Heritage Care Center
4401 North Hanley Road · Saint Louis, MO · 63134 · 3145217471
120 certified beds For profit - Limited Liability company Chain: Reliant Care Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$335,771 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.09 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.25 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
74% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.09 | 0.55–0.75 |
| Weekend hours / resident-day | 2.01 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 6 · $424,748 |
Inspection citations (97 in the current record)
-
Potential for harm · E April 16, 2026 · found via complaint
Honor the resident's right to choose his or her attending physician.
Corrected April 29, 2026 · Resident Rights
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Immediate jeopardy · J February 17, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 18, 2026 · Quality of Life and Care
-
Potential for harm · D February 17, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 9, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected October 15, 2025 · Resident Rights
-
Potential for harm · D September 9, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · D September 9, 2025
Ensure each resident receives an accurate assessment.
Corrected October 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · D September 9, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · E September 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.
Corrected October 15, 2025 · Pharmacy Service
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Potential for harm · D September 9, 2025
Ensure that residents are free from significant medication errors.
Corrected October 15, 2025 · Pharmacy Service
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Potential for harm · D September 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.
Corrected October 15, 2025 · Pharmacy Service
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Potential for harm · F September 9, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected October 15, 2025 · Administration
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Potential for harm · F September 9, 2025
Provide and implement an infection prevention and control program.
Corrected October 15, 2025 · Infection Control
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Potential for harm · F September 9, 2025
Implement a program that monitors antibiotic use.
Corrected October 15, 2025 · Infection Control
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Potential for harm · F September 9, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected October 15, 2025 · Infection Control
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Potential for harm · E September 9, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 15, 2025 · Infection Control
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Potential for harm · D September 9, 2025 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · E September 9, 2025 · found via complaint
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.
Corrected October 15, 2025 · Resident Rights
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Potential for harm · D September 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 9, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 15, 2025 · Quality of Life and Care
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Potential for harm · E September 9, 2025 · found via complaint
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.
Corrected October 15, 2025 · Nursing and Physician Services
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Potential for harm · F September 9, 2025 · found via complaint
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.
Corrected October 15, 2025 · Administration
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Potential for harm · E June 26, 2025 · found via complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected July 25, 2025 · Resident Rights
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Potential for harm · D June 26, 2025 · found via complaint
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected July 25, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 17, 2026 | Fine | $81,430 |
| March 14, 2025 | Fine | $146,162 |
| March 14, 2025 | Payment Denial | 99 days |
| December 26, 2024 | Fine | $108,179 |
| June 14, 2024 | Fine | $16,801 |
| December 12, 2023 | Fine | $45,311 |
| December 12, 2023 | Payment Denial | 60 days |
| September 29, 2023 | Fine | $26,865 |
| September 29, 2023 | Payment Denial | 6 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265534 · certified since June 21, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.