Heritage Hall Nursing Center
750 E Highway 22, Centralia, MO 65240 · Boone County · 60 certified beds · avg 43 residents/day · certified since Sep 1, 1989 · 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: AMERICARE SENIOR LIVING (23 facilities, chain avg rating 3.6★)
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 (9)
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 6, 2025 | 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 |
| Aug 14, 2025 | 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. |
| Aug 14, 2025 | E · Potential for harm, repeated | 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. |
| Aug 14, 2025 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 14, 2025 | C · Minimal risk, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Jun 14, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jun 14, 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. |
| Jun 14, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 24, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 3 | 0 | F |
| 2025 | 5 | 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) | 3.98 | 3.66 | 3.95 | top 35% in Missouri; top 40% in the U.S. |
| Registered Nurse hours | 0.72 | 0.49 | 0.69 | top 11% in Missouri; top 34% in the U.S. |
| Weekend total nurse staffing | 3.17 | 3.22 | 3.50 | top 49% in Missouri; bottom 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.33 | 0.48 | bottom 32% in Missouri; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 62.8 | 56.0 | 45.8 | bottom 33% in Missouri; bottom 12% 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 3.26, RN 0.59, weekend 2.59. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ford, Julianna | Individual | 5% or Greater Indirect Ownership Interest | 33% | 01/01/2012 |
| HWJ LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2012 |
| Montgomery, Henley | Individual | 5% or Greater Indirect Ownership Interest | 33% | 01/01/2012 |
| Montgomery, William | Individual | 5% or Greater Indirect Ownership Interest | 33% | 01/01/2012 |
| Americare Systems, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2012 |
| Crosson, Clay | Individual | Contracted Managing Employee | NOT APPLICABLE | 10/29/2001 |
| Redmond, Christina | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2021 |
| Reiker, James | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Schade, Kyle | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2021 |
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 tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can I see where garbage is stored and how often it's removed?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 |
|---|---|---|---|---|---|
| Pin Oaks Living Center | 13.0 mi | Mexico, MO | ★☆☆☆☆ | 1/5 | abuse |
| Monroe Manor | 19.2 mi | Paris, MO | ★★★★★ | 5/5 | |
| Villa at Blue Ridge, the | 19.3 mi | Columbia, MO | ★☆☆☆☆ | 2/5 | abuse |
| Aspire Senior Living Moberly | 19.7 mi | Moberly, MO | ★☆☆☆☆ | 1/5 | |
| Columbia Post Acute | 19.7 mi | Columbia, MO | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 265385.