★★★★★CMS 5/5274 bedsNon-profitMedicaid
- Nurse hours
- 4.54 /day
- Staff turnover
- 35%
- Serious cites
- 0
The Lutheran Home runs 4.54 nurse hours per resident day, roughly 17% above the national average, and weekends dip only about 8% below its own weekday level, a modest drop, not a cliff. Staff turnover sits at 34.9%, well under the 45.8% national figure, which matters for whether caregivers actually stick around long enough to know residents. Its last inspection was March 2025, with 8 deficiencies on record, none at the harm level and none abuse-related. A 274-bed nonprofit carrying 5/5 stars across health inspection, quality measures, and staffing is rare company. The numbers here are consistent, not lucky.
★★★★★CMS 5/533 bedsFor-profitMedicaid
- Nurse hours
- 4.99 /day
- Staff turnover
- 49%
- Serious cites
- 0
Fountainbleau Lodge runs 33 beds in Cape Girardeau, and its nurse staffing sits at 4.99 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekends drop about 18% below its own weekday level, so coverage thins out when families tend to visit. Turnover is 48.7%, a bit above the national 45.8%. The inspection record shows 20 deficiencies, including one at the harm level and two tied to abuse, with a single fine of $8,827. The most recent inspection was September 2025, so the picture is fairly current.
★★★☆☆CMS 3/575 bedsNon-profitMedicaid
- Nurse hours
- 4.26 /day
- Staff turnover
- 66%
- Serious cites
- 0
Chateau Girardeau runs 4.26 nursing hours per resident per day, roughly 10% above the national average, and its most recent inspection from January 2025 turned up no deficiencies at the harm or jeopardy level and nothing abuse-related. That part is solid. The strain shows in the workforce: 65.7% annual turnover, well above the 45.8% national figure, and weekend staffing drops about 17% below the home's own weekday levels, so the hands-on coverage your family sees on a Tuesday isn't what shows up on a Saturday. Fourteen deficiencies sit on the current record, none serious, but the low quality-measure score suggests outcomes haven't kept pace with the hours billed.
★★★☆☆CMS 3/546 bedsFor-profitMedicaid
- Nurse hours
- 3.24 /day
- Staff turnover
- 72%
- Serious cites
- 0
Ratliff Care Center runs about 3.24 nurse hours per resident each day, roughly 16% under the national average, and weekend coverage drops another 6% below its own weekday level. Staff turnover sits at 72.1% against a national 45.8%, which means most of the people caring for your relative are new to the building. The inspection record shows 20 deficiencies, none at the harm level but three tied to abuse, and the last state visit was May 30, 2025. Quality measures score 2 out of 5 and staffing 1 out of 5, though inspections hold at 4. The individual for-profit owner keeps a thin crew on weekends.
★★★★☆CMS 4/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.05 /day
- Staff turnover
- 66%
- Serious cites
- 0
Heartland Care and Rehabilitation Center runs 102 certified beds in Cape Girardeau under individual for-profit ownership. The staffing numbers are the place to start: 3.05 nurse hours per resident per day, about 21% under the national average, with weekends roughly 17% thinner than weekdays. Annual turnover sits at 66.2%, well above the national 45.8%.
What keeps this home from being a harder call is its inspection record, five stars, cleaned up recently, and 11 deficiencies with none at the harm level and none related to abuse. The tradeoff is real, though: residents get solid care oversight but thin coverage, especially on weekends. If you're considering it, ask how the weekend shift is actually staffed.
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.53 /day
- Staff turnover
- 69%
- Serious cites
- 0
Nurse staffing at Life Care Center of Cape Girardeau runs about 8% under the national average, and weekends drop roughly another 12% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover is the harder number to sit with: 68.5% annually against a national average of 45.8%, so most of the people caring for residents are relatively new. The inspection record backs that up, 45 deficiencies, 7 serious enough to put residents at harm or jeopardy, and four fines totaling $149,578. The most recent inspection was in May 2025, so the picture is current, not stale. Ownership is corporate and for-profit.