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Medicare-certifiedSkilled Nursing

Heritage Care Center

Saint Louis, MissouriMedicare inspection record
(314) 521-7471

About Heritage Care Center

Heritage Care Center in Saint Louis, Missouri provides skilled nursing and rehabilitation services designed to support recovery and independence. Our experienced team delivers personalized care plans in a comfortable setting where healing and dignity go hand in hand.

Community at a glance

Capacity

120 residents

Location

Saint Louis, MO

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

4401 NORTH HANLEY ROAD, Saint Louis, Missouri 63134

(314) 521-7471

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Heritage Care Center is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
  • Medicare flags Heritage Care Center for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on September 9, 2025, state inspectors cited 24 health deficiencies (the Missouri average is 11.4).

Nurses and nurse aides spend 1 hour 51 minutes with each resident a day, below the Missouri average of 3 hours 26 minutes.

Medicare fined Heritage Care Center 5 times in the last three years, $369,383 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day1 hour 51 minutesBelow the Missouri average
Registered nurse time per resident, per day5 minutesBelow the Missouri average
Nursing staff who left in the past year75%Above the Missouri average

3 administrators have left the home in the past year.

Inspections

62 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

May 15, 2026 · Complaint investigation · 1 citation

  • Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 22, 2026

April 16, 2026 · Complaint investigation · 1 citation

  • Honor the resident's right to choose his or her attending physician.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Apr 29, 2026
February 17, 2026 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 18, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 18, 2026
September 9, 2025 · Standard inspection · 20 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Oct 15, 2025
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Oct 15, 2025
  • 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.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Oct 15, 2025
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Oct 15, 2025
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Oct 15, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Oct 15, 2025
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 15, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Oct 15, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Oct 15, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 15, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 15, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 15, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 15, 2025
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 15, 2025
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 15, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 15, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 15, 2025
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 15, 2025
  • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 15, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 15, 2025
June 26, 2025 · Complaint investigation · 2 citations+
  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 25, 2025
  • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 25, 2025
May 23, 2025 · Complaint investigation · 1 citation+
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 10, 2025
April 25, 2025 · Complaint investigation · 5 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 24, 2025
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Residents were harmed, a few residents (level G)Resident RightsFrom a complaintCorrected May 24, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 24, 2025
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 24, 2025
  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 24, 2025
March 14, 2025 · Complaint investigation · 9 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 24, 2025
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Residents were harmed, a few residents (level G)Resident RightsFrom a complaintCorrected May 24, 2025
  • Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 24, 2025
  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 25, 2025
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Apr 14, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 24, 2025
  • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 25, 2025
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 24, 2025
  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 24, 2025
February 3, 2025 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 16, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 16, 2025
December 26, 2024 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 16, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 16, 2025
September 12, 2024 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 21, 2024
August 5, 2024 · Complaint investigation · 3 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Aug 9, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 9, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 9, 2024
June 14, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Jun 11, 2024
May 2, 2024 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 22, 2024
January 30, 2024 · Complaint investigation · 4 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 13, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 13, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 13, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 13, 2024
December 12, 2023 · Complaint investigation · 5 citations+
  • 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.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Mar 13, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 16, 2024
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 13, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 13, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 13, 2024

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

5 fines totaling $369,383 and 2 Medicare payment denials in the last three years.

  • February 17, 2026Fine: $52,930
  • March 14, 2025Payment denial, 99 days
  • March 14, 2025Fine: $146,162
  • December 26, 2024Fine: $108,179
  • June 14, 2024Fine: $16,801
  • December 12, 2023Payment denial, 60 days
  • December 12, 2023Fine: $45,311

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Heritage Care Center of Berkeley, LLC
Medicare-certified beds
120
Average residents per day
106
Accepts
Medicare and Medicaid
First certified
June 21, 1993
Part of a chain
Reliant Care Management, 34 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
265534

Location

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4401 NORTH HANLEY ROADSaint Louis, MO 63134

12 other communities within 10 miles

Senior living near Saint Louis

Questions about Heritage Care Center

How did Heritage Care Center do on its last inspection?+

State inspectors visited on September 9, 2025 and cited 24 health deficiencies, 11 of them from complaint investigations. The Missouri average is 11.4.

How much nursing care does each resident get at Heritage Care Center?+

Nurses and aides spend 1 hour 51 minutes with each resident per day, including 5 minutes from registered nurses. 75% of nursing staff left over the past year.

Has Heritage Care Center been fined by Medicare?+

Yes. Medicare fined Heritage Care Center 5 times in the last three years, totaling $369,383.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Saint Louis Skilled Nursing in Missouri Skilled Nursing guide Information last updated October 2026