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No fines or payment denials in the published 3-year window.
1802 St Francis, Kennett, MO 63857 (opens Google Maps) · Dunklin County · (573) 888-1044· 72 certified beds · avg 47 residents/day · certified since Mar 22, 1993 · 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★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · 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.
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. F-0919
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint F-0584
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. F-0607
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.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 18, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919 |
| Feb 18, 2026 | 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. · from a complaint · F-0584 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0607 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0677 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Nov 21, 2024 | 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 |
| Nov 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| Nov 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Nov 21, 2024 | 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 |
| Sep 15, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | F |
| 2024 | 4 | 0 | D |
| 2026 | 6 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.18 | 3.66 | 3.95 | top 27% in Missouri; top 33% in the U.S. |
| Registered Nurse hours | 0.72 | 0.49 | 0.69 | top 12% in Missouri; top 34% in the U.S. |
| Weekend total nurse staffing | 3.42 | 3.22 | 3.50 | top 38% in Missouri; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.33 | 0.48 | top 16% in Missouri; top 44% in the U.S. |
| Total nursing staff turnover (%) | 40.4 | 56.0 | 45.8 | top 14% in Missouri; top 37% 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 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 3.93, RN 0.68, weekend 3.22.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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: 1/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Heritage Nursing Center - Skilled Nursing by Ameri. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Montgomery, Anna | Individual | 5% or Greater Indirect Ownership Interest | 50% | 01/01/2013 |
| Montgomery, Richard | Individual | 5% or Greater Indirect Ownership Interest | 50% | 04/01/2002 |
| R H Montgomery Properties, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2002 |
| Americare Systems, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2002 |
| Montgomery, Richard | Individual | Contracted Managing Employee | NOT APPLICABLE | 04/01/2002 |
| Montgomery, Richard | Individual | Corporate Director | NOT APPLICABLE | 04/01/2002 |
| Schade, Kyle | Individual | Contracted Managing Employee | NOT APPLICABLE | 03/01/2021 |
| Schade, Kyle | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2021 |
| Tolbert, Stephanie | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/28/2014 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Americare Senior Living — 23 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 22 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| NHC Healthcare, Kennett | 0.9 mi | Kennett, MO | ★★★★★ | 5/5 | |
| Rector Nursing and Rehab | 11.5 mi | Rector, AR | ★★★★★ | 5/5 | |
| Piggott Healthcare & Senior Living, LLC | 12.1 mi | Piggott, AR | ★☆☆☆☆ | 1/5 | |
| Campbell Healthcare & Senior Living | 17.3 mi | Campbell, MO | ★★★☆☆ | 4/5 | |
| Gideon Care Center | 17.3 mi | Gideon, MO | ★★★★☆ | 5/5 | |
| River Oaks Care Center | 17.9 mi | Steele, MO | ★★★☆☆ | 3/5 | |
| Gosnell Health and Rehab | 19.9 mi | Gosnell, AR | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Dunklin, MO — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 265531.
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