Heisinger Bluffs Rehab and Healthcare Center
1002 West Main Street, Jefferson City, MO 65109 · Cole County · 60 certified beds · avg 57 residents/day · certified since Jan 5, 2005
Part of chain: GREEN TREE HEALTH MANAGEMENT (8 facilities, chain avg rating 2.9★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.09
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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 (18)
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 |
|---|---|---|
| Mar 28, 2025 | 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. |
| Mar 28, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Mar 28, 2025 | 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. |
| Mar 28, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · from a complaint |
| Mar 22, 2024 | 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. |
| Mar 22, 2024 | F · Potential for harm, facility-wide | 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. |
| Mar 22, 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. |
| Mar 22, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 22, 2024 | 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. |
| Mar 22, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Mar 3, 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. |
| Mar 3, 2023 | 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. |
| Mar 3, 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. |
| Mar 3, 2023 | E · Potential for harm, repeated | 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. |
| Mar 3, 2023 | E · Potential for harm, repeated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Mar 3, 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. |
| Mar 3, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2024 | 7 | 0 | F |
| 2025 | 4 | 0 | F |
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) | 3.09 | 3.66 | 3.95 | bottom 26% in Missouri; bottom 17% in the U.S. |
| Registered Nurse hours | 0.47 | 0.49 | 0.69 | top 40% in Missouri; bottom 33% in the U.S. |
| Weekend total nurse staffing | 2.61 | 3.22 | 3.50 | bottom 24% in Missouri; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.33 | 0.48 | top 39% in Missouri; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 44.0 | 56.0 | 45.8 | top 21% in Missouri; top 47% in the U.S. |
| RN turnover (%) | 28.6 | 47.8 | 42.9 | top 22% in Missouri; top 26% 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 3.02, RN 0.46, weekend 2.55. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 10-26 Nationwide Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| 1026 Enterprises II, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Ads Capital Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| HB Operations Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| PC8 Capital Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| SJ Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| SJ Healthcare Capital LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| 10-26 Nationwide Tr | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| 1026 Enterprises II, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Ads Capital Trust | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Albin, Nicole | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Albin, Nicole | Individual | ADP of the SNF | NOT APPLICABLE | 07/04/2025 |
| Drewel, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Drewel, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Jeremias, Baruch | Individual | Trustee of the SNF | NOT APPLICABLE | 10/01/2022 |
| PC8 Capital Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| SJ Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| SJ Healthcare Capital LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2022 |
| Stern, Aharon | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Stern, Simon | Individual | Operational/Managerial Control | 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.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Heisinger Bluffs Healthcare Western Campus | 0.3 mi | Jefferson City, MO | ★★★★★ | 5/5 | |
| Stonebridge Villa Marie | 1.0 mi | Jefferson City, MO | ★☆☆☆☆ | 3/5 | |
| Stonebridge Adams Street | 1.4 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 | 2.8 mi | Jefferson City, MO | ★☆☆☆☆ | 1/5 | |
| Stonebridge Oak Tree | 2.8 mi | Jefferson City, MO | ★★★★☆ | 4/5 | |
| Stonebridge Westphalia | 14.1 mi | Westphalia, MO | ★★★☆☆ | 3/5 | |
| Riverview Nursing Center | 17.6 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 265794.