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Heartland Care and Rehabilitation Center

All states › Missouri › Cape Girardeau › Heartland Care and Rehabilitation Center

2525 Boutin Drive Cape Girardeau, MO 63701 · Cape Girardeau County

(573) 334-5225

All 6 nursing homes in Cape Girardeau, MO (6 take Medicaid)

Accepts Medicare Accepts Medicaid 102 certified beds For profit

CMS certification number 265503 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Heartland Care and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Heartland Care and Rehabilitation Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Missouri average of 2.6. Inspectors issued 11 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 3 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.19 hours per resident per day at Heartland Care and Rehabilitation Center, below the Missouri median of 3.37 (US median: 3.72). About 0.35 of those hours are from registered nurses. On weekends it falls to 2.67 hours, 16% below its all-week average. Ask how weekends are staffed. 64.4% of nursing staff left within a year (Missouri median 56.8%).

Nursing care per resident per day 3.19 hours
Below the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.35 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.67 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 64.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 63.6% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds102
Residents per day 77 About 75% of beds filled, on average
OwnershipFor profit - Individual
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1992
Part of a chainCircle B Enterprises
Legal business nameCAPE GIRARDEAU I INC

Paying for care at Heartland Care and Rehabilitation Center: Medicare and Medicaid

Heartland Care and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on November 17, 2025 and found 2 deficiencies. In total, inspectors issued 11 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 11 citations at Heartland Care and Rehabilitation Center across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 9 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were resident rights (4) and pharmacy service (2). The most serious was cited under the CMS rule to "honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely" (tag F0584, level E, June 8, 2023).

November 17, 2025 · 2 citations

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Dec 30, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 30, 2025)

October 25, 2024 · 5 citations

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Dec 8, 2024)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Dec 8, 2024)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Dec 8, 2024)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 8, 2024)

CProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0568 · Deficient, Provider has date of correction (Dec 8, 2024)

June 8, 2023 · 4 citations

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jul 15, 2023)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jul 15, 2023)

DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Jul 15, 2023)

CPlan the resident's discharge to meet the resident's goals and needs.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0660 · Deficient, Provider has date of correction (Jul 15, 2023)

Questions to ask on a tour of Heartland Care and Rehabilitation Center

  1. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 5/5 1/5 2/5
August 2026 4/5 5/5 1/5 2/5
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Location

Hospitals near Heartland Care and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 3.1 mi
    Southeast Missouri Hospital Cape Girardeau
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 49m for patients treated and sent home
  • 3.2 mi
    St Francis Medical Center Cape Girardeau
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 4h 7m for patients treated and sent home
  • 4.4 mi
    Southeast Behavioral Hospital Cape Girardeau
    No ER listed in Medicare data

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Fountainbleau Lodge Cape Girardeau · 1.1 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 33 beds · Medicaid
Chateau Girardeau Cape Girardeau · 2.9 mi away ★★★☆☆ Inspection 4/5 · Staffing 3/5 75 beds · Medicaid
Ratliff Care Center Cape Girardeau · 3.4 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 46 beds · Medicaid
Life Care Center of Cape Girardeau Cape Girardeau · 3.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 120 beds · Medicaid
The Lutheran Home Cape Girardeau · 3.9 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 274 beds · Medicaid

More nursing homes near Heartland Care and Rehabilitation Center ›   All nursing homes in Cape Girardeau ›

Compare Heartland Care and Rehabilitation Center with the 3 closest homes side by side ›

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Other Circle B Enterprises nursing homes in Missouri

Affiliation comes from CMS's affiliated-entity data, October 2026. All 36 Circle B Enterprises nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/missouri/cape-girardeau/heartland-care-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.