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HomeMissouriHeritage Care Center

Heritage Care Center

4401 North Hanley Road, Saint Louis, MO 631343145217471WebsiteGoogle Maps
2.3on Google(29 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
4/5
Beds
120
certified
This facility has been flagged for abuse.
Special Focus Facility: SFF Candidate
6 fine(s) totaling $424,748

How Heritage Care Center Compares in Missouri

Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
MO average
2.5/5
Below state average
Health inspection rating
1/5
MO average
2.8/5
Below state average
Staffing rating
1/5
MO average
2.2/5
Below state average
Nursing hours per resident
1.85 hrs/day
MO average
3.43 hrs/day
Below state average
RN hours per resident
0.09 hrs/day
MO average
0.46 hrs/day
Below state average
Staff turnover
75.0%
MO average
56.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Missouri average of 2.5/5.
Its 1/5 health inspection rating is below the Missouri average of 2.8/5.
Reported nursing time is 1.85 hours per resident per day, below the state average of 3.43.
Reported RN time is 0.09 hours per resident per day, below the state average of 0.46.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
59
deficiency citations
Inspected Sep 29, 2023
Most recent cycle
24
deficiency citations
Inspected Sep 9, 2025
The most recent cycle recorded 35 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,540/mo
Missouri median
Private Room
$6,236/mo
Missouri median
St. Louis County 65+
184,287
18.4% of county
County Population
999,703
St. Louis County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 1 out of 5.

Beds
120
Avg Residents/Day
106.4
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 21, 1993
Sprinklers
Yes
Council
Resident
County
St. Louis
Last Inspection
Sep 9, 2025
Deficiencies (Cycle 1)
24
Weighted Score
430.8
Infection Citations
0

Deficiency Citations (95)

F0586Potential for Harm

Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

Survey: May 15, 2026Corrected: NoCycle: 1
F0555Potential for Harm

Honor the resident's right to choose his or her attending physician.

Survey: Apr 16, 2026Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Feb 17, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Feb 17, 2026Corrected: 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
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0882Potential for Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in 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
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
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Sep 9, 2025Corrected: NoCycle: 1
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
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
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

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
F0689Potential for Harm

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

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0697Potential for Harm

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

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Sep 9, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

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: 2
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: 2
F0697Potential for Harm

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

Survey: May 23, 2025Corrected: NoCycle: 2
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: 2
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: 2
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: 2

+ 65 more deficiencies

Total Fines
$424,748
Number of Fines
6
Payment Denials
3
Total Penalties
9

Penalty History

FineJun 14, 2024
$16,801
FineSep 29, 2023
$26,865
FineDec 12, 2023
$45,311
FineFeb 17, 2026
$81,430
FineDec 26, 2024
$108,179
FineMar 14, 2025
$146,162
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 Aide1.35 hrs
National avg: 2.32 hrs
LPN0.41 hrs
National avg: 0.86 hrs
RN0.09 hrs
National avg: 0.69 hrs
Total Nursing1.85 hrs
National avg: 3.86 hrs
Weekend Total1.43 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
75.0%
RN Turnover
100.0%
Administrators Left
3

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
ATKINS, MONICAW-2 MANAGING EMPLOYEEIndividualN/AOct 30, 2017
DESTEFANE, RICHARDCORPORATE DIRECTORIndividualN/ADec 15, 1994
DESTEFANE, RICHARDCORPORATE OFFICERIndividualN/ANov 29, 1994
RELIANT CARE MANAGEMENT COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 1993

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Heritage Care Center and nearby alternatives.

All Missouri facilities
Heritage Care Center
Saint Louis, MOCurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $424,748
Amberwood Estates Nursing and Rehabilitation
Saint Louis, MO1.2 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $19,760
Oak Knoll Skilled Nursing & Rehabilitation Center
Ferguson, MO1.7 mi
CMS
2/5
Health
3/5
Staffing
2/5
Recorded fines: None
St Johns Place
Saint Louis, MO1.9 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: None
Arbor Hills Care & Rehab Center
Ferguson, MO2.2 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $282,840
Normandy Nursing Center
Saint Louis, MO2.5 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $9,315
U-City Forest Manor
Saint Louis, MO3.4 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $15,949
FacilityDistanceCMSHealthStaffingRecorded fines
Heritage Care Center
Saint Louis, MO · Current facility
—1/51/51/5$424,748
Amberwood Estates Nursing and Rehabilitation
Saint Louis, MO
1.2 mi1/52/51/5$19,760
Oak Knoll Skilled Nursing & Rehabilitation Center
Ferguson, MO
1.7 mi2/53/52/5None recorded
St Johns Place
Saint Louis, MO
1.9 mi1/52/51/5None recorded
Arbor Hills Care & Rehab Center
Ferguson, MO
2.2 mi1/51/51/5$282,840
Normandy Nursing Center
Saint Louis, MO
2.5 mi1/52/51/5$9,315
U-City Forest Manor
Saint Louis, MO
3.4 mi1/52/51/5$15,949

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 4/5. This facility is rated below average.
How much does Heritage Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Missouri is $5,540/month for a semi-private room and $6,236/month for a private room (Genworth/CareScout 2024). Heritage Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Heritage Care Center had any health inspection violations?▾
Heritage Care Center had 24 deficiency citations in its most recent health inspection (Sep 9, 2025). The current CMS dataset records 6 fine(s) totaling $424,748.
What are the staffing levels at Heritage Care Center?▾
Heritage Care Center provides 1.85 total nursing staff hours per resident per day, including 0.09 RN hours, 0.41 LPN hours, and 1.35 nurse aide hours. The total staff turnover rate is 75.0%.
How many beds does Heritage Care Center have?▾
Heritage Care Center has 120 certified beds with an average of 106.4 residents per day, resulting in approximately 89% occupancy. The facility is For profit - Limited Liability company owned and is part of the Reliant Care Management chain.
Are there other nursing homes near Heritage Care Center?▾
Yes. This page lists 6 nearby nursing homes in Missouri, including 4 in Saint Louis. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Heritage Care Center?▾
On Google Maps, Heritage Care Center has a rating of 2.3 out of 5 based on 29 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Reliant Care Management

This chain operates 33 facilities. View all →