Missouri › St. Louis County › Saint Louis
Heritage Care Center
4401 North Hanley Road, Saint Louis, MO 63134
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Heritage Care Center serves Saint Louis in St. Louis County, Missouri and has taken Medicare and Medicaid residents since 1993.
CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 95 health deficiencies across the three most recent survey cycles (24, 45, 26 by cycle, most recent first), 15 of them at the actual-harm or immediate-jeopardy level. That is 79.2 per 100 beds, more than the state median of 32.1.
CMS lists 9 penalties in the period covered: fines totalling $425K and 3 payment denials.
Reported nurse staffing is 1.9 hours per resident per day (0.1 RN), below the Missouri median of 3.4; nursing staff turnover is 75.0%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 95 | 46 | 31 | 28.7 |
| Citations per 100 beds | 79.2 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 1.9 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.1 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 75.0% | 60.7% | 56.1% | 45.8% |
| Fines listed | $424,748 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Sep 2025, 29 Sep 2023.
Severity mix: J ×11 G ×4 D ×55 E ×17 F ×8
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 May 2026 | F0586 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | D | Complaint investigation | 22 May 2026 |
| 16 Apr 2026 | F0555 | Honor the resident's right to choose his or her attending physician. | E | Complaint investigation | 29 Apr 2026 |
| 17 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 18 Feb 2026 |
| 17 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 Feb 2026 |
| 9 Sep 2025 | F0838 | 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. | F | Complaint investigation | 15 Oct 2025 |
| 9 Sep 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0584 | 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. | E | Complaint investigation | 15 Oct 2025 |
| 9 Sep 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Complaint investigation | 15 Oct 2025 |
| 9 Sep 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint investigation | 15 Oct 2025 |
| 9 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Oct 2025 |
| 9 Sep 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 15 Oct 2025 |
| 9 Sep 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Oct 2025 |
| 9 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 15 Oct 2025 |
| 9 Sep 2025 | F0761 | 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. | D | Standard survey | 15 Oct 2025 |
| 26 Jun 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | 25 Jul 2025 |
| 26 Jun 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Complaint investigation | 25 Jul 2025 |
| 23 May 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 10 Jun 2025 |
| 25 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 May 2025 |
| 25 Apr 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | G | Complaint investigation | 24 May 2025 |
| 25 Apr 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 24 May 2025 |
| 25 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 May 2025 |
| 25 Apr 2025 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 24 May 2025 |
| 14 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 May 2025 |
| 14 Mar 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | G | Complaint investigation | 24 May 2025 |
| 14 Mar 2025 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Complaint investigation | 24 May 2025 |
| 14 Mar 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Complaint investigation | 25 Jul 2025 |
| 14 Mar 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 14 Apr 2025 |
| 14 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 24 May 2025 |
| 14 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 May 2025 |
| 14 Mar 2025 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 24 May 2025 |
| 14 Mar 2025 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Complaint investigation | 25 Jul 2025 |
| 3 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Feb 2025 |
| 3 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Feb 2025 |
| 26 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Feb 2025 |
| 26 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 16 Feb 2025 |
| 12 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Oct 2024 |
| 5 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 9 Aug 2024 |
| 5 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 9 Aug 2024 |
| 5 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 Aug 2024 |
| 14 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 11 Jun 2024 |
| 2 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 Apr 2024 |
| 30 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 13 Mar 2024 |
| 30 Jan 2024 | F0584 | 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. | E | Complaint investigation | 13 Mar 2024 |
| 30 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Mar 2024 |
| 30 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Mar 2024 |
| 12 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 13 Mar 2024 |
| 12 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Jan 2024 |
| 12 Dec 2023 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J | Complaint investigation | 13 Mar 2024 |
| 12 Dec 2023 | F0584 | 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. | E | Complaint investigation | 13 Mar 2024 |
| 12 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Mar 2024 |
| 12 Dec 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Mar 2024 |
| 12 Dec 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 7 Dec 2023 |
| 29 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | J | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Nov 2023 |
| 29 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 13 Nov 2023 |
| 29 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0622 | 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. | D | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 13 Nov 2023 |
| 29 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 13 Nov 2023 |
| 29 Sep 2023 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint investigation | 13 Nov 2023 |
| 29 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 13 Nov 2023 |
| 29 Sep 2023 | F0758 | 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. | D | Standard survey | 13 Nov 2023 |
| 23 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 18 Aug 2023 |
| 26 Jul 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0758 | 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. | D | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0761 | 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. | D | Standard survey | 8 Sep 2019 |
| 26 Jul 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 9 Sep 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Feb 2026 | Fine | $81,430 | |
| 14 Mar 2025 | Payment denial | — | 99 days |
| 14 Mar 2025 | Fine | $146,162 | |
| 26 Dec 2024 | Fine | $108,179 | |
| 14 Jun 2024 | Fine | $16,801 | |
| 12 Dec 2023 | Payment denial | — | 60 days |
| 12 Dec 2023 | Fine | $45,311 | |
| 29 Sep 2023 | Payment denial | — | 6 days |
| 29 Sep 2023 | Fine | $26,865 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 75.0%, RNs 100.0%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.3% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 3.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.6% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 48.4% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Heritage Care Center Of Berkeley, Llc. Chain: Reliant Care Management (34 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Reliant Care Management Company LLC | Operational/managerial control | NOT APPLICABLE | 04/01/1993 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Heritage Care Center been cited for?
95 health deficiencies across the three most recent survey cycles, 15 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Heritage Care Center been fined?
Yes. CMS lists fines totalling $425K in the period covered, plus 3 payment denials.
How does staffing at Heritage Care Center compare?
Reported total nurse staffing is 1.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Heritage Care Center?
It is part of the Reliant Care Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Reliant Care Management Company LLC. Individual owners and managers are not listed on this site.
When was Heritage Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 15 May 2026; the most recent standard health survey was 9 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.