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
Data as of July 1, 2026
4 of 5 overall
Overall 4 out of 5 stars. Inspection and quality are both 4 stars, but staffing is lower at 2 stars, with reported nurse staffing below the federal benchmark (3.02 vs 4.1 hours per resident per day); there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0231 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 3.0231.
Staffing detail
- Registered nurses
- 0.46
- Licensed practical nurses
- 0.46
- Nurse aides
- 2.11
- Weekend nursing
- 2.55
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 29%
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
11.8%15.8%Worsening
Residents with a fall causing major injury
7.4%0%Improving
Residents with pressure ulcers (bedsores)
4.6%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
13.2%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.1%23.9%Worsening
Residents whose ability to walk got worse
—7%—
Long-stay residents on antianxiety or sleep medication
20.5%19.1%Improving
Short-stay residents newly given an antipsychotic
—8.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
32.1%26.6%Improving
Residents with depressive symptoms
2.1%40.7%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
—100%—
Long-stay residents given the pneumonia vaccine
100%76.4%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
—100%—
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
Operator & ownership
Recent ownership change · Oct 1, 2022
Now operated by Heisinger Bluffs Rehab and Healthcare Center, previously Heisinger Lutheran Home.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GREEN TREE HEALTH MANAGEMENT · 7 homes · 2.9 stars avg
- Occupancy
- 56.9 residents on an average day (95% 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.