Heritage Care Center

4401 North Hanley Road, Saint Louis, MO 63134 · (314) 521-7471
For profit - Limited Liability company · 120 certified beds

Heritage Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 20 citations (the Missouri average is 11.4). It was fined 6 times in the last three years, $396,248 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on September 9, 2025 found 20 citations. What an inspection citation means

• 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.September 9, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have a plan that describes the process for conducting QAPI and QAA activities.September 9, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.September 9, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Implement a program that monitors antibiotic use.September 9, 2025 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.September 9, 2025 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.September 9, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.September 9, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.September 9, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures for flu and pneumonia vaccinations.September 9, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.September 9, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.September 9, 2025 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 9, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.September 9, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.September 9, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.September 9, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 9, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 9, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.September 9, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.September 9, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.September 9, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 49 citations.

• Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.May 15, 2026 · F0586 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to choose his or her attending physician.April 16, 2026 · F0555 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.February 17, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 17, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.September 9, 2025 · F0568 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.September 9, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 9, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.September 9, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 9, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.September 9, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.September 9, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure residents have reasonable access to and privacy in their use of communication methods.June 26, 2025 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.June 26, 2025 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.May 23, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Allow resident to participate in the development and implementation of his or her person-centered plan of care.April 25, 2025 · F0553 · Level of harm: Actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.April 25, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.April 25, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.April 25, 2025 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 25, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Allow resident to participate in the development and implementation of his or her person-centered plan of care.March 14, 2025 · F0553 · Level of harm: Actual harm · Residents affected: Few
• Ensure residents have reasonable access to and privacy in their use of communication methods.March 14, 2025 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).March 14, 2025 · F0603 · Level of harm: Actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.March 14, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.March 14, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.March 14, 2025 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 14, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.March 14, 2025 · F0741 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.March 14, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.February 3, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 3, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Respond appropriately to all alleged violations.December 26, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 26, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 12, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.August 5, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.August 5, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.August 5, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 14, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 2, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 30, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 30, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 30, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.January 30, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.December 12, 2023 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 12, 2023 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 12, 2023 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.December 12, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 12, 2023 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.December 12, 2023 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide 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.December 12, 2023 · F0742 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few

Fines and payment denials

• Fine of $52,930February 17, 2026
• Fine of $146,162March 14, 2025
• Fine of $108,179December 26, 2024
• Fine of $16,801June 14, 2024
• Fine of $45,311December 12, 2023
• Fine of $26,865September 29, 2023
• Medicare payment denial for 99 daysStarting April 17, 2025
• Medicare payment denial for 60 daysStarting January 13, 2024
• Medicare payment denial for 6 daysStarting November 7, 2023

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home