St. Louis County, Missouri · Nursing home
Heritage Care Center
1 of 5 overall from CMS
4401 North Hanley Road, Saint Louis, MO 63134
At a glance
- Overall rating 1 of 5 Below the state average of 2.5
- Nurse time per resident, per day 1.85 hours Below the state average of 3.43
- Nursing staff who left in a year 75.0% Above the state average of 56.0%
- Health citations, last 3 inspection cycles 94 15 at the harm level or above
- Fines in 3 years $396,248 6 fines
- Certified beds in use 88.7% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Heritage Care Center is a 120-bed nursing home in Saint Louis, Missouri (St. Louis County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 1.85 nurse staffing hours per resident per day, below the Missouri average of 3.43. CMS lists 6 fines totaling $396,248 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 106.4
- Certified since
- 1993 (33 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Reliant Care Management (34 homes)CMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Heritage Care Center
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 6 fines totaling $396,248 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 24 health deficiencies in the latest inspection cycle (the standard inspection on Sep 9, 2025 plus complaint and infection-control inspections); the Missouri average is 11.4. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Missouri average 2.5
- Health inspections 1 of 5 Missouri average 2.8
- Staffing 1 of 5 Missouri average 2.2
- Quality measures 4 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 1.85 h Missouri average 3.43
- Nurse aides 1.35 h Missouri average 2.29
- Licensed practical nurses 0.41 h Missouri average 0.68
- Registered nurses 0.09 h Missouri average 0.46
- All staff, weekends 1.43 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover75.0%
- Missouri average56.0%
- Registered nurse turnover100.0%
- Missouri average47.8%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 24.3% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.1% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.2% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 72.7% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 46.5% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 17.6% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.4% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 70.9% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.3% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.0% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 48.4% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 3.39 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.23 | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 19.5% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.5% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 94 health deficiencies in the three most recent inspection cycles. Of these, 11 were at the immediate jeopardy level and 4 involved actual harm; the rest were graded as no actual harm. 54 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 17, 2026: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 9, 2025 | 24 | 8 |
| Sep 29, 2023 | 42 | 3 |
| Jul 26, 2019 | 28 | 13 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (94)
-
DPotential for more than minimal harm, isolated
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 22, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to choose his or her attending physician.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 29, 2026)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 18, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 18, 2026)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 15, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration · Deficient, Provider has date of correction (Oct 15, 2025)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Oct 15, 2025)
-
FPotential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Oct 15, 2025)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Ensure residents have reasonable access to and privacy in their use of communication methods.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 25, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 25, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 10, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 24, 2025)
-
GActual harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 24, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 24, 2025)
Showing the 30 most recent of 94.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| 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 |
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size141 of 487 by certified beds
- Missouri average residents per day73.0
- ChainReliant Care Management
- Chain average overall rating1.2 of 5
- Resident or family councilResident
- Homes in Saint Louis36
- Homes in St. Louis County69
Common questions
What is the CMS star rating for Heritage Care Center?
Heritage Care Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 4.
How many beds does Heritage Care Center have?
Heritage Care Center has 120 certified beds. It averages 106.4 residents per day, about 88.7% of its certified beds.
How much nursing care do residents get at Heritage Care Center?
The home reports 1.85 hours of nurse staffing per resident per day, including 0.09 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Heritage Care Center been fined?
Yes. CMS lists 6 fines totaling $396,248 in the past three years. It also lists 3 payment denials.
Does Heritage Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Amberwood Estates Nursing and Rehabilitation 115beds 71.7%in use 0.71nurse hours a day
- 2 of 5 Oak Knoll Skilled Nursing & Rehabilitation Center 79beds 87.6%in use 3.04nurse hours a day
- 1 of 5 St Johns Place 94beds 60.5%in use –nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in St. Louis County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265534. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.