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Heritage Care Center

Nursing Home Facility

4401 North Hanley Road, Saint Louis, MO 63134

Nursing Home Care Senior Living

Heritage Care Center is a senior care community located in Saint Louis, MO. It provides nursing home care and senior living for older adults in the Saint Louis area. To learn more or schedule a tour, call (314) 521-7471.

Operated by Reliant Care Management, which runs 23 communities in our directory.

Heritage Care Center is licensed for 120 beds, about typical for the area, where senior care communities in Saint Louis average about 102 beds.

Federal reporting puts occupancy at about 89% of its licensed beds. That is above the Saint Louis average of roughly 73%.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Saint Louis average about 1.8 stars. Its most recent standard health inspection was in September 2025 and recorded 24 deficiencies.

Residents receive about 1.9 hours of nursing care per day on average, including 0.1 hours from a registered nurse. Communities in Saint Louis average about 3.2 hours. Nursing staff turnover over the past year was about 75%, which is high and can affect continuity of care.

The community is located in Saint Louis County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 95 problems at Heritage Care Center. 15 findings involved harm to a resident, including 11 that put residents in immediate danger. 55 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 5 times, a total of $397,883. Medicare also stopped paying for new admissions twice in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

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

    Inspected February 2026, after a complaint. Corrected by February 18, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected May 2026, after a complaint. Corrected by May 22, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected April 2026, after a complaint. Corrected by April 29, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected February 2026, after a complaint. Corrected by February 18, 2026.

  • Could cause more than minimal harm, widespread Administration

    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.

    Inspected September 2025, after a complaint. Corrected by October 15, 2025.

  • Could cause more than minimal harm, widespread Administration

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

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Implement a program that monitors antibiotic use.

    Inspected September 2025. Corrected by October 15, 2025.

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  • Could cause more than minimal harm, widespread Infection Control

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected September 2025, after a complaint. Corrected by October 15, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    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.

    Inspected September 2025, after a complaint. Corrected by October 15, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

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

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

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

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected September 2025, after a complaint. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected September 2025, after a complaint. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected September 2025, after a complaint. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2025, after a complaint. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected September 2025. Corrected by October 15, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Heritage Care Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 120
  • Occupancy 89%
  • Nursing hours per resident/day 1.9
  • Annual staff turnover 75%
  • Last health inspection September 2025

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