Jefferson City, MO

Heisinger Bluffs Rehab And Healthcare Center

4-star overall rating with 4-star inspections with $17,644 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

1002 West Main Street, Jefferson City, MO

(573) 636-6288

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

55

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2005-01-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.48

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.93

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.79

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.33

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

58%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,612

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

19.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9822

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.15

Baseline 53.85% · Performance 54.90% · Measure score 2.15 · Achievement 2.15 · Improvement 0

Adjusted total nurse staffing

1.81

Baseline 4.24 hours · Performance 3.59 hours · Measure score 1.81 · Achievement 1.81 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.7%	10.72% About the same	No Different than the National Rate · Eligible stays 25 · Observed rate 8% · Lower 95% interval 6.93%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.76	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 33 · Denominator 33
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 33
Discharge self-care score	52.38%	53.69% 1.3 pts worse	Numerator 11 · Denominator 21
Discharge mobility score	38.1%	50.94% 12.8 pts worse	Numerator 8 · Denominator 21
Pressure ulcers or injuries, new or worsened	3.03%	2.29% 0.7 pts worse	Numerator 1 · Denominator 33 · Adjusted rate 2.21%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.18%	8.2% 7 pts worse	Numerator 1 · Denominator 85
Staff flu vaccination coverage	32.1%	42% 9.9 pts worse	Numerator 26 · Denominator 81
Discharge function score	52.38%	56.45% 4.1 pts worse	Numerator 11 · Denominator 21
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	2.1 0.7 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.3 0.3 pts better	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	84.8% 15.2 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	90.9% 9.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	7.5%	4.1% 3.4 pts worse	3.3% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 9.3% · Q3 7.4% · Q4 3.8% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	12.7%	14.7% 2 pts better	11.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.7% · Q3 2.1% · Q4 32.0% · 4Q avg 12.7%
Percentage of long-stay residents who lose too much weight	6.8%	5.5% 1.3 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 0.0% · Q3 13.2% · Q4 7.7% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.3%	25.3% 5 pts better	19.6% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 22.2% · Q3 20.5% · Q4 17.1% · 4Q avg 20.3%
Percentage of long-stay residents who received an antipsychotic medication	15.3%	25.0% 9.7 pts better	16.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 17.9% · Q3 11.8% · Q4 8.3% · 4Q avg 15.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.4%	20.3% 12.9 pts better	16.3% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.5%	19.8% 10.3 pts better	14.9% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.6% · Q3 8.1% · Q4 12.5% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	1.4% 0.1 pts better	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.9%	2.6% 0.7 pts better	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.9% · Q3 0.0% · Q4 2.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.9%	18.1% 7.8 pts worse	19.8% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 27.5% · Q3 32.1% · Q4 15.1% · 4Q avg 25.9%
Percentage of long-stay residents with pressure ulcers	3.0%	5.0% 2 pts better	5.1% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.1% · Q3 4.6% · Q4 2.4% · 4Q avg 3.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.2%	66.4% 29.8 pts better	81.7% 14.5 pts better	Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · 4Q avg 96.2%
Percentage of short-stay residents who newly received an antipsychotic medication	5.3%	2.2% 3.1 pts worse	1.6% 3.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 5.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	63.5% 36.5 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-28 · Fire 2025-03-28

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-03-22 · Fire 2024-03-22

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2023-03-03 · Fire 2023-03-03

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-28

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-28

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-12

F · Potential for more than minimal harm 2025-03-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-12

F · Potential for more than minimal harm 2024-03-22

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-05-06

F · Potential for more than minimal harm 2023-03-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-10

F · Potential for more than minimal harm 2023-03-03

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-03-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-28

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-03-28

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-03-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-12

D · Potential for more than minimal harm 2025-03-28

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-05-12

D · Potential for more than minimal harm 2024-07-03

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-08-09

F · Potential for more than minimal harm 2024-03-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-06

F · Potential for more than minimal harm 2024-03-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-06

E · Potential for more than minimal harm 2024-03-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-05-06

E · Potential for more than minimal harm 2024-03-22

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-05-06

E · Potential for more than minimal harm 2024-03-22

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-05-06

E · Potential for more than minimal harm 2024-03-22

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-05-06