Heritage Hall Rehabilitation & Skilled Nursing in Centralia, MO has an overall rating of 4 out of 5 stars, with 4-star ratings for health inspections, staffing, and quality measures. It reported 3.26 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included infection prevention and food service issues.
Last inspection: November 6, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2564.
Staffing detail
Registered nurses
0.59
Licensed practical nurses
0.58
Nurse aides
2.08
Weekend nursing
2.59
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 17%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
13%10.7%Improving
Residents with a fall causing major injury
5.9%0%Improving
Residents with pressure ulcers (bedsores)
2.6%3.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.4%10%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.8%9.4%Improving
Residents whose ability to walk got worse
—15.1%—
Long-stay residents on antianxiety or sleep medication
20.7%28.1%Worsening
Short-stay residents newly given an antipsychotic
0%4.5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.2%18.7%Worsening
Residents with depressive symptoms
6.2%3.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—86.1%—
Long-stay residents given the pneumonia vaccine
91.2%91.4%No change
Short-stay residents given the seasonal flu vaccine
—16.1%—
Short-stay residents given the pneumonia vaccine
88.7%51.4%Worsening
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 August 2025 — 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 have enough qualified staff to properly provide food and nutrition services. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly hold, secure, and manage residents’ personal money kept by the facility. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 568 — 42 CFR §483.10 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited August 2025 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — 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 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 3 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AMERICARE SENIOR LIVING · 23 homes · 3.7 stars avg
Occupancy
42.8 residents on an average day (71% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 36 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.