Hearth Record

Life Care Center of Cape Girardeau

A nursing home in Cape Girardeau, Missouri 63703

365 South Broadview Street, Cape Girardeau, Missouri 63703. (573) 335-2086.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 41 citations in 10 months of the last 36. Last cited Dec 2025. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

18 health citations at the latest inspection cycle

The Missouri average is 11.4.

Last standard inspection May 22, 2025.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jun 27, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

41 citations in 10 months of the last 36. Last cited Dec 2025. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

41 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 41 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 16 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Dec 16, 2025: complaint inspection1 citation
  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 14, 2026.

Jun 27, 2025: complaint inspection1 citation
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Rule F0678. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jul 2, 2025.

May 22, 2025: standard inspection17 citations
  • Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.

    Rule F0557. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

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

    Rule F0569. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

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

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Honor each resident’s preferences, choices, values and beliefs.

    Rule F0675. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Rule F0678. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Provide activities to meet all resident’s needs.

    Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Observe each nurse aide’s job performance and give regular training.

    Rule F0730. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

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

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

  • The resident has the right to receive notices in a format and a language he or she understands.

    Rule F0574. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 2, 2025.

Mar 18, 2025: complaint inspection3 citations
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Rule F0678. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Nov 12, 2024.

  • Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.

    Rule F0573. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 7, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 7, 2025.

Dec 18, 2024: complaint inspection2 citations
  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 24, 2024.

  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Rule F0712. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 24, 2024.

Nov 26, 2024: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 24, 2024.

Aug 22, 2024: complaint inspection3 citations
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2024.

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 26, 2024.

Mar 15, 2024: standard inspection8 citations
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

  • 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Rule F0623. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

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

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

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

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

  • Implement a program that monitors antibiotic use.

    Rule F0881. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Rule F0947. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2024.

Mar 15, 2024: standard and complaint inspection3 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2024.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2024.

Jan 5, 2024: complaint inspection1 citation
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 9, 2024.

Dec 5, 2023: complaint inspection1 citation
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 29, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Nov 30, 1982.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 120 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 4 fines in the last three years, $149,578 in all.
  • 1 Medicare payment denial in the last three years.
  • 16 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
May 22, 2025Medicare payment denialNot given
May 22, 2025Fine$81,955
Mar 18, 2025Fine$17,345
Nov 26, 2024Fine$30,030
Aug 22, 2024Fine$20,248

Who does the caring?

3.95 nurse hours per resident per day

The Missouri average is 3.40.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMissouri average
Nurse hours per resident per day3.953.40
Of which registered nurses0.680.46
At weekends3.482.96
Nursing staff turnover69.6%56.9%
Registered nurse turnover78.9%50%
Administrators who left2Not given

Who owns it?

  • Developers Investment Company II, Inc. owns 1% directly since Sep 6, 2002.
  • Life Care Centers of America, Inc. and Developers Investment Company II, Inc. run it.
  • 20 owners or officers are people: Forrest L Preston (owns 5% or more directly, 99%); Forrest L Preston (owns 5% or more through other companies, 1%); Forrest L Preston (additional disclosable party (controls, leases property to, or provides services to the home)); Terry Henry (corporate officer); Eric A Barnes (runs it (operational or managerial control)); Eric A Barnes (additional disclosable party (controls, leases property to, or provides services to the home)); Todd Fletcher (runs it (operational or managerial control)); Kristine Bailey Miller (runs it (operational or managerial control)); Kristine Bailey Miller (on the governing body (managing control)); Aubrey Preston (runs it (operational or managerial control)); Amber Eklund (runs it (operational or managerial control)); Amber Eklund (on the governing body (managing control)); Joan E Thurmond (corporate officer); Cindy S Cross (corporate officer); Richard Swanker (corporate officer); Lisa M Lay (corporate officer); James Ziegler (runs it (operational or managerial control)); Candy R. Tucker (runs it (operational or managerial control)); Candy R. Tucker (on the governing body (managing control)); Candy R. Tucker (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Life Care Centers of America (194 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Life Care Centers of America, Inc.Runs it (operational or managerial control)100%Sep 25, 2002
Developers Investment Company II, Inc.Owns a share directly1%Sep 6, 2002
Life Care Centers of America, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Feb 26, 2025
Cape Girardeau Medical Investors, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jul 26, 2011
Developers Investment Company II, Inc.Runs it (operational or managerial control)Oct 20, 2006

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Missouri average 2.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing2 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 20.5 miles, this one had the 2nd most health citations at the latest inspection cycle (18; the middle value was 5.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Life Care Center of Cape Girardeau This nursing home18
The Lutheran Home0.54
Chateau Girardeau0.98
Ratliff Care Center1.98
Fountainbleau Lodge2.93
Heartland Care and Rehabilitation Center3.62
Hubble Creek6.86
Jackson Manor9.85
Chaffee Nursing Center9.84
Stonebridge Marble Hill16.26
Daybreak Nursing Center20.33
Integrity Hc of Anna20.534

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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