All states › Missouri › Saint Louis › Heritage Care Center
4401 North Hanley Road Saint Louis, MO 63134 · St. Louis County
All 36 nursing homes in Saint Louis, MO (35 take Medicaid)
CMS certification number 265534 · See this home on Medicare Care Compare
Is Heritage Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Heritage Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 1.58 hours per resident per day at Heritage Care Center, below the Missouri median of 3.37 (US median: 3.72). About 0.09 of those hours are from registered nurses. On weekends it falls to 1.25 hours, 21% below its all-week average. Ask how weekends are staffed. 74.2% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Heritage Care Center: Medicare and Medicaid
Heritage Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 9, 2025 and found 13 deficiencies, plus 11 from complaint inspections in the same period. In total, inspectors issued 94 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 94 citations at Heritage Care Center across 18 inspection dates, 49 of them from complaint investigations. 11 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 17, 2026 (complaint inspection). The most common areas cited were resident rights (23) and quality of life and care (22). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, February 17, 2026). 16 citations were under CMS's abuse, neglect and exploitation rules.
May 15, 2026 · 1 citation · includes complaint inspection
DNot prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
April 16, 2026 · 1 citation · includes complaint inspection
EHonor the resident's right to choose his or her attending physician.
February 17, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DRespond appropriately to all alleged violations.
September 9, 2025 · 20 citations · includes complaint inspection
FConduct 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.
FHave a plan that describes the process for conducting QAPI and QAA activities.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
EHonor 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.
EHave 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.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DReasonably accommodate the needs and preferences of each resident.
DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProtect each resident from the wrongful use of the resident's belongings or money.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DEnsure each resident receives an accurate assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate pain management for a resident who requires such services.
DEnsure that residents are free from significant medication errors.
DEnsure 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.
June 26, 2025 · 2 citations · includes complaint inspection
EEnsure residents have reasonable access to and privacy in their use of communication methods.
DEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
May 23, 2025 · 1 citation · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
April 25, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
March 14, 2025 · 9 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GAllow resident to participate in the development and implementation of his or her person-centered plan of care.
GProtect each resident from separation (from other residents, his/her room, or confinement to his/her room).
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
February 3, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DRespond appropriately to all alleged violations.
December 26, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DRespond appropriately to all alleged violations.
September 12, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
August 5, 2024 · 3 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
June 14, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 2, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
January 30, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
December 12, 2023 · 7 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
JProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
EHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
September 29, 2023 · 20 citations, includes immediate jeopardy
JProvide and implement an infection prevention and control program.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to manage his or her financial affairs.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EAssure the security of all personal funds of residents deposited with the facility.
EEnsure medication error rates are not 5 percent or greater.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
July 26, 2019 · 12 citations
FProvide and implement an infection prevention and control program.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure each resident receives an accurate assessment.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Heritage Care Center
- Inspectors cited the home at the immediate-jeopardy level on February 17, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 17, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 74.2% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
7 penalties in the last three years, including $369,383 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 17, 2026 | Fine | $52,930 |
| Mar 14, 2025 | Fine | $146,162 |
| Mar 14, 2025 | Payment Denial | 99 days of payments denied |
| 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 of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near Heritage Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 5.4 mi
- 5.4 mi
-
5.6 mi
Christian Hospital Northeast St LouisEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 37m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Heritage Care Center › All nursing homes in Saint Louis ›
Compare Heritage Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Christian Extended Care & Rehabilitation · Saint Louis · 5 stars · 5.3 mi
- NHC Healthcare, Maryland Heights · Maryland Heights · 4 stars · 5.6 mi
- McKnight Place Extended Care · Saint Louis · 4 stars · 6.4 mi
- Life Care Center of St Louis · Saint Louis · 4 stars · 8.0 mi
Other Reliant Care Management nursing homes in Missouri
- Greenville Health Care Center · Greenville · 3 stars
- Portageville Health Care Center · Portageville · 3 stars
- Cedargate Health Care Center · Poplar Bluff · 2 stars
- Sarcoxie Health Care Center · Sarcoxie · 2 stars
- Edgewood Manor Health Care Center · Raytown · 2 stars
- Nick's Health Care Center · Plattsburg · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 35 Reliant Care Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.