Hillside Health Care Center, Saint Louis, Missouri

102
Citations from health inspectionsMissouri average: 36 a home: 15
Residents harmed or put in dangerMissouri average: 1.7 a home: $168,680
Fines from the federal governmentMissouri average: $37,425 a home: No rating given
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

12 inspection visits produced 102 citations. Residents were in immediate danger in four findings. Residents were found hurt in 11 cases. Federal fines came to $168,680 (three fines). Two times, Medicare stopped paying for new admissions.

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

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.

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Quick Look at the Record

The home's overall star rating: No rating is given while the home stays on the Special Focus list
Rating for health inspections: No rating is given while the home stays on the Special Focus list
Rating for staffing: No rating is given while the home stays on the Special Focus list
Rating for quality of care: No rating is given while the home stays on the Special Focus list
Nurse time for each resident: 2.46 hours each dayThe Missouri average is 3.43 hours
Time from registered nurses: 0.08 hours each dayThe Missouri average is 0.46 hours
Nursing staff who left during one year: 60.3%against the Missouri average of 56%
Beds that are certified: 208
Ownership: Limited Liability company (for profit)
Chain: Reliant Care Management, with 34 homes
Street address: 1265 McLaran Avenue, Saint Louis, Missouri 63147
County: St. Louis City

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 14, 2026

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated April 28, 2026

F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

23 citations dated April 24, 2026

F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F740 Behavioral Health Care and Services: immediate danger to residents, one or a few residents, found on a complaint visit.
F699 Trauma Informed and Culturally Respectful Care: 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.
F697 Pain Management: residents were harmed, one or a few residents.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: 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.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, a pattern, several residents.
F600 Freedom From Abuse and Neglect: residents were harmed, 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.
F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, one or a few 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.
F555 Right to Choose Own Doctor: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Three citations dated March 26, 2026

F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several 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.

Three citations dated March 20, 2025

F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Six citations dated Feb. 6, 2025

F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Nov. 5, 2024

F924 Secure Handrails in Hallways: risk of harm, no one found hurt, widespread, 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.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

32 citations dated July 16, 2024

F947 Nurse Aide Skills, Dementia, and Abuse Training: risk of harm, no one found hurt, widespread.
F914 Bedroom Privacy Between Residents: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
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, one or a few residents, found on a complaint visit.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F838 Facility Wide Assessment of Needed Resources: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F808 Doctor Ordered Special Diets: 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.
F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, widespread.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F760 Significant Medication Errors: immediate danger to residents, one or a few residents, found on a complaint visit.
F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, one or a few residents.
F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F695 Breathing and Oxygen Care: residents were harmed, one or a few residents.
F693 Feeding Tube Care: immediate danger to residents, one or a few residents.
F692 Enough Food and Fluids: residents were harmed, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, a pattern, several residents.
F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several 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.
F660 Discharge Planning That Meets Resident Goals: 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.
F620 Fair Admission Without Giving Up Benefits: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.

One citation dated Jan. 19, 2024

F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Four citations dated Nov. 8, 2023

F728 Trained and Competent Nurse Aides: 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.
F610 Investigating Abuse Allegations: 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.

Six citations dated Sept. 14, 2023

F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
F728 Trained and Competent Nurse Aides: risk of harm, no one found hurt, 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.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, 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.
F604 Freedom From Physical Restraints: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

19 citations dated Jan. 25, 2022

F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, a pattern, several 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, a pattern, several residents.
F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: residents were harmed, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F623 Notice Before Transfer or Discharge: minimal risk to residents, widespread.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents.
F570 Secure Resident Personal Funds: risk of harm, no one found hurt, widespread.
F569 Return Resident Funds After Discharge or Death: risk of harm, no one found hurt, widespread.
F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, widespread.
F567 Right to Manage Own Finances: risk of harm, no one found hurt, a pattern, several residents.
F563 Right to Visitors of Own Choosing: risk of harm, no one found hurt, one or a few residents.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
March 26, 2026	Fine	$62,092
March 26, 2026	Payment denial for new admissions	10 days
Feb. 6, 2025	Fine	$11,492
July 16, 2024	Fine	$95,096
July 16, 2024	Payment denial for new admissions	nine days

Ownership and Management of the Home

The home is run by Reliant Care Management Company LLC (operational or managerial control).
The direct owner is Reliant Care Group LLC.
Owns a share through another company: Rcg Inc..
Owns a share through another company: Richard J. Destefane Revocable Living Trust.

One person with an ownership stake is also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 265585. Other homes in Saint Louis.