HERITAGE CARE CENTER

4401 NORTH HANLEY ROAD, SAINT LOUIS, MO 63134 · CCN 265534 · 120 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 7 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-02-17 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-04-25 — ACTUAL HARM (tag F0553, severity G)

Resident Rights Deficiencies · correction not recorded in CMS data

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

2025-04-25 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-03-14 — ACTUAL HARM (tag F0603, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

2025-03-14 — ACTUAL HARM (tag F0553, severity G)

Resident Rights Deficiencies · correction not recorded in CMS data

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

2025-03-14 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-02-03 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2024-12-26 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

1.59

state median 2.42

Weekend staffing gap

−30%

fewer nursing hours on weekends · state median −11%

RN hours / resident / day

0.03

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

75%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

9 enforcement action(s), totaling $424,748 in fines.

Date	Type	Amount
2026-02-17	Fine	$81,430
2025-03-14	Fine	$146,162
2025-03-14	Payment Denial	payment denial
2024-12-26	Fine	$108,179
2024-06-14	Fine	$16,801
2023-12-12	Fine	$45,311
2023-12-12	Payment Denial	payment denial
2023-09-29	Fine	$26,865
2023-09-29	Payment Denial	payment denial

Ownership

Ownership type: For profit - Limited Liability company. Part of the RELIANT CARE MANAGEMENT chain.

Other facilities under the same ownership, with their CMS overall ratings:

HOLTON HEALTH CARE CENTER (HOLTON, KS) — CMS overall1 of 5
FOUR SEASONS LIVING CENTER (SEDALIA, MO) — CMS overall1 of 5
MILAN HEALTH CARE CENTER (MILAN, MO) — CMS overall1 of 5
NORTH VILLAGE PARK (MOBERLY, MO) — CMS overall1 of 5
WELLSVILLE HEALTH CARE CENTER (WELLSVILLE, MO) — CMS overall1 of 5
WESTVIEW NURSING HOME (CENTER, MO) — CMS overall1 of 5
EDGEWOOD MANOR HEALTH CARE CENTER (RAYTOWN, MO) — CMS overall1 of 5
CASSVILLE HEALTH CARE CENTER (CASSVILLE, MO) — CMS overall1 of 5

Full citation history

By severity: Actual harm: 4 · Potential for more than minimal harm: 80 · Immediate jeopardy: 11

Survey date	Tag	Category	Severity	Corrected
2026-05-15	F0586	Resident Rights Deficiencies	D	not recorded
2026-04-16	F0555	Resident Rights Deficiencies	E	not recorded
2026-02-17	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-02-17	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-09-09	F0558	Resident Rights Deficiencies	D	not recorded
2025-09-09	F0568	Resident Rights Deficiencies	D	not recorded
2025-09-09	F0584	Resident Rights Deficiencies	E	not recorded
2025-09-09	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-09-09	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-09-09	F0628	Resident Rights Deficiencies	D	not recorded
2025-09-09	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-09	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-09-09	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-09-09	F0697	Quality of Life and Care Deficiencies	D	not recorded
2025-09-09	F0727	Nursing and Physician Services Deficiencies	E	not recorded
2025-09-09	F0756	Pharmacy Service Deficiencies	E	not recorded
2025-09-09	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-09-09	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-09-09	F0838	Administration Deficiencies	F	not recorded
2025-09-09	F0865	Administration Deficiencies	F	not recorded
2025-09-09	F0880	Infection Control Deficiencies	F	not recorded
2025-09-09	F0881	Infection Control Deficiencies	F	not recorded
2025-09-09	F0882	Infection Control Deficiencies	F	not recorded
2025-09-09	F0883	Infection Control Deficiencies	E	not recorded
2025-06-26	F0576	Resident Rights Deficiencies	E	not recorded
2025-06-26	F0741	Quality of Life and Care Deficiencies	D	not recorded
2025-05-23	F0697	Quality of Life and Care Deficiencies	D	not recorded
2025-04-25	F0553	Resident Rights Deficiencies	G	not recorded
2025-04-25	F0623	Resident Rights Deficiencies	D	not recorded
2025-04-25	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-25	F0661	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-25	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-03-14	F0553	Resident Rights Deficiencies	G	not recorded
2025-03-14	F0576	Resident Rights Deficiencies	E	not recorded
2025-03-14	F0603	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2025-03-14	F0623	Resident Rights Deficiencies	D	not recorded
2025-03-14	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-14	F0661	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-14	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-03-14	F0741	Quality of Life and Care Deficiencies	D	not recorded
2025-03-14	F0925	Environmental Deficiencies	E	not recorded
2025-02-03	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-02-03	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-12-26	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-12-26	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-09-12	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-08-05	F0759	Pharmacy Service Deficiencies	D	not recorded
2024-08-05	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-08-05	F0880	Infection Control Deficiencies	E	not recorded
2024-06-14	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-05-02	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-01-30	F0584	Resident Rights Deficiencies	E	not recorded
2024-01-30	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-01-30	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-01-30	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-12	F0584	Resident Rights Deficiencies	E	not recorded
2023-12-12	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2023-12-12	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-12	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-12-12	F0689	Quality of Life and Care Deficiencies	J	not recorded
2023-12-12	F0740	Quality of Life and Care Deficiencies	D	not recorded
2023-12-12	F0742	Quality of Life and Care Deficiencies	J	not recorded
2023-09-29	F0567	Resident Rights Deficiencies	E	not recorded
2023-09-29	F0568	Resident Rights Deficiencies	E	not recorded
2023-09-29	F0570	Resident Rights Deficiencies	E	not recorded
2023-09-29	F0580	Resident Rights Deficiencies	D	not recorded
2023-09-29	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-29	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-29	F0622	Resident Rights Deficiencies	D	not recorded
2023-09-29	F0623	Resident Rights Deficiencies	D	not recorded
2023-09-29	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-29	F0686	Quality of Life and Care Deficiencies	D	not recorded
2023-09-29	F0689	Quality of Life and Care Deficiencies	G	not recorded
2023-09-29	F0690	Quality of Life and Care Deficiencies	D	not recorded
2023-09-29	F0691	Quality of Life and Care Deficiencies	D	not recorded
2023-09-29	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-09-29	F0698	Quality of Life and Care Deficiencies	D	not recorded
2023-09-29	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2023-09-29	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-09-29	F0759	Pharmacy Service Deficiencies	E	not recorded
2023-09-29	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-09-29	F0880	Infection Control Deficiencies	J	not recorded
2023-08-23	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2019-07-26	F0573	Resident Rights Deficiencies	D	not recorded
2019-07-26	F0578	Resident Rights Deficiencies	D	not recorded
2019-07-26	F0582	Resident Rights Deficiencies	D	not recorded
2019-07-26	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-07-26	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2019-07-26	F0745	Quality of Life and Care Deficiencies	D	not recorded
2019-07-26	F0758	Pharmacy Service Deficiencies	D	not recorded
2019-07-26	F0761	Pharmacy Service Deficiencies	D	not recorded
2019-07-26	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2019-07-26	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-07-26	F0880	Infection Control Deficiencies	F	not recorded
2019-07-26	F0925	Environmental Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “HERITAGE CARE CENTER, SAINT LOUIS” at medicare.gov/care-compare.