Missouri ›Cape Girardeau

Heartland Care and Rehabilitation Center

Costs & paymentPlan a visit

2525 Boutin Drive, Cape Girardeau, MO 63701 (opens Google Maps) · Cape Girardeau County · (573) 334-5225· 102 certified beds · avg 71 residents/day · certified since Aug 11, 1992 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)

5/5
Health inspection rating (on-site)
inspected Nov 17, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.37
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  2. D · Potential for more than minimal harm, isolated

    The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880

  3. D · Potential for more than minimal harm, isolated

    The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658

View all 11 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Nov 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Nov 17, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Oct 25, 2024D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Oct 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Oct 25, 2024D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Oct 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Oct 25, 2024C · Potential for minimal harm, widespreadThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · F-0568
Jun 8, 2023E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Jun 8, 2023C · Potential for minimal harm, widespreadThe facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202340E
202450D
202520D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.37
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.39
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.80
Missouri average: 3.22
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityMissouri avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.373.663.95bottom 39% in Missouri; bottom 30% in the U.S.
Registered Nurse hours0.390.490.69bottom 44% in Missouri; bottom 20% in the U.S.
Weekend total nurse staffing2.803.223.50bottom 32% in Missouri; bottom 21% in the U.S.
Weekend RN hours (not acuity-adjusted)0.240.330.48bottom 41% in Missouri; bottom 19% in the U.S.
Total nursing staff turnover (%)66.256.045.8bottom 24% in Missouri; bottom 9% in the U.S.
RN turnover (%)55.647.842.9bottom 40% in Missouri; bottom 28% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.05, RN 0.35, weekend 2.53.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.05 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Heartland Care and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Individual

Owner / managerTypeRoleStakeSince
Circle B Enterprises Holding Company INCOrganization5% or Greater Direct Ownership Interest100%01/02/1996
Agh1 LLCOrganizationOperational/Managerial ControlNOT APPLICABLE12/02/2016
Agh1 LLCOrganizationADP of the SNFNOT APPLICABLE06/02/2025
Beaird, ToddIndividualCorporate OfficerNOT APPLICABLE01/01/2022
Beaird, ToddIndividualADP of the SNFNOT APPLICABLE01/01/2022
Bedell, BryanIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE05/12/2025
Bedell, DonaldIndividualCorporate DirectorNOT APPLICABLE10/31/2000
Bedell, DonaldIndividualCorporate OfficerNOT APPLICABLE01/06/1997
Bedell, DonaldIndividualOperational/Managerial ControlNOT APPLICABLE01/06/1997
Bollinger, MelissaIndividualOperational/Managerial ControlNOT APPLICABLE12/17/2019
Bollinger, MelissaIndividualADP of the SNFNOT APPLICABLE12/17/2019
Cape Properties LLCOrganizationADP of the SNFNOT APPLICABLE01/01/2010
DCB Real Estate Partnership LPOrganizationADP of the SNFNOT APPLICABLE01/01/2010
FG LLCOrganizationADP of the SNFNOT APPLICABLE12/02/2016
Forvis Mazars LLPOrganizationADP of the SNFNOT APPLICABLE08/16/2021
Mid States INCOrganizationADP of the SNFNOT APPLICABLE11/01/2010
Palen, JamesIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2017
Palen, JamesIndividualADP of the SNFNOT APPLICABLE01/01/2017
Sovereign Healthcare Group LLCOrganizationOperational/Managerial ControlNOT APPLICABLE04/23/2021
Sovereign Healthcare Group LLCOrganizationADP of the SNFNOT APPLICABLE04/06/2025

Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Circle B Enterprises — 36 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 35 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "What is your current medication error rate, and what have you changed to bring errors down?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "How do you manage residents' personal funds, and how often do families receive an accounting?"
  • "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Missouri midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 66% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Fountainbleau Lodge1.1 miCape Girardeau, MO★★★★★4/5
Chateau Girardeau2.9 miCape Girardeau, MO★★★☆☆4/5
Ratliff Care Center3.4 miCape Girardeau, MO★★★☆☆4/5
Life Care Center of Cape Girardeau3.6 miCape Girardeau, MO★☆☆☆☆2/5
Lutheran Home, the3.9 miCape Girardeau, MO★★★★★5/5
Hubble Creek4.3 miJackson, MO★★★☆☆4/5
Jackson Manor7.2 miJackson, MO★★★★☆5/5
Chaffee Nursing Center12.4 miChaffee, MO★★★★★5/5
Stonebridge Marble Hill14.9 miMarble Hill, MO★★★★☆4/5
Integrity HC of Anna19.6 miAnna, IL★☆☆☆☆1/5

Compare this facility with the 3 closest →

All facilities in Cape Girardeau →

Facility data as of CMS processing date 2026-08-01. CCN 265503.

Your research

Viewed & saved homes

Kept in this browser tab for this session. Choose to remember them only on a device you trust. Opening a record or comparison sends its usual page request.

Selected for comparison

Recently viewed

Prices entered in a cost worksheet stay on that page and are not saved. Privacy details