
45% more payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 22, 2025
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 22, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 18, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 26, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
18% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.4
31% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.1%
54% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
9.9%
52% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
18% worse than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
18% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
10.1%
102% worse than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
12.5%
124% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
1.7%
87% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
5.7%
74% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.1%
9% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.3%
In line with Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.76
15% better than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.98
16% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.0%
8% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
58% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
52.3%
18% worse than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.8%
In line with Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
23.0%
72% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
70.2%
31% better than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.0%
5% 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.
30% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
26% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Life Care Center of Cape Girardeau based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #34 / 286Payroll — State benchmarkedThis home is ranked 34th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Cape Girardeau's city center to Life Care Center of Cape Girardeau's address, calculated via Google Maps.
Add your location
Life Care Center of Cape Girardeau is located in CAPE GIRARDEAU, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Heartland Care and Rehabilitation Center |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cape Girardeau | 102
Facility
102
MO AVG
97
Rank
#169 / 454 |
61.8%
Facility
61.8%
MO AVG
66.6%
Rank
#250 / 428 | -7% | 3.26
Facility
3.26
MO AVG
3.74
Rank
#203 / 276 | +8% | -13% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 5.3
Facility
5.3
MO AVG
5.7
Rank
#149 / 281 | - | 66 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Melissa Bollinger | $7.7M
Facility
$7.7M
MO AVG
$8.4M
Rank
#108 / 286 | $3.0M
Facility
$3.0M
MO AVG
$3.3M
Rank
#179 / 286 | 38.7%
Facility
38.7%
MO AVG
45.6%
Rank
#262 / 286 | 265503 | ||||
| Fountainbleau Lodge |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cape Girardeau | 89
Facility
89
MO AVG
97
Rank
#245 / 454 |
33.7%
Facility
33.7%
MO AVG
66.6%
Rank
#395 / 428 | -49% | 4.52
Facility
4.52
MO AVG
3.74
Rank
#47 / 276 | +7% | +21% | $8.8k
Facility
$8.8k
MO AVG
$76.9k
Rank
#156 / 283 | 22
Facility
22
MO AVG
36.5
Rank
#88 / 281 | 5.5
Facility
5.5
MO AVG
5.7
Rank
#163 / 281 | 1 | 29 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Bilkiss Chaudhry | $6.0M
Facility
$6.0M
MO AVG
$8.4M
Rank
#150 / 286 | $2.8M
Facility
$2.8M
MO AVG
$3.3M
Rank
#191 / 286 | 46.5%
Facility
46.5%
MO AVG
45.6%
Rank
#210 / 286 | 265383 | ||||
| Life Care Center of Cape Girardeau |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cape Girardeau | 120
Facility
120
MO AVG
97
Rank
#89 / 454 |
65.8%
Facility
65.8%
MO AVG
66.6%
Rank
#222 / 428 | -1% | 3.88
Facility
3.88
MO AVG
3.74
Rank
#111 / 276 | -45% | +4% | $149.6k
Facility
$149.6k
MO AVG
$76.9k
Rank
#262 / 283 | 44
Facility
44
MO AVG
36.5
Rank
#199 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 7 | 86 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Derick Cummins | $16.5M
Facility
$16.5M
MO AVG
$8.4M
Rank
#24 / 286 | $7.4M
Facility
$7.4M
MO AVG
$3.3M
Rank
#34 / 286 | 44.6%
Facility
44.6%
MO AVG
45.6%
Rank
#226 / 286 | 265185 |
The legal owner and operator of Life Care Center of Cape Girardeau is Cape Girardeau Operations, Llc.
Life Care Center of Cape Girardeau 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, Life Care Center of Cape Girardeau's license number is 053327.
According to MO state health department records, Life Care Center of Cape Girardeau's license expires on January 30, 2028.
Life Care Center of Cape Girardeau's occupancy is 66%.
Christine Hopson is the administrator of Life Care Center of Cape Girardeau.
Life Care Center of Cape Girardeau has 120 beds.
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