Missouri › Boone County › Centralia
Heritage Hall Nursing Center
750 E Highway 22, Centralia, MO 65240
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 60 beds, Heritage Hall Nursing Center serves Centralia in Boone County, Missouri and has taken Medicare and Medicaid residents since 1989.
CMS gives it 4 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 4, staffing 4 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (5, 3, 1 by cycle, most recent first), none at the actual-harm level. That is 15.0 per 100 beds, fewer than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Missouri median of 3.4; nursing staff turnover is 62.8%.
Compared with county, state and nation
| Measure | This facility | Boone Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 9 | 29 | 31 | 28.7 |
| Citations per 100 beds | 15.0 | 31.1 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.4 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 62.8% | 61.8% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (9 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 14 Jun 2024.
Severity mix: D ×3 E ×2 F ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Nov 2025 |
| 14 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 27 Sep 2025 |
| 14 Aug 2025 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 27 Sep 2025 |
| 14 Jun 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 21 Jun 2024 |
| 14 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Jun 2024 |
| 14 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Jun 2024 |
| 24 Mar 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 12 Apr 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 62.8%, RNs 16.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.4% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.1% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.4% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Americare At Heritage Hall Nursing Center, Llc. Chain: Americare Senior Living (23 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hwj LLC | 5% or greater direct ownership interest | 100% | 01/01/2012 |
| Americare Systems, Inc. | Operational/managerial control | NOT APPLICABLE | 01/01/2012 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Boone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Columbia Post Acute | Columbia | 70 | 5 | 5 | 4 | 12 | 17.1 | — | 7 May 2026 |
| Lenoir Health Care Center | Columbia | 56 | 5 | 5 | 5 | 13 | 23.2 | — | 10 Apr 2025 |
| Columbia Manor Health & Rehabilitation | Columbia | 52 | 2 | 3 | 1 | 29 | 55.8 | — | 17 Mar 2026 |
| Neighborhoods Rehabilitation and Skilled Nursing B | Columbia | 120 | 2 | 2 | 3 | 26 | 21.7 | $85K | 29 May 2026 |
| Bluffs, The | Columbia | 132 | 1 | 1 | 3 | 41 | 31.1 | $38K | 30 Jan 2026 |
| Parkside Manor | Columbia | 120 | 1 | 1 | 2 | 58 | 48.3 | — | 18 Jun 2026 |
| South Hampton Rehabilitation & Health Care Center | Columbia | 100 | 1 | 1 | 1 | 40 | 40.0 | $13K | 27 May 2026 |
| Villa At Blue Ridge, Theabuse icon | Columbia | 97 | 1 | 2 | 2 | 40 | 41.2 | — | 5 May 2026 |
All 9 facilities in Boone County
Questions and answers
How many deficiencies has Heritage Hall Nursing Center been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Heritage Hall Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Heritage Hall Nursing Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Heritage Hall Nursing Center?
It is part of the Americare Senior Living chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Hwj LLC and Americare Systems, Inc.. Individual owners and managers are not listed on this site.
When was Heritage Hall Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 6 Nov 2025; the most recent standard health survey was 14 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.