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Heritage Care Center, Saint Louis, Missouri
- 94
- Citations from health inspectionsMissouri average: 36 a home
- 15
- Residents harmed or put in dangerMissouri average: 1.7 a home
- $396,248
- Fines from the federal governmentMissouri average: $37,425 a home
- 1 out of 5
- Overall rating in starsMissouri average: 2.5
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
18 inspection visits produced 94 citations. Residents were in immediate danger in 11 findings. Residents were found hurt in four cases. Federal fines came to $396,248 (six fines). Three times, Medicare stopped paying for new admissions.
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 1.85 hours each dayThe Missouri average is 3.43 hours
- Time from registered nurses
- 0.09 hours each dayThe Missouri average is 0.46 hours
- Nursing staff who left during one year
- 75%against the Missouri average of 56%
- Beds that are certified
- 120
- Ownership
- Limited Liability company (for profit)
- Chain
- Reliant Care Management, with 34 homes
- Street address
- 4401 North Hanley Road, Saint Louis, Missouri 63134
- County
- St. Louis
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated May 15, 2026
- F586 Right to Contact Government Officials: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated April 16, 2026
- F555 Right to Choose Own Doctor: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated Feb. 17, 2026
20 citations dated Sept. 9, 2025
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
- F882 Qualified Infection Prevention Leader: risk of harm, no one found hurt, widespread.
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
- F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
Two citations dated June 26, 2025
- F741 Staff Skilled in Behavioral Health Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F576 Private Access to Communication Methods: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated May 23, 2025
- F697 Pain Management: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated April 25, 2025
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F553 Resident Involvement in Care Planning: residents were harmed, one or a few residents, found on a complaint visit.
Nine citations dated March 14, 2025
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F741 Staff Skilled in Behavioral Health Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F603 Freedom From Being Isolated or Confined: residents were harmed, one or a few residents, found on a complaint visit.
- F576 Private Access to Communication Methods: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F553 Resident Involvement in Care Planning: residents were harmed, one or a few residents, found on a complaint visit.
Two citations dated Feb. 3, 2025
Two citations dated Dec. 26, 2024
One citation dated Sept. 12, 2024
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Aug. 5, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated June 14, 2024
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated May 2, 2024
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated Jan. 30, 2024
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Seven citations dated Dec. 12, 2023
- F742 Mental Health and Trauma Treatment: immediate danger to residents, one or a few residents, found on a complaint visit.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
20 citations dated Sept. 29, 2023
- F880 Infection Prevention and Control: immediate danger to residents, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents.
- F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F691 Proper Care for Surgical Bowel or Bladder Openings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F570 Secure Resident Personal Funds: risk of harm, no one found hurt, a pattern, several residents.
- F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, a pattern, several residents.
- F567 Right to Manage Own Finances: risk of harm, no one found hurt, a pattern, several residents.
12 citations dated July 26, 2019
- F925 Pest Control Program: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, one or a few residents.
- F745 Medically Related Social Services: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F573 Right to See and Copy Records: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Feb. 17, 2026 | Fine | $52,930 |
| March 14, 2025 | Fine | $146,162 |
| March 14, 2025 | Payment denial for new admissions | 99 days |
| Dec. 26, 2024 | Fine | $108,179 |
| June 14, 2024 | Fine | $16,801 |
| Dec. 12, 2023 | Fine | $45,311 |
| Dec. 12, 2023 | Payment denial for new admissions | 60 days |
| Sept. 29, 2023 | Fine | $26,865 |
| Sept. 29, 2023 | Payment denial for new admissions | six days |
Ownership and Management of the Home
- The home is run by Reliant Care Management Company LLC (operational or managerial control).
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265534. Other homes in Saint Louis.