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Nursing home report

HEARTLAND CARE AND REHABILITATION CENTER

CAPE GIRARDEAU, MO · Medicare-certified · 102 beds

In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall

Heartland Care and Rehabilitation Center in Cape Girardeau, MO has an overall 4-star rating, with a 5-star health inspection score but a 1-star staffing rating and 2-star quality measures rating. Reported nurse staffing is 3.05 hours per resident per day, below the 4.1-hour federal benchmark, with $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.0452 hrs/resident/day

Quality measures

Last inspection: November 17, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0452.

Staffing detail

Registered nurses
0.35
Licensed practical nurses
0.65
Nurse aides
2.05
Weekend nursing
2.53

Hours per resident per day.

Total staff turnover: 66%
Registered nurse turnover: 56%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

17.8%12.2%Improving

Residents with a fall causing major injury

4.2%0%Improving

Residents with pressure ulcers (bedsores)

4.5%7.4%Worsening

Residents with a urinary tract infection

1.5%0%Improving

Residents who lost too much weight

6.1%5.1%Improving

Residents who were physically restrained

0%1.6%Worsening

Residents needing more help with daily activities

5.9%8.3%Worsening

Residents whose ability to walk got worse

9.8%0%Improving

Long-stay residents on antianxiety or sleep medication

28.2%16.4%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

6.5%0%Improving

Residents with new or worsening incontinence

10.6%11.3%Worsening

Residents with depressive symptoms

3%3.6%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

94.7%

Long-stay residents given the pneumonia vaccine

98.6%96.8%Worsening

Short-stay residents given the seasonal flu vaccine

59.1%

Short-stay residents given the pneumonia vaccine

54.5%93.5%Improving

What the inspectors found

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: D

The nursing home failed to provide services that met professional standards of quality. Cited October 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited October 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: D

The nursing home failed to keep medication mistakes below the allowed level. Cited October 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Individual
Chain
Part of CIRCLE B ENTERPRISES · 36 homes · 2.5 stars avg
Occupancy
70.6 residents on an average day (69% of 102 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.