Heartland Care and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 2525 Boutin Drive, Cape Girardeau, MO 63701
- CCN
- 265503
- Ownership type
- For-profit, individual
- Certified beds
- 102
- Chain
- Circle B Enterprises
- Residents per day
- 71
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Heartland Care and Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 17 Nov 2025. The latest survey cycle has 2 health citations. The median for nursing homes in Missouri is 9. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Cape Girardeau County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 2.0 | 3.0 |
| Health inspection rating | 5 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 2.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 8 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 17 Nov 2025 | 2 | 9 |
| Cycle 2 | 25 Oct 2024 | 5 | 10 |
| Cycle 3 | No date | 4 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Nov 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 30 Dec 2025 |
| 17 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Dec 2025 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Oct 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | C | Standard survey | 8 Dec 2024 |
| 25 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Dec 2024 |
| 25 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Dec 2024 |
| 25 Oct 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 Dec 2024 |
| 25 Oct 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 8 Dec 2024 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Jun 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 15 Jul 2023 |
| 8 Jun 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 15 Jul 2023 |
| 8 Jun 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | C | Standard survey | 15 Jul 2023 |
| 8 Jun 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 15 Jul 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.05 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.35 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.65 | 0.68 | |
| Nurse aides | 2.05 | 2.29 | |
| All nurse staff, weekends | 2.53 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 66.2%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 55.6%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.8% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.4% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
- Chain
- Circle B Enterprises (36 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc | 5% or greater direct ownership interest | 100% | 2 Jan 1996 |
| Agh1 LLC | Operational/managerial control | 2 Dec 2016 | |
| Sovereign Healthcare Group LLC | Operational/managerial control | 23 Apr 2021 | |
| Agh1 LLC | Adp of the snf | 2 Jun 2025 | |
| Cape Properties LLC | Adp of the snf | 1 Jan 2010 | |
| DCB Real Estate Partnership LP | Adp of the snf | 1 Jan 2010 | |
| FG LLC | Adp of the snf | 2 Dec 2016 | |
| Forvis Mazars LLP | Adp of the snf | 16 Aug 2021 | |
| Mid States Inc | Adp of the snf | 1 Nov 2010 | |
| Sovereign Healthcare Group LLC | Adp of the snf | 6 Apr 2025 | |
| Van De Ven LLC | Adp of the snf | 1 Jan 2000 |
The site shows organisations only. It does not show the names of persons.
Other homes in Cape Girardeau County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Fountainbleau Lodge | Cape Girardeau | 5 of 5 | 3 | $8,827 | 4 Sep 2025 | |
| Chateau Girardeau | Cape Girardeau | 3 of 5 | 8 | $0 | 10 Apr 2026 | |
| Ratliff Care Center | Cape Girardeau | 3 of 5 | 8 | $0 | 30 May 2025 | |
| Life Care Center of Cape Girardeau | Cape Girardeau | 1 of 5 | 18 | $149,578 | 22 May 2025 | |
| Lutheran Home, The | Cape Girardeau | 5 of 5 | 2 | $0 | 28 Mar 2025 | |
| Hubble Creek | Jackson | 3 of 5 | 6 | $0 | 12 Feb 2026 | |
| Jackson Manor | Jackson | 4 of 5 | 5 | $0 | 22 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Heartland Care and Rehabilitation Center (CCN 265503). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/heartland-care-and-rehabilitation-center-cape-girardeau-mo-265503/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Heartland Care and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 17 Nov 2025. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 25 Oct 2024.
- Who operates Heartland Care and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Circle B Enterprises. The CMS ownership file names Agh1 LLC and Sovereign Healthcare Group LLC for operational or managerial control. This site does not show the names of persons.
- Is Heartland Care and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.