The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
HEISINGER BLUFFS REHAB AND HEALTHCARE CENTER
JEFFERSON CITY, MO · Medicare-certified · 60 beds
In good standing
For-profitChain member
5 of 5 overall
Heisinger Bluffs Rehab and Healthcare Center has an overall 5 of 5 stars, with strong health inspection and quality scores but a low 2 of 5 staffing rating. It reported 3.35 nurse hours per resident per day versus the 4.1 federal benchmark, had $0 fines in the last 24 months, and recent inspection citations included food service, infection control, and menu/nutrition standards.
Facility ratings
Health inspections
Staffing
3.3549 hrs/resident/day
Quality measures
Last inspection: March 28, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3549.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.50
- Nurse aides
- 2.38
- Weekend nursing
- 2.82
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12%Improving
Residents with a fall causing major injury
6.1%Improving
Residents with pressure ulcers (bedsores)
2.8%Improving
Residents with a urinary tract infection
1.4%Steady
Residents who lost too much weight
5.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.2%Worsening
Residents whose ability to walk got worse
10%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.4%Improving
Short-stay residents newly given an antipsychotic
6.5%Steady
Residents with a long-term catheter
0.4%Steady
Residents with new or worsening incontinence
27.9%Worsening
Residents with depressive symptoms
27.8%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.1%Worsening
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
94.6%Steady
What the inspectors found
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 March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide activities that met all residents’ needs. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 679 — 42 CFR §483.24 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $8,117 in total fines.
- $4,235
Federal fine
Jun 12, 2023
- $3,882
Federal fine
Jun 5, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GREEN TREE HEALTH MANAGEMENT · 7 homes · 3.3 stars avg
- Occupancy
- 55.5 residents on an average day (92% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 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.