Heartland Care And Rehabilitation Center
Cape Girardeau, Cape Girardeau County, Missouri · CCN 265503 · For-profit (Individual) · part of Circle B Enterprises (36 facilities, chain average 2.5 stars)
CMS rates Heartland Care And Rehabilitation Center 4 of 5 overall as of August 2026. 102 certified beds, 71 residents a day on average. 11 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 3 / 2 of 5 |
Staffing
| Total nurse staffing | 3.04516 hours per resident per day |
|---|---|
| Registered nurses | 0.34846 hours per resident per day |
| Weekend total | 2.5275 hours per resident per day |
| Nursing staff turnover | 66.2% (registered nurses 55.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-11-17 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-30 |
| 2025-11-17 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-30 |
| 2024-10-25 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-08 |
| 2024-10-25 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-08 |
| 2024-10-25 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-08 |
| 2024-10-25 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-08 |
| 2024-10-25 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · tag F0568 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-12-08 |
| 2023-06-08 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-15 |
| 2023-06-08 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-15 |
| 2023-06-08 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · tag F0925 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-15 |
| 2023-06-08 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · tag F0660 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-07-15 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Circle B Enterprises Holding Company Inc. Organization | 5% or greater direct ownership interest | 100% | 1996-01-02 |
| Agh1 LLC Organization | adp of the snf | — | 2025-06-02 |
| Cape Properties LLC Organization | adp of the snf | — | 2010-01-01 |
| Dcb Real Estate Partnership Lp Organization | adp of the snf | — | 2010-01-01 |
| Fg LLC Organization | adp of the snf | — | 2016-12-02 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2021-08-16 |
| Mid States Inc. Organization | adp of the snf | — | 2010-11-01 |
| Sovereign Healthcare Group LLC Organization | adp of the snf | — | 2025-04-06 |
| Van De Ven LLC Organization | adp of the snf | — | 2000-01-01 |
| Agh1 LLC Organization | operational/managerial control | — | 2016-12-02 |
| Sovereign Healthcare Group LLC Organization | operational/managerial control | — | 2021-04-23 |
| Beaird, Todd Individual | adp of the snf | — | 2022-01-01 |
| Bollinger, Melissa Individual | adp of the snf | — | 2019-12-17 |
| Palen, James Individual | adp of the snf | — | 2017-01-01 |
| Bedell, Donald Individual | corporate director | — | 2000-10-31 |
| Beaird, Todd Individual | corporate officer | — | 2022-01-01 |
| Bedell, Donald Individual | corporate officer | — | 1997-01-06 |
| Bedell, Bryan Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-05-12 |
| Bedell, Donald Individual | operational/managerial control | — | 1997-01-06 |
| Bollinger, Melissa Individual | operational/managerial control | — | 2019-12-17 |
| Palen, James Individual | operational/managerial control | — | 2017-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Heartland Care And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cape Girardeau County.