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Nursing HomeMedicaid Top Rated

Heartland Care and Rehabilitation Center

Strong Medicare quality ratings; families often praise some genuinely caring individual nursing staff. Still worth an in-person visit.

2525 Boutin Drive, Cape Girardeau, MO 63701102 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 18 Google reviews

5
4
3
2
1
Heartland Care and Rehabilitation Center Nursing Home in Cape Girardeau, MO — Street View
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What this means for your family

While some families report positive experiences with specific nursing staff, the recurring reports of neglect and poor weekend responsiveness are concerning. If you consider this facility, we strongly recommend conducting unannounced visits at various times of the day to verify the quality of care and cleanliness for yourself.

Google Reviews

Google Reviews

18 reviews on Google
Heartland Care and Rehabilitation Center receives highly polarized feedback, with significant concerns regarding staffing levels, administrative communication, and hygiene standards. While some reviewers praise specific nursing staff and recent facility updates, others report serious neglect, including unaddressed medical needs and poor responsiveness during weekends.

Quality Themes

Tap a score for details
Food1.0Staff5.0Clean2.0ActivitiesN/AMedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Some genuinely caring individual nursing staff
  • Recent facility building updates
  • Effective rehab department

Concerns

  • Chronic understaffing leading to neglect (mentioned by 3 reviewers)
  • Poor communication and lack of administrative transparency (mentioned by 2 reviewers)
  • Unresponsive or difficult to reach on weekends (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(1)2.32022(3)3.52023(2)3.32024(10)2.02025(1)2.02026(1)

Distribution · 18 analyzed

5
7
4
2
3
1
2
2
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent building updates, what specific improvements have been made to the common areas and dining spaces to enhance the daily experience for residents?
  • 2I noticed the staffing rating is lower than the health inspection rating; how does the leadership team ensure consistent, high-quality care during peak hours and on weekends?
  • 3Communication is very important to our family; what is the standard protocol for keeping families updated on a resident's status, especially if we have questions over the weekend?
  • 4The rehab department comes highly recommended; how do you integrate those therapeutic services into the residents' daily routines to help them maintain their independence?
  • 5What steps are currently being taken to address feedback regarding dining services and cleanliness to ensure a more comfortable environment for the 102 residents here?
  • 6In the event of a medical concern or emergency, what is the process for notifying family members, and how do you ensure that information reaches us promptly?

Personalized based on this facility's data


Key Review Excerpts

My mother was there for a week and she just had quadruple bypass surgery and they let her lay in her own feseses for 2 hours

Long-term resident's family · 2022☆☆☆☆

I encourage you to make surprise visits and don’t make it a routine because they’ll make sure everything is fine even when it isn’t.

Long-term resident's family · 2025★★☆☆☆

The staff is amazing. They genuinely care about the residents and it shows. Nursing Management and Admin are amazing and very accommodating.

Family member · 2024★★★★★
Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.44hrs
59%
Registered nurses for medical care
Total Nursing
3.23hrs
79%
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

3

measures

Mixed Results

6

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
93.4%
MO
84.4%
Cape girardeau
82.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
12.1%
MO
16.7%
Cape girardeau
9.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
14.4%
MO
19.1%
Cape girardeau
18.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
15.3%
MO
18.9%
Cape girardeau
15.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
19.4%
MO
17.9%
Cape girardeau
20.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.5%
Mixed vs Avgs
Here
26.5%
US
19.5%
MO
25.4%
Cape girardeau
26.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility59.1%
Worse than Avg
Here
59.1%
US
79.8%
MO
63.5%
Cape girardeau
59.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility61.8%
Mixed vs Avgs
Here
61.8%
US
81.8%
MO
65.9%
Cape girardeau
59.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Cape girardeau
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (12.0)

This facility shows a concerning pattern of recurring fire safety and emergency preparedness violations across all three surveys, with consistent issues around exit accessibility, emergency lighting, and sprinkler systems. Additional problems have included medication management errors, infection control lapses, and maintaining a safe living environment. While all deficiencies show correction dates, the persistent fire safety issues across multiple years suggest ongoing challenges with maintaining basic safety standards that families should carefully consider.

Nov 17, 2025Routine
4
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 25, 2024Routine
8
0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0568Minimal · WidespreadCorrected

Resident Rights Deficiencies

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

Jun 8, 2023Routine
7
0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0660Minimal · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Heartland Care and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Circle B Enterprises

Chain Size

36 facilities nationwide

Chain avg rating: 2.3/5 · Rank 1 of 29 (Best)

Ownership & Management

Owners

Circle B Enterprises Holding Company INC

Owner · Organization

100%

Bedell, Bryan

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Agh1 LLCAdp of the SnfCape Properties LLCAdp of the SnfDcb Real Estate Partnership LpAdp of the SnfFg LLCAdp of the SnfForvis Mazars LlpAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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