Heisinger Bluffs Healthcare Western Campus
1306 West Main Street · Jefferson City, MO · 65109 · 5736350166
69 certified beds For profit - Limited Liability company Chain: Green Tree Health Management Part of a CCRC
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 3.84 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D June 6, 2025 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected July 17, 2025 · Administration
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Potential for harm · D December 20, 2024 · found via complaint
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.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · D December 20, 2024 · found via complaint
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.
Corrected February 2, 2025 · Resident Rights
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Potential for harm · D October 18, 2024
Keep residents' personal and medical records private and confidential.
Corrected December 4, 2024 · Resident Rights
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Potential for harm · E October 18, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 4, 2024 · Quality of Life and Care
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Potential for harm · D June 3, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 5, 2024 · Resident Rights
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Potential for harm · E July 20, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 20, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 31, 2023 · Resident Rights
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Potential for harm · D July 20, 2023
Provide activities to meet all resident's needs.
Corrected August 31, 2023 · Quality of Life and Care
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Potential for harm · E July 20, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 31, 2023 · Quality of Life and Care
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Potential for harm · E July 20, 2023
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected August 31, 2023 · Quality of Life and Care
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Potential for harm · E July 20, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 31, 2023 · Pharmacy Service
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Potential for harm · E July 20, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected August 31, 2023 · Pharmacy Service
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Potential for harm · E July 20, 2023
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 August 31, 2023 · Pharmacy Service
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Potential for harm · F July 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 31, 2023 · Nutrition and Dietary
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Potential for harm · E July 20, 2023
Provide and implement an infection prevention and control program.
Corrected August 31, 2023 · Infection Control
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Potential for harm · D July 20, 2023 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected August 31, 2023 · Resident Rights
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No harm found · B July 20, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected August 31, 2023 · Resident Rights
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No harm found · C July 20, 2023
Post nurse staffing information every day.
Corrected August 31, 2023 · Nursing and Physician Services
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No harm found · C July 20, 2023
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected August 31, 2023 · Administration
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Potential for harm · E April 21, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 19, 2022 · Resident Assessment and Care Planning
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Potential for harm · E April 21, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 19, 2022 · Quality of Life and Care
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265837 · certified since December 10, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.