Elder Care Record

Missouri › St. Louis County › Saint Louis

Heritage Care Center

4401 North Hanley Road, Saint Louis, MO 63134

CCN 265534 · For-profit, limited liability company · 120 certified beds · chain Reliant Care Management

CMS abuse iconSpecial Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

95health deficiencies, 3 survey cycles15 at actual harm or worse
$425Kfines listed by CMS9 penalties in period
1.9nurse hours per resident per daystate median 3.4
89%occupancy (residents ÷ beds)106 residents a day

Compared with county, state and nation

MeasureThis facilitySt. Louis Co. medianMissouri medianUS average
Overall star rating1223.0
Health citations, 3 cycles95463128.7
Citations per 100 beds79.238.332.126.8
Total nurse hours per resident day1.93.53.43.9
RN hours per resident day0.10.30.40.7
Nursing staff turnover75.0%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

Cycle 1 (latest)24
Cycle 245
Cycle 326

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 May 2026F0586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.DComplaint investigation22 May 2026
16 Apr 2026F0555Honor the resident's right to choose his or her attending physician.EComplaint investigation29 Apr 2026
17 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation18 Feb 2026
17 Feb 2026F0610Respond appropriately to all alleged violations.DComplaint investigation18 Feb 2026
9 Sep 2025F0838Conduct 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.FComplaint investigation15 Oct 2025
9 Sep 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey15 Oct 2025
9 Sep 2025F0880Provide and implement an infection prevention and control program.FStandard survey15 Oct 2025
9 Sep 2025F0881Implement a program that monitors antibiotic use.FStandard survey15 Oct 2025
9 Sep 2025F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey15 Oct 2025
9 Sep 2025F0584Honor 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.EComplaint investigation15 Oct 2025
9 Sep 2025F0727Have 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.EComplaint investigation15 Oct 2025
9 Sep 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey15 Oct 2025
9 Sep 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey15 Oct 2025
9 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey15 Oct 2025
9 Sep 2025F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint investigation15 Oct 2025
9 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation15 Oct 2025
9 Sep 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation15 Oct 2025
9 Sep 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey15 Oct 2025
9 Sep 2025F0641Ensure each resident receives an accurate assessment.DStandard survey15 Oct 2025
9 Sep 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation15 Oct 2025
9 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Oct 2025
9 Sep 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey15 Oct 2025
9 Sep 2025F0760Ensure that residents are free from significant medication errors.DStandard survey15 Oct 2025
9 Sep 2025F0761Ensure 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.DStandard survey15 Oct 2025
26 Jun 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EComplaint investigation25 Jul 2025
26 Jun 2025F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DComplaint investigation25 Jul 2025
23 May 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation10 Jun 2025
25 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation24 May 2025
25 Apr 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.GComplaint investigation24 May 2025
25 Apr 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation24 May 2025
25 Apr 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation24 May 2025
25 Apr 2025F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation24 May 2025
14 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation24 May 2025
14 Mar 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.GComplaint investigation24 May 2025
14 Mar 2025F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).GComplaint investigation24 May 2025
14 Mar 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EComplaint investigation25 Jul 2025
14 Mar 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation14 Apr 2025
14 Mar 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation24 May 2025
14 Mar 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation24 May 2025
14 Mar 2025F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation24 May 2025
14 Mar 2025F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.DComplaint investigation25 Jul 2025
3 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation16 Feb 2025
3 Feb 2025F0610Respond appropriately to all alleged violations.DComplaint investigation16 Feb 2025
26 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation16 Feb 2025
26 Dec 2024F0610Respond appropriately to all alleged violations.DComplaint investigation16 Feb 2025
12 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation21 Oct 2024
5 Aug 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation9 Aug 2024
5 Aug 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation9 Aug 2024
5 Aug 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation9 Aug 2024
14 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation11 Jun 2024
2 May 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation22 Apr 2024
30 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation13 Mar 2024
30 Jan 2024F0584Honor 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.EComplaint investigation13 Mar 2024
30 Jan 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation13 Mar 2024
30 Jan 2024F0610Respond appropriately to all alleged violations.DComplaint investigation13 Mar 2024
12 Dec 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation13 Mar 2024
12 Dec 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation16 Jan 2024
12 Dec 2023F0742Provide 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.JComplaint investigation13 Mar 2024
12 Dec 2023F0584Honor 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.EComplaint investigation13 Mar 2024
12 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation13 Mar 2024
12 Dec 2023F0610Respond appropriately to all alleged violations.DComplaint investigation13 Mar 2024
12 Dec 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation7 Dec 2023
29 Sep 2023F0880Provide and implement an infection prevention and control program.JStandard survey13 Nov 2023
29 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation13 Nov 2023
29 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Nov 2023
29 Sep 2023F0567Honor the resident's right to manage his or her financial affairs.EStandard survey13 Nov 2023
29 Sep 2023F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey13 Nov 2023
29 Sep 2023F0570Assure the security of all personal funds of residents deposited with the facility.EStandard survey13 Nov 2023
29 Sep 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey13 Nov 2023
29 Sep 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation13 Nov 2023
29 Sep 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey13 Nov 2023
29 Sep 2023F0610Respond appropriately to all alleged violations.DStandard survey13 Nov 2023
29 Sep 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey13 Nov 2023
29 Sep 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey13 Nov 2023
29 Sep 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey13 Nov 2023
29 Sep 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation13 Nov 2023
29 Sep 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation13 Nov 2023
29 Sep 2023F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation13 Nov 2023
29 Sep 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Nov 2023
29 Sep 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey13 Nov 2023
29 Sep 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey13 Nov 2023
29 Sep 2023F0758Implement 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.DStandard survey13 Nov 2023
23 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation18 Aug 2023
26 Jul 2019F0880Provide and implement an infection prevention and control program.FStandard survey8 Sep 2019
26 Jul 2019F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FStandard survey8 Sep 2019
26 Jul 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey8 Sep 2019
26 Jul 2019F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey8 Sep 2019
26 Jul 2019F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DStandard survey8 Sep 2019
26 Jul 2019F0578Honor 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.DStandard survey8 Sep 2019
26 Jul 2019F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey8 Sep 2019
26 Jul 2019F0641Ensure each resident receives an accurate assessment.DStandard survey8 Sep 2019
26 Jul 2019F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey8 Sep 2019
26 Jul 2019F0758Implement 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.DStandard survey8 Sep 2019
26 Jul 2019F0761Ensure 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.DStandard survey8 Sep 2019
26 Jul 2019F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey9 Sep 2019

Penalties

DateTypeAmountDetail
17 Feb 2026Fine$81,430
14 Mar 2025Payment denial—99 days
14 Mar 2025Fine$146,162
26 Dec 2024Fine$108,179
14 Jun 2024Fine$16,801
12 Dec 2023Payment denial—60 days
12 Dec 2023Fine$45,311
29 Sep 2023Payment denial—6 days
29 Sep 2023Fine$26,865

Staffing

Total nursing1.85 h
Nurse aides1.35 h
LPN0.41 h
RN0.09 h
Weekend total1.43 h

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

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay24.3%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.2%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.2%3.6%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.6%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.3%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay48.4%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).

OrganisationRole in the CMS recordInterestSince
Reliant Care Management Company LLCOperational/managerial controlNOT APPLICABLE04/01/1993

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Aberdeen HeightsKirkwood38555923.7—15 Aug 2025
Bethesda SouthgateSaint Louis1305541511.5—1 May 2025
Christian Extended Care & RehabilitationSaint Louis605521220.0—28 Mar 2025
Delmar Gardens of Meramec ValleyFenton1905522211.6—5 Dec 2025
Friendship Village ChesterfieldChesterfield985452121.4—3 Apr 2026
Lutheran Convalescent HomeWebster Groves25154593.6—7 Nov 2024
Lutheran Senior Services At Meramec BluffsBallwin32555825.0—29 Dec 2025
Mason Pointe Care CenterChesterfield635541727.0—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.