Heartland Care and Rehabilitation Center
2525 Boutin Drive, Cape Girardeau, MO 63701 · Cape Girardeau County · 102 certified beds · avg 71 residents/day · certified since Aug 11, 1992
Part of chain: CIRCLE B ENTERPRISES (36 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
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 self-reported quality measures.
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 17, 2025 | D · Potential for harm, one-off | 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. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 25, 2024 | D · Potential for harm, one-off | The 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. |
| Oct 25, 2024 | D · Potential for harm, one-off | The 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. |
| Oct 25, 2024 | D · Potential for harm, one-off | The 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. |
| Oct 25, 2024 | C · Minimal risk, facility-wide | The 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. |
| Jun 8, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 8, 2023 | D · Potential for harm, one-off | The 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. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Jun 8, 2023 | C · Minimal risk, facility-wide | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 5 | 0 | D |
| 2025 | 2 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.37 | 3.66 | 3.95 | bottom 39% in Missouri; bottom 30% in the U.S. |
| Registered Nurse hours | 0.39 | 0.49 | 0.69 | bottom 44% in Missouri; bottom 20% in the U.S. |
| Weekend total nurse staffing | 2.80 | 3.22 | 3.50 | bottom 32% in Missouri; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.33 | 0.48 | bottom 41% in Missouri; bottom 19% in the U.S. |
| Total nursing staff turnover (%) | 66.2 | 56.0 | 45.8 | bottom 24% in Missouri; bottom 9% in the U.S. |
| RN turnover (%) | 55.6 | 47.8 | 42.9 | bottom 40% in Missouri; bottom 28% in the U.S. |
Hours are per resident per day, 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. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Circle B Enterprises Holding Company INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/02/1996 |
| Agh1 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/02/2016 |
| Agh1 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/02/2025 |
| Beaird, Todd | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Beaird, Todd | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Bedell, Bryan | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/12/2025 |
| Bedell, Donald | Individual | Corporate Director | NOT APPLICABLE | 10/31/2000 |
| Bedell, Donald | Individual | Corporate Officer | NOT APPLICABLE | 01/06/1997 |
| Bedell, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/1997 |
| Bollinger, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/17/2019 |
| Bollinger, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 12/17/2019 |
| Cape Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2010 |
| DCB Real Estate Partnership LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2010 |
| FG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/02/2016 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/16/2021 |
| Mid States INC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2010 |
| Palen, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Palen, James | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| Sovereign Healthcare Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/23/2021 |
| Sovereign Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/06/2025 |
Questions to ask on your visit
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fountainbleau Lodge | 1.1 mi | Cape Girardeau, MO | ★★★★★ | 4/5 | |
| Chateau Girardeau | 2.9 mi | Cape Girardeau, MO | ★★★☆☆ | 4/5 | |
| Ratliff Care Center | 3.4 mi | Cape Girardeau, MO | ★★★☆☆ | 4/5 | |
| Life Care Center of Cape Girardeau | 3.6 mi | Cape Girardeau, MO | ★☆☆☆☆ | 2/5 | |
| Lutheran Home, the | 3.9 mi | Cape Girardeau, MO | ★★★★★ | 5/5 | |
| Hubble Creek | 4.3 mi | Jackson, MO | ★★★☆☆ | 4/5 | |
| Jackson Manor | 7.2 mi | Jackson, MO | ★★★★☆ | 5/5 | |
| Chaffee Nursing Center | 12.4 mi | Chaffee, MO | ★★★★★ | 5/5 | |
| Stonebridge Marble Hill | 14.9 mi | Marble Hill, MO | ★★★★☆ | 4/5 | |
| Integrity HC of Anna | 19.6 mi | Anna, IL | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 265503.