ElderGrade
B

75.5/100

Above average

Heritage Nursing Center - Skilled Nursing By Ameri

1802 St Francis, Kennett, MO 63857

CMS 4/5 stars #1 of 4 in Dunklin County (573) 888-1044
Certified beds
72
Occupancy
66%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

18.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.18 total nurse hours per resident per day (national median 3.77)
  • 0.68 RN hours per resident per day
  • Weekend staffing drops 18% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 40% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.93 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.68 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.22 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 40.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 11 citations

Last standard health inspection: February 18, 2026 (6 months ago).

F Feb 18, 2026 F0919

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

No actual harm, potential for more than minimal harm

D Feb 18, 2026 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Feb 18, 2026 F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

No actual harm, potential for more than minimal harm

D Feb 18, 2026 F0677 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 18, 2026 F0690

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

No actual harm, potential for more than minimal harm

D Feb 18, 2026 F0755

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Nov 21, 2024 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Nov 21, 2024 F0637

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AMERICARE SENIOR LIVING, which operates 23 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MONTGOMERY, RICHARD Individual CONTRACTED MANAGING EMPLOYEE
SCHADE, KYLE Individual CONTRACTED MANAGING EMPLOYEE
TOLBERT, STEPHANIE Individual W-2 MANAGING EMPLOYEE
MONTGOMERY, RICHARD Individual CORPORATE DIRECTOR
SCHADE, KYLE Individual CORPORATE OFFICER
AMERICARE SYSTEMS, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
MONTGOMERY, ANNA Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
MONTGOMERY, RICHARD Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
R H MONTGOMERY PROPERTIES, INC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Heritage Nursing Center - Skilled Nursing By Ameri

What is the ElderGrade for Heritage Nursing Center - Skilled Nursing By Ameri? +

Heritage Nursing Center - Skilled Nursing By Ameri holds an ElderGrade of B (75.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Heritage Nursing Center - Skilled Nursing By Ameri? +

Residents receive an average of 3.93 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Heritage Nursing Center - Skilled Nursing By Ameri been cited for harming residents? +

No. None of the 11 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Heritage Nursing Center - Skilled Nursing By Ameri accept Medicaid? +

Yes, Heritage Nursing Center - Skilled Nursing By Ameri is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.