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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMissouriHeritage Care Center

Heritage Care Center

4401 North Hanley Road, Saint Louis, MO 631343145217471
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
3/5
Beds
120
certified
This facility has been flagged for abuse.
Special Focus Facility: SFF Candidate
Last health inspection was more than 2 years ago.
5 fine(s) totaling $340,651

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 106.2 residents per day (89% occupancy)

• Last health inspection found 46 deficiencies (inspected Sep 29, 2023)

• Has been fined a total of $340,651 across 5 fine(s)

• Total nursing staff: 2.40 hours per resident per day

• Staff turnover rate: 66.3% (high)

• Part of the Reliant Care Management chain (30 facilities)

Heritage Care Center is a 1-star Medicare and Medicaid certified nursing home in Saint Louis, Missouri with 120 certified beds. It has been operating since 1993. The facility scored below average compared to Missouri facilities.

Beds
120
Avg Residents/Day
106.2
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 21, 1993
Sprinklers
Yes
Council
Resident
County
St. Louis
Last Inspection
Sep 29, 2023
Deficiencies (Cycle 1)
46
Weighted Score
573.0
Infection Citations
0

Deficiency Citations (102)

F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0838Potential for Harm

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.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Jun 26, 2025Corrected: NoCycle: 1
F0741Potential for Harm

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Survey: Jun 26, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 23, 2025Corrected: NoCycle: 1
F0553Actual Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0661Potential for Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 25, 2025Corrected: NoCycle: 1
F0553Actual Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0603Actual Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0661Potential for Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0741Potential for Harm

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Mar 14, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 3, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 3, 2025Corrected: NoCycle: 1
F0567Potential for Harm

Honor the resident's right to manage his or her financial affairs.

Survey: Sep 29, 2023Corrected: NoCycle: 1
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Sep 29, 2023Corrected: NoCycle: 1
F0570Potential for Harm

Assure the security of all personal funds of residents deposited with the facility.

Survey: Sep 29, 2023Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Sep 29, 2023Corrected: NoCycle: 1

+ 72 more deficiencies

Total Fines
$340,651
Number of Fines
5
Payment Denials
3
Total Penalties
8

Penalty History

FineJun 14, 2024
$16,801
FineSep 29, 2023
$26,865
FineDec 12, 2023
$45,311
FineDec 26, 2024
$108,179
FineMar 14, 2025
$143,495
Payment DenialMar 14, 2025
99 days denied
Payment DenialDec 12, 2023
60 days denied
Payment DenialSep 29, 2023
6 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.74 hrs
National avg: 2.35 hrs
LPN0.47 hrs
National avg: 0.86 hrs
RN0.19 hrs
National avg: 0.68 hrs
Total Nursing2.40 hrs
National avg: 3.89 hrs
Weekend Total1.94 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
66.3%
RN Turnover
80.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (6)

NameRoleTypeOwnership %Since
RELIANT CARE GROUP LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 30, 1996
RICHARD J DESTEFANE REVOCABLE LIVING TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2018
RELIANT CARE MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 1993
DESTEFANE, RICHARDCORPORATE DIRECTORIndividualN/ADec 15, 1994
DESTEFANE, RICHARDCORPORATE OFFICERIndividualN/ANov 29, 1994
ATKINS, MONICAW-2 MANAGING EMPLOYEEIndividualN/AOct 30, 2017

Nearby Nursing Homes

All Missouri facilities

Amberwood Estates Nursing and Rehabilitation

Saint Louis, MO · 115 beds

For profit$22,934 in fines
Health
Staffing
Quality
1.2 mi

St Johns Place

Saint Louis, MO · 94 beds

For profit
Health
Staffing
Quality
1.9 mi

Normandy Nursing Center

Saint Louis, MO · 116 beds

For profit$9,315 in finesAbuse
Health
Staffing
Quality
2.5 mi

U-City Forest Manor

Saint Louis, MO · 120 beds

For profit$15,949 in fines
Health
Staffing
Quality
3.4 mi

Estates of St Louis, Llc, the

Saint Louis, MO · 94 beds

For profit$66,640 in fines
Health
Staffing
Quality
3.6 mi

Hillside Health Care Center

Saint Louis, MO · 208 beds

For profit$126,156 in fines
Health
Staffing
Quality
4.3 mi

Frequently Asked Questions

What is the CMS rating for Heritage Care Center?▾
Heritage Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
Has Heritage Care Center had any health inspection violations?▾
Heritage Care Center had 46 deficiency citations in its most recent health inspection (Sep 29, 2023). The facility has been fined a total of $340,651 across 5 fine(s).
What are the staffing levels at Heritage Care Center?▾
Heritage Care Center provides 2.40 total nursing staff hours per resident per day, including 0.19 RN hours, 0.47 LPN hours, and 1.74 nurse aide hours. The total staff turnover rate is 66.3%.
How many beds does Heritage Care Center have?▾
Heritage Care Center has 120 certified beds with an average of 106.2 residents per day, resulting in approximately 89% occupancy. The facility is For profit - Partnership owned and is part of the Reliant Care Management chain.
Are there other nursing homes near Heritage Care Center?▾
Yes, there are 35 other nursing homes in Saint Louis, Missouri with an average rating of 2/5. You can compare all facilities on the Saint Louis nursing homes page.

Part of Reliant Care Management

This chain operates 30 facilities. View all →