Cape Girardeau County, Missouri · Nursing home
Heartland Care and Rehabilitation Center
4 of 5 overall from CMS
2525 Boutin Drive, Cape Girardeau, MO 63701
At a glance
- Overall rating 4 of 5 Above the state average of 2.5
- Nurse time per resident, per day 3.05 hours Below the state average of 3.43
- Nursing staff who left in a year 66.2% Above the state average of 56.0%
- Health citations, last 3 inspection cycles 11 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 69.2% of 102 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Heartland Care and Rehabilitation Center is a 102-bed nursing home in Cape Girardeau, Missouri (Cape Girardeau County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.05 nurse staffing hours per resident per day, below the Missouri average of 3.43. CMS lists no fines in the past three years.
- Certified beds
- 102
- Residents per day (average)
- 70.6
- Certified since
- 1992 (34 yrs)
For profit - Individual Participates in Medicare and MedicaidPart of Circle B Enterprises (36 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Heartland Care and Rehabilitation Center
Chosen from this home's public data.
- Nursing staff turnover is 66.2%, above the Missouri average of 56.0%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.53 hours per resident on weekends against 3.05 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 69.2% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Missouri average 2.5
- Health inspections 5 of 5 Missouri average 2.8
- Staffing 1 of 5 Missouri average 2.2
- Quality measures 2 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.05 h Missouri average 3.43
- Nurse aides 2.05 h Missouri average 2.29
- Licensed practical nurses 0.65 h Missouri average 0.68
- Registered nurses 0.35 h Missouri average 0.46
- All staff, weekends 2.53 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover66.2%
- Missouri average56.0%
- Registered nurse turnover55.6%
- Missouri average47.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 7.0% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.7% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.8% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.2% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.5% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.8% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.0% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.6% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.7% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.6% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.2% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 16.4% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.06 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.28 | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 74.1% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.1% | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.6% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 19.4% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 11 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 17, 2025 | 2 | 2 |
| Oct 25, 2024 | 5 | 3 |
| Jun 8, 2023 | 4 | 3 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (11)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Dec 30, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 30, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Dec 8, 2024)
Show 6 more
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 8, 2024)
-
CPotential for minimal harm, widespread
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights · Deficient, Provider has date of correction (Dec 8, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Jul 15, 2023)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Jul 15, 2023)
-
DPotential for more than minimal harm, isolated
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (Jul 15, 2023)
-
CPotential for minimal harm, widespread
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 15, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size217 of 487 by certified beds
- Missouri average residents per day73.0
- ChainCircle B Enterprises
- Chain average overall rating2.5 of 5
- Resident or family councilResident
- Homes in Cape Girardeau6
- Homes in Cape Girardeau County8
Common questions
What is the CMS star rating for Heartland Care and Rehabilitation Center?
Heartland Care and Rehabilitation Center has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 1 and quality measures is 2.
How many beds does Heartland Care and Rehabilitation Center have?
Heartland Care and Rehabilitation Center has 102 certified beds. It averages 70.6 residents per day, about 69.2% of its certified beds.
How much nursing care do residents get at Heartland Care and Rehabilitation Center?
The home reports 3.05 hours of nurse staffing per resident per day, including 0.35 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Heartland Care and Rehabilitation Center been fined?
CMS lists no fines for this home in the past three years.
Does Heartland Care and Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Fountainbleau Lodge 33beds 83.9%in use 4.99nurse hours a day
- 3 of 5 Chateau Girardeau 75beds 71.7%in use 4.26nurse hours a day
- 3 of 5 Ratliff Care Center 46beds 88.3%in use 3.24nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Cape Girardeau County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265503. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.