Nursing homes › Missouri › Saint Louis › Heritage Care Center
4401 North Hanley Road, Saint Louis, MO 63134 · (314) 521-7471 · 120 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 479 providers with a published value in the same state and provider category: 2/5.
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Per CMS filings, this facility is affiliated with Reliant Care Management, a group operating 34 facilities in 2 states. Group record: average rating 1.2/5, 14 abuse citation icons, 8 facilities on the Special Focus list, $5,105,230 in federal fines. This facility rates below its group average (1.2/5).
Total nurse staffing: 1.85 (Missouri median: 3.36). RN hours: 0.09. Weekend total: 1.43. Nursing staff turnover: 75%.
In the downloaded CMS dataset: 95 deficiency citations, including 11 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-15 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | D | complaint | corrected 2026-05-22 |
| 2026-04-16 | Honor the resident's right to choose his or her attending physician. | E | complaint | corrected 2026-04-29 |
| 2026-02-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-02-18 |
| 2026-02-17 | Respond appropriately to all alleged violations. | D | complaint | corrected 2026-02-18 |
| 2025-09-09 | 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. | F | complaint | corrected 2025-10-15 |
| 2025-09-09 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2025-10-15 |
| 2025-09-09 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-10-15 |
| 2025-09-09 | Implement a program that monitors antibiotic use. | F | Health | corrected 2025-10-15 |
| 2025-09-09 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2025-10-15 |
| 2025-09-09 | 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. | E | complaint | corrected 2025-10-15 |
| 2025-09-09 | 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. | E | complaint | corrected 2025-10-15 |
| 2025-09-09 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2025-10-15 |
| 2025-09-09 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Health | corrected 2025-10-15 |
| 2025-09-09 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-10-15 |
| 2025-09-09 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | complaint | corrected 2025-10-15 |
| 2025-09-09 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-10-15 |
| 2025-09-09 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-10-15 |
| 2025-09-09 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Health | corrected 2025-10-15 |
| 2025-09-09 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-10-15 |
| 2025-09-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-10-15 |
| 2025-09-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-10-15 |
| 2025-09-09 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2025-10-15 |
| 2025-09-09 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-10-15 |
| 2025-09-09 | 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. | D | Health | corrected 2025-10-15 |
| 2025-06-26 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | complaint | corrected 2025-07-25 |
| 2025-06-26 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | complaint | corrected 2025-07-25 |
| 2025-05-23 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-06-10 |
| 2025-04-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-05-24 |
| 2025-04-25 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | G | complaint | corrected 2025-05-24 |
| 2025-04-25 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2025-05-24 |
| 2025-04-25 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-05-24 |
| 2025-04-25 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2025-05-24 |
| 2025-03-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-05-24 |
| 2025-03-14 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | G | complaint | corrected 2025-05-24 |
| 2025-03-14 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | complaint | corrected 2025-05-24 |
| 2025-03-14 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | complaint | corrected 2025-07-25 |
| 2025-03-14 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2025-04-14 |
| 2025-03-14 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2025-05-24 |
| 2025-03-14 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-05-24 |
| 2025-03-14 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | complaint | corrected 2025-05-24 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-17 | Fine | $81,430 |
| 2025-03-14 | Fine | $146,162 |
| 2025-03-14 | Payment Denial | 99 days 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 | 60 days payment denial |
| 2023-09-29 | Fine | $26,865 |
| 2023-09-29 | Payment Denial | 6 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DESTEFANE, RICHARD | Corporate Director | Individual | NOT APPLICABLE | since 12/15/1994 |
| DESTEFANE, RICHARD | Corporate Officer | Individual | NOT APPLICABLE | since 11/29/1994 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/1993 |
How to cite this page: CareRecords, “Heritage Care Center — compliance, penalty and ownership record” (CCN 265534), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/heritage-care-center-saint-louis-mo/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 265534. Corrections: data@carerecords.org.