Nursing home · St. Louis, MO
Heritage Care Center
4401 North Hanley Road, St. Louis, MO 63134 · 120 certified beds · for profit ownership · part of Reliant Care Management
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on May 15, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Sep 9, 2025) it had 24 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 1.85 hours per resident per day here, 46% less than the Missouri average (3.43) and 52% less than the U.S. average (3.86). Registered nurses account for 0.09 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 75% over the past year, 19 points higher than Missouri (56%) and 29 points higher than the U.S. (46%).
How Heritage Care Center compares
This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).
| This home | St. Louis area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 1.85 | 3.66 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.09 | 0.43 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 1.43 | 3.22 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 75% | 58% | 56% | 46% |
| Registered nurse turnover (past year) | 100% | 56% | 48% | 43% |
| Citations at the most recent standard inspection | 24 | 14.7 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 40 of 94 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| May 15, 2026 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Apr 16, 2026 | Honor the resident's right to choose his or her attending physician. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Feb 17, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Feb 17, 2026 | Respond appropriately to all alleged violations. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Ensure that residents are free from significant medication errors. Pharmacy service | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Ensure each resident receives an accurate assessment. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Reasonably accommodate the needs and preferences of each resident. Resident rights | D | Deficient, Provider has date of correction |
| Sep 9, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Sep 9, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy service | E | Deficient, Provider has date of correction |
| Sep 9, 2025 | 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. Nursing and physician services · complaint | E | Deficient, Provider has date of correction |
| Sep 9, 2025 | 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. Administration · complaint | F | Deficient, Provider has date of correction |
| Sep 9, 2025 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Sep 9, 2025 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection control | F | Deficient, Provider has date of correction |
| Sep 9, 2025 | Implement a program that monitors antibiotic use. Infection control | F | Deficient, Provider has date of correction |
| Sep 9, 2025 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Sep 9, 2025 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration | F | Deficient, Provider has date of correction |
| Jun 26, 2025 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jun 26, 2025 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident rights · complaint | E | Deficient, Provider has date of correction |
| May 23, 2025 | Provide safe, appropriate pain management for a resident who requires such services. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Apr 25, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident rights · complaint | G actual harm | Deficient, Provider has date of correction |
| Apr 25, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Apr 25, 2025 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Mar 14, 2025 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights · complaint | D | Deficient, Provider has date of correction |
| Mar 14, 2025 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Mar 14, 2025 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Mar 14, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Mar 14, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint | J immediate jeopardy | Deficient, Provider has date of correction |
| Mar 14, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental · complaint | E | Deficient, Provider has date of correction |
| Mar 14, 2025 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from abuse, neglect, and exploitation · complaint | G actual harm | Deficient, Provider has date of correction |
| Mar 14, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident rights · complaint | G actual harm | Deficient, Provider has date of correction |
Fines and penalties
| Date | Type | Amount |
|---|---|---|
| Feb 17, 2026 | Fine | $52,930 |
| Mar 14, 2025 | Fine | $146,162 |
| Mar 14, 2025 | Payment Denial | 99 days |
| Dec 26, 2024 | Fine | $108,179 |
| Jun 14, 2024 | Fine | $16,801 |
| Dec 12, 2023 | Fine | $45,311 |
| Dec 12, 2023 | Payment Denial | 60 days |
| Sep 29, 2023 | Fine | $26,865 |
| Sep 29, 2023 | Payment Denial | 6 days |
Location
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Reviews
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Questions about Heritage Care Center
Answers computed from CMS data for this facility.
What is Heritage Care Center's Medicare rating?
Medicare rates Heritage Care Center 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.
How did Heritage Care Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on May 15, 2026, when they cited 1 problem from a complaint investigation. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Sep 9, 2025) it had 24 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.
Has Heritage Care Center been fined?
Yes. CMS reports 6 fines totaling $396,248 in the past three years.
Does Heritage Care Center accept Medicaid?
Heritage Care Center is certified for both Medicare and Medicaid. Call (314) 521-7471 to ask whether a Medicaid bed is open.
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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.