Nursing homeActive
Heritage Nursing Center - Skilled Nursing By Ameri
1802 St Francis, Kennett, MO 63857573888104472 certified beds · 47 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
11
● 0● 11● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-02-18
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-18 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-11-21 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-09-15 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 265531-20260218-F584
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 265531-20260218-F607
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 265531-20260218-F677
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 265531-20260218-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 265531-20260218-F755
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-31Record 265531-20260218-F919
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 265531-20241121-F584
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 265531-20241121-F637
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 265531-20241121-F759
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 265531-20241121-F880
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 265531-20230915-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.68
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day3.93
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours3.22
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover40%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover29%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.8% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.2% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 32.1% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.5% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.0% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.9% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.3% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| R H Montgomery Properties, Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Montgomery, Anna Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Montgomery, Richard Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Americare Systems, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Montgomery, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Montgomery, Richard Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Schade, Kyle Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Schade, Kyle Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Tolbert, Stephanie Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Americare Senior Living — 23 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for Dunklin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Nhc Healthcare, Kennett Kennett | 0.9 mi | 2025-05-02 | 090 |
| Piggott Healthcare & Senior Living, LLC Piggott | 12.1 mi | 2025-09-09 | 0221 |
| Rector Nursing And Rehab Rector | 11.5 mi | 2025-12-02 | 031 |
| Campbell Healthcare & Senior Living Campbell | 17.3 mi | 2025-08-22 | 0210 |
| Gideon Care Center Gideon | 17.3 mi | 2026-03-19 | 0190 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |