Heartland Care and Rehabilitation Center
Cape Girardeau, Missouri · CCN 265503
17 surveys since 2010, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 89
- Surveys
- 17
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 102
- Ownership
- For profit - Individual
- Chain
- CIRCLE B ENTERPRISES
- County
- Cape Girardeau
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 4
- Health inspection
- 5
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=18, floor 20).
Last survey on record
Nov 17, 2025
357 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.05 | 3.32 |
| Registered-nurse hours per resident day | 0.35 | — |
| Annual nurse turnover | 66.2% | 57.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D872.7% | E19.1% | F— |
| No harm, potential for minimal | A— | B— | C218.2% |
Most frequently cited here
In CMS’s current monthly file.
- F5842×
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.
- F5681×
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- F5781×
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.
- F6581×
Ensure services provided by the nursing facility meet professional standards of quality.
- F6601×
Plan the resident's discharge to meet the resident's goals and needs.
In the surveyor’s words
From the most serious findings on record at Heartland Care and Rehabilitation Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF584Jun 8, 2023
Based on observation, interview, and record review, the facility failed to provide a safe, clean and comfortable homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 76. Review of the facility policy titled, Maintenance Service, revised 2009, showed: - Maintenance service shall be provided to all areas of the building, grounds, and equipment; - The Maintenance Department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times; - The Maintenance Director is responsible for maintaining inspections of the buildings and work order requests; - Records shall be maintained in the Maintenance Director's office. […]
- No harm, potential for more than minimal, isolatedF584Nov 17, 2025
Based on observation, interview, and record review, the facility failed to provide a clean, comfortable, and homelike environment. This deficient practice had the potential to affect all residents in the facility. The facility census was 63.Review of the facility's policy titled, Maintenance Service, dated December 2009, showed: - The maintenance department is responsible for maintaining the building, grounds, and equipment in a safe and operable manner at all times; - Functions of maintenance personnel include maintaining the building in good repair and free from hazards; - The maintenance director is responsible for developing and maintaining a schedule of maintenance service to assure that the buildings, grounds, and equipment are maintained in a safe and operable manner. […]
- No harm, potential for more than minimal, isolatedF880Nov 17, 2025
Based on observation, interview, and record review, the facility failed to maintain proper infection control practices when providing catheter (a flexible tube inserted into the bladder to drain urine) care for two residents (Residents #7 and #59) out of two sampled residents and blood sugar checks for two residents (Residents #16 and #27) out of five sampled residents. The facility census was 63.Review of the facility's policy titled, Enhanced Barrier Precautions (EBP), dated 2024, showed: - EBP refers to an infection control intervention designed to reduce transmission of multidrug-resistance organisms (MDROs) that employs targeted gown, and gloves use during high contact resident care activities; - High contact resident care activities include dressing, bathing, transferring, providing… […]
- No harm, potential for more than minimal, isolatedF658Oct 25, 2024
Based on observation, interview, and record review, the facility failed to follow physician's orders for four residents (Residents #5, #9, #19, and #68) out of 20 sampled residents. The facility's census was 74. The facility did not provide a policy regarding following physician's orders. 1. Review of Resident #5's medical record showed: - admitted on [DATE]; - Diagnoses of chronic obstructive pulmonary disorder (COPD - a debilitating, progressive lung disease), respiratory failure (insufficient oxygen carried to the blood), pneumonia (infection in the lungs), major depressive disorder (low mood), and heart failure (heart does not pump correctly). […]
- No harm, potential for more than minimal, isolatedF695Oct 25, 2024
Based on observation, interview, and record review, the facility failed to ensure physician's orders for oxygen with the use of a bilevel positive airway pressure (BIPAP - a noninvasive ventilation device that helps people breathe by delivering pressurized air into the airways) was followed for two residents (Residents #5 and #75) out of two sampled residents. The facility census was 74. Review of the facility's policy titled, Oxygen Administration, revised October 2010, showed: - Verify that there is a physician's order for this procedure; - Review the physician's orders or facility protocol for oxygen administration; - Review the resident's care plan to assess for any special needs of the resident; - Assemble the equipment and supplies as needed. 1. […]
Read 20 findings in full →The most serious and the most recent: 20 of 89 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 17, 2025Standard2 findings
- Oct 25, 2024Standard5 findings
- Jun 8, 2023Standard4 findings
- Jan 14, 2021Standard7 findings
- Feb 8, 2019Standard10 findings
- Mar 1, 2018Standard8 findings
- Jul 20, 2017Complaint1 finding
- Dec 15, 2016Standard9 findings
Show the 9 earlier surveys
- Mar 11, 2016Standard6 findings
- Jan 22, 2015Standard2 findings
- Sep 11, 2014Complaint4 findings
- Feb 21, 2014—7 findings
- Jan 10, 2013—2 findings
- Aug 29, 2012—1 finding
- Feb 24, 2012—10 findings
- Apr 15, 2011—1 finding
- Dec 3, 2010—10 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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