Heisinger Bluffs Healthcare Western Campus

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 313 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 81.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 156 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.57 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 69 beds and averages 60.1 residents a day — about 87% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.14 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.70 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.78 hrs/resident/day on weekends vs 4.29 on weekdays — 12% thinner on weekends. RN hours go from 0.64 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · E2026-04-03 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, facility staff failed to develop and implement a person-centered care plan to include use of compression stockings for edema for two residents (Residents #6 and #15), cleanliness and maintenance of oxygen equipment for two residents (Residents #15 and #81), and monitoring for risks of opioid administration for one resident (Resident #10) out of eight sampled residents. The facility census was 57.1. Review of the facility's policy titled Resident Centered Care Plan, dated 07/17/23, showed the facility will develop and implement a comprehensive care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and medical and psychosocial needs as identified throughout the comprehensive Resident Assessment Instrument process. Each resident's care plan will describe services that are to be furnished to attain or maintain the resident's highest practicable physical well-being. The care plan will incorporate…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-03 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to complete a Level I Pre-admission Screening (used to evaluate for the presence of psychiatric conditions to determine if a Pre-admission Screening and Resident Review (PASARR) level II screen is required) as required for one resident (Resident #7) out of 16 sampled residents with a new mental health diagnosis. The facility census was 62.1. Review of the facility's policy titled Resident Assessment-Coordination with PASARR Program, dated 09/24/24, showed a Negative Level I Screen-permits admission to proceed and ends the PASARR process unless a possible serious mental disorder or intellectual disability arises later. Review showed-A record of the pre-screening shall be maintained in the resident's medical record;-The Social Services Director (SSD) shall be responsible for keeping track of each resident's PASARR screening status, and referring to the appropriate authority;-Any resident who exhibits newly evident or possible serious mental disorder,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-06 · tag F0839 — isolated
  Employ staff that are licensed, certified, or registered in accordance with state laws.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, facility staff failed to ensure one staff member (Registered Nurse (RN) A) had the required documentation to work in a long term care facility in Missouri. The facility census was 63. 1. Review of the facility policy's did not contain information to direct staff in regards to verification to be eligible to work in Missouri. Review of Registered Nurse A's employee file showed a hire date of 7/3/2014 as the Director of Nursing (DON). Review of RN A employee file did not contain documentation he/she was eligible to work at the facility. Review of RN A's earning statement, dated 4/27/25 through 5/10/25, showed RN A was paid for thirty two hours regular pay. During an interview on 6/6/25 at 8:31 A.M., the interim DON said he/she was asked to step in as interim DON because RN A needed some time off. He/She said multiple staff help do day to day tasks in RN A's absence and he/she does all mandatory meetings. During an interview on 6/6/25 at 8:39 P.M., the administrator said RN A is from another country and is on a school visa. He/She said RN A went to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-20 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to implement their grievance protocol for one resident (Resident #1) when he/she reported a missing cellular phone and staff did not document the results of the investigation for the missing cellular phone. The facility census was 59. 1. Review of the facility's Nursing Home Residents Rights policy, undated, showed staff were directed to provide prompt efforts to resolve grievances, and provide a written decision upon request. Review of the facility's Grievances Complaints, Recording and Investigating policy, undated, showed: -All grievances and complaints filed with the facility will be investigated and corrective actions will be taken to resolve the grievance(s); -The Grievance Officer/designee will record and maintain all grievance and complaints on the facility approved log; -Documentation of the investigation and actions taken in response will be maintained at the facility. 2. Review of Resident #1's Quarterly Minimum Data Set (MDS), a federally…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-20 · tag F0620 — isolated
  Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, facility staff failed to ensure the admission policy did not require the resident and/or responsible party to waive facility liability for loss or damage to personal belongings and failed to complete a Resident Inventory Listing for three residents (Resident #1, #2 and #3) out of three residents. The census was 59. 1. Review of the facility's Resident Personal Property policy, dated 11/2024, showe the resident is allowed to have personal belongings. Staff are directed to inventory and documented upon admission resident items and when replenished. Review of the facility's Resident Handbook policy, undated, showed the facility is not responsible for lost or missing items of any value. This includes, but is not limited to, personal effects such as jewelry, money, valuables, televisions, hearing aids, dentures, and eyeglasses. Review of the facility's Resident Inventory Listing form showed the form contained: -A list of types of belongings to be checked with blank areas for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-18 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, facility staff failed to maintain a professional standard of care when staff left medications at the dining room table and failed to ensure the resident took the medications for three residents (Resident #7, #19 and #26) of 17 residents. The facility census was 58. 1. Review of the facility's Medication Administration policy, undated, showed: -Medication will be administered by persons licensed or permitted by this state to prepare, administer and document the administration of medications; -Medications will be administered in accordance with the orders, including any required time frame; -Residents may self-administer their own medications only if the attending practitioner, in conjunction with the Interdisciplinary Care Planning team, has determined that they have the decision-making capacity to do so safely. Review of https://www.ncbi.nlm.nih.gov/book, Nursing Skills, Chapter 15: Oral Medication Administration, undated, showed Registered Nurses (RNs) and Licensed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility staff failed to properly secure potentially hazardous chemicals and objects in three facility rooms on 100 hall and properly secure the medicine cart on 300 hall, in a manner to prevent accidents. Facility staff failed to transfer one resident (Resident #17) of three sampled residents safely in the mechanical lift. The facility census was 58. 1. Review of the facility's policies showed staff did not provide a storage of hazardous items policy. 2. Observation on 10/15/24 1:47 P.M. showed the 100 hall spa door open and unsecured and unattended. The spa contained a wound cleanser, adhesive remover and one tube of zinc oxide maximum strength cream. Observation on 10/15/24 at 2:03 P.M., showed the 100 hall laundry door open and unsecured and unattended. The laundry room contained one container of premoistened wipes with an ethyl alcohol-based cleaning formula. Observation on 10/16/24 8:58 P.M. showed the 100 hall supply room door unsecured and unattended. The supply room counter and unlocked cabinet contained: -Odor…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-18 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, and record review facility staff failed to protect resident's private medical information by not closing the computers screens on two medication carts and one nurse desk. The facility census was 58. 1. Review of the facility's Resident Rights, dated 11/22/24, showed residents have the right to personal privacy and confidentiality of his or her personal and medical records. 2. Observation on 10/15/24 at 1:15 P.M., showed Licensed Practical Nurse (LPN) A left a medication cart on 200 hall unattended to administer medications. The computer screen on the medication cart open and visible to the public with residents medical information. During an interview on 10/15/24 at 1:30 P.M., LPN A said he/she should not have left the screen open on the computer. He/She staff are required to close the screen or lock it to protect resident's private medical information. 3. Observation on 10/16/24 at 10:41 A. M., showed a computer screen at the nurse's desk open and visible to the public with private resident medical information displayed. 4. Observation on 10/18/24…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-03 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, facility staff failed to complete cognitive assessments for one resident (Resident #1) of two sampled residents who had unwitnessed falls. Facility staff failed to complete wound assessments for one (Resident #1) of two sampled residents. The facility census was 60. 1. Review of the facility's Falls Protocol Policy, undated, showed staff are directed for a post fall to conduct an assessment of the resident to include but not limited to physical, behaviors, cognitive and functional status. Review of the facility's Pressure Ulcer and Injury Prevention and Management policy, undated, showed staff are directed to assess the pressure ulcer or injury weekly. Review showed staff are to document the description of the ulcer/injury to include stage, measurements [length, width, depth], presence or absence of any tunneling or undermining, type of tissue [epithelia, granulation, slough, necrosis, etc.], presence or absence and type of drainage, surrounding tissue description, and presence or absence of pain with the ulcer/injury; 2. Review of Resident #1's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-27 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, facility staff failed to notify one resident's (Resident #1) physician or representative in a timely manner of an unwitnessed fall and a room change for one resident (Resident #1). The facility census was 58. 1. Review of the facility's fall protocol policy and procedure, undated, showed facility staff are directed the physician or practitioner and the resident representative will be notified of the fall and any change of condition of the resident. Review of the facility's room change policy and procedure, undated, showed facility staff are directed to inform the resident and the resident representative with issuance of notice for a room or roommate change arrangements and will be documented in the resident's record. 2. Review of Resident #1's admission Minimum Data Set (MDS), a federally mandated assessment tool, dated 1/30/24, showed staff assessed the resident as: -Moderately cognitively impaired; -Fracture of the hip (a break in the thighbone (femur) of your hip joint), Dementia (the loss of cognitive functioning), -History of fall one…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GREEN TREE HEALTH MANAGEMENT — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $801K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO