Heisinger Bluffs Healthcare Western Campus

Name: Heisinger Bluffs Healthcare Western Campus
Address: 1306 WEST MAIN STREET, Jefferson City, MO, 65109, US
Telephone: 5736350166

1306 West Main Street, Jefferson City, MO 65109 · Cole County · 69 certified beds · avg 60 residents/day · certified since Dec 10, 2010

Part of chain: GREEN TREE HEALTH MANAGEMENT (8 facilities, chain avg rating 2.9★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.19

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 (24)

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
Apr 3, 2026	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 3, 2026	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jun 6, 2025	D · Potential for harm, one-off	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
Dec 20, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Dec 20, 2024	D · Potential for harm, one-off	The facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules. · from a complaint
Oct 18, 2024	E · Potential for harm, repeated	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 18, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Jun 3, 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. · from a complaint
Feb 27, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jul 20, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 20, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jul 20, 2023	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Jul 20, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 20, 2023	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 20, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 20, 2023	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jul 20, 2023	E · Potential for harm, repeated	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.
Jul 20, 2023	E · Potential for harm, repeated	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.
Jul 20, 2023	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Jul 20, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jul 20, 2023	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jul 20, 2023	C · Minimal risk, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Jul 20, 2023	B · Minimal risk, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Year	Citations	Worst severity that year
2023	14	F
2024	7	E
2025	1	D
2026	2	E

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)	4.19	3.66	3.95	top 27% in Missouri; top 32% in the U.S.
Registered Nurse hours	0.59	0.49	0.69	top 24% in Missouri; top 49% in the U.S.
Weekend total nurse staffing	3.82	3.22	3.50	top 22% in Missouri; top 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.45	0.33	0.48	top 14% in Missouri; top 40% in the U.S.
Total nursing staff turnover (%)	46.8	56.0	45.8	top 26% in Missouri; bottom 45% in the U.S.
RN turnover (%)	16.7	47.8	42.9	top 8% in Missouri; top 9% 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 4.14, RN 0.59, weekend 3.78. Staffing rating: 4/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Fischer, Elazar	Individual	5% or Greater Indirect Ownership Interest	8%	10/01/2022
MBM 2016 Family Trust	Organization	5% or Greater Indirect Ownership Interest	6%	02/15/2023
Fischer, Elazar	Individual	Corporate Director	NOT APPLICABLE	10/01/2022
Fischer, Elazar	Individual	Corporate Officer	NOT APPLICABLE	10/01/2022
McIntire, Stacie	Individual	W-2 Managing Employee	NOT APPLICABLE	10/01/2022

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 you show me an example care plan, and how are families included when it's created and updated?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"Do you accept Medicaid from day one, and will you put in writing that no private payment is required as a condition of admission?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"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
Heisinger Bluffs Rehab and Healthcare Center	0.3 mi	Jefferson City, MO	★★★★☆	4/5
Stonebridge Villa Marie	1.1 mi	Jefferson City, MO	★☆☆☆☆	3/5
Stonebridge Adams Street	1.6 mi	Jefferson City, MO	★★☆☆☆	2/5
Capitol River Wellness & Rehabilitation	1.6 mi	Jefferson City, MO	★★☆☆☆	3/5
Jefferson City Manor Care Center	2.4 mi	Jefferson City, MO	★☆☆☆☆	3/5
River City Living Community	2.5 mi	Jefferson City, MO	★☆☆☆☆	1/5
Stonebridge Oak Tree	2.5 mi	Jefferson City, MO	★★★★☆	4/5
Stonebridge Westphalia	14.4 mi	Westphalia, MO	★★★☆☆	3/5
Riverview Nursing Center	17.8 mi	Mokane, MO	★★★★☆	5/5

Compare this facility with the 3 closest →

All facilities in Jefferson City →

Facility data as of CMS processing date 2026-08-01. CCN 265837.

The Care File

Visit checklist — Heisinger Bluffs Healthcare Western Campus

1306 West Main Street, Jefferson City, MO 65109 · 5736350166

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you verify licenses and certifications for every caregiver before they start, and how often do you recheck them?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "Do you accept Medicaid from day one, and will you put in writing that no private payment is required as a condition of admission?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265837 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)