Nursing home
Heritage Care Center
4401 North Hanley Road, Saint Louis, MO 63134 · Map
For profit - Limited Liability company · Part of Reliant Care Management (29 facilities) · 120 certified beds
Heritage Care Center is a Medicare-certified nursing home in Saint Louis, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.40 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Sep 9, 2025 cited 37 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 5 fines totaling $343,318In CMS records: 8 total penalties, 3 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Heritage Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.40 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.19 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.74 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 66.3% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 37.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 5 fines totaling $343,318, 8 total penalties, 3 Medicare payment denials.
What inspectors found at Heritage Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 17, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 17, 2026 · Full report (PDF) - Potential for harm
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.
Administration Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Sep 9, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 9, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4401 North Hanley Road
Saint Louis, MO 63134 - CMS certification #
- 265534
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 106.2
- Provider type
- Medicare and Medicaid
- First certified
- 1993-06-21
- Chain
- Reliant Care Management (29 facilities)
- Setting
- Urban
Part of Reliant Care Management
Reliant Care Management operates 29 nursing facilities across the United States. View all Reliant Care Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Heritage Care Center using Google Maps.
Other public records
- Workplace safety 2 OSHA workplace safety inspections since 2020, 4 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 14, 2022: follow-up inspection, partial (health). Case closed Apr 26, 2022. No violations cited. OSHA record. OSHA recorded the employer as Heritage Care Center of Berkley, LLC.
- Aug 10, 2020: fatality or catastrophe inspection, partial (health). Case closed Feb 14, 2022. 4 violations cited (4 serious). Penalties: $9,557 proposed, $6,690 now. OSHA record. OSHA recorded the employer as Heritage Care Center of Berkley, LLC.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)). Penalty $9,557 proposed, $6,690 now.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(1)). Penalty $0 proposed, $0 now. To be fixed by Mar 10, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $0 proposed, $0 now. To be fixed by Mar 10, 2021.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(k)(3)). Penalty $0 proposed, $0 now. To be fixed by Mar 10, 2021.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Christian Hospital Northeast, Saint Louis. 5.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Amberwood Estates Nursing and Rehabilitation, Saint Louis. 1.2 miles away, straight line.
- Nearest home health agency office
- Advance Medical Services, Inc, Saint Louis. 1.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63134 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Natural Bridge Dialysis, Saint Louis, 0.7 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Of Normandy, Normandy, 2.0 miles away, straight line (CMS rating 3 of 5 stars)
Davita Westfall Dialysis, Jennings, 3.4 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 20 Medicare hospices tell CMS they serve ZIP code 63134.
Unity Hospice Gsl, LLC, office in Saint Louis, 6.6 miles away, straight line (CMS family survey rating 2 of 5 stars)
Phoenix Home Care And Hospice, office in Saint Louis, 7.3 miles away, straight line
Caris Healthcare, office in Saint Louis, 7.3 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Aging Well Health Care, LLC, Saint Louis. 4.1 miles away, straight line. 5 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave very high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Heritage Care Center a good nursing home?
CMS gives Heritage Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Heritage Care Center staffed?
Heritage Care Center reports 2.40 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Heritage Care Center had inspection problems?
Its most recent CMS inspection cited 37 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Heritage Care Center have?
Heritage Care Center is certified for 120 beds.