Heritage Nursing Center - Skilled Nursing by Ameri

Name: Heritage Nursing Center - Skilled Nursing by Ameri
Address: 1802 ST FRANCIS, Kennett, MO, 63857, US
Telephone: 5738881044

1802 St Francis, Kennett, MO 63857 · Dunklin County · 72 certified beds · avg 47 residents/day · certified since Mar 22, 1993

Part of chain: AMERICARE SENIOR LIVING (23 facilities, chain avg rating 3.6★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.18

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 (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
Feb 18, 2026	F · Potential for harm, facility-wide	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.
Feb 18, 2026	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. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	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.
Feb 18, 2026	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. · from a complaint
Feb 18, 2026	D · Potential for harm, one-off	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.
Feb 18, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 21, 2024	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 21, 2024	D · Potential for harm, one-off	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.
Nov 21, 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.
Nov 21, 2024	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.
Sep 15, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 6).

Year	Citations	Worst severity that year
2023	1	F
2024	4	D
2026	6	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)	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, 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. 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: 2/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Who owns this facility

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

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 the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"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
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 →

All facilities in Kennett →

Facility data as of CMS processing date 2026-08-01. CCN 265531.

The Care File

Visit checklist — Heritage Nursing Center - Skilled Nursing by Ameri

1802 St Francis, Kennett, MO 63857 · 5738881044

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "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 265531 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)