Starfile

Starfile / Missouri

HERITAGE CARE CENTER

4401 NORTH HANLEY ROAD, SAINT LOUIS, MO 63134 · CCN 265534

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Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
120
Avg residents/day
106.2
Phone
3145217471

Inspection history vs Missouri & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityMissouri avgNational avgvs state
12025-09-093711.99.5+25.1 worse
22023-09-293013.09.8+17.0 worse
32019-07-263211.09.3+21.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care8
Resident assessment and care planning5
Nursing and physician services1
Resident rights10
Pharmacy service3
Environmental1
Administration2
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.4066.3%
RN staffing (reported)0.1980.0%
Total nurse staffing (adjusted)2.23

Fines & penalties

Total fines
$343,318
Number of fines
5
Number of penalties
8
Payment denials
3

Chain

Chain
RELIANT CARE MANAGEMENT
Facilities in chain
29
Chain avg overall
1.10 / 5

Inspection citations (99)10 immediate jeopardy4 actual harm

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  2. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  3. EF0584Honor 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.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  5. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  6. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  7. DF0641Ensure each resident receives an accurate assessment.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  10. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  11. EF0727Have 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.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  12. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  13. DF0760Ensure that residents are free from significant medication errors.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  14. DF0761Ensure 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.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  15. FF0838Conduct 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.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  16. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  17. FF0880Provide and implement an infection prevention and control program.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  18. FF0881Implement a program that monitors antibiotic use.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  19. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  20. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-09-09 · Health · corrected 2025-10-15

    Potential for more than minimal harm

  21. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-06-26 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  22. DF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2025-06-26 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  23. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-23 · Health · corrected 2025-06-10

    Potential for more than minimal harm

  24. GF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-04-25 · Health · corrected 2025-05-24

    Actual harm

  25. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-04-25 · Health · corrected 2025-05-24

    Potential for more than minimal harm

  26. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-25 · Health · corrected 2025-05-24

    Potential for more than minimal harm

  27. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2025-04-25 · Health · corrected 2025-05-24

    Potential for more than minimal harm

  28. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-25 · Health · corrected 2025-05-24

    Immediate jeopardy

  29. GF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-03-14 · Health · corrected 2025-05-24

    Actual harm

  30. EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-03-14 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  31. GF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-03-14 · Health · corrected 2025-05-24

    Actual harm

  32. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2025-03-14 · Health · corrected 2025-05-24

    Potential for more than minimal harm

  33. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-14 · Health · corrected 2025-05-24

    Potential for more than minimal harm

  34. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2025-03-14 · Health · corrected 2025-05-24

    Potential for more than minimal harm

  35. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-14 · Health · corrected 2025-05-24

    Immediate jeopardy

  36. DF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2025-03-14 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  37. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-03-14 · Health · corrected 2025-04-14

    Potential for more than minimal harm

  38. DF0610Respond appropriately to all alleged violations.2025-02-03 · Health · corrected 2025-02-16

    Potential for more than minimal harm

  39. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-03 · Health · corrected 2025-02-16

    Immediate jeopardy

  40. DF0610Respond appropriately to all alleged violations.2024-12-26 · Health · corrected 2025-02-16

    Potential for more than minimal harm

  41. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-26 · Health · corrected 2025-02-16

    Immediate jeopardy

  42. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-12 · Health · corrected 2024-10-21

    Potential for more than minimal harm

  43. DF0759Ensure medication error rates are not 5 percent or greater.2024-08-05 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  44. DF0760Ensure that residents are free from significant medication errors.2024-08-05 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  45. EF0880Provide and implement an infection prevention and control program.2024-08-05 · Health · corrected 2024-08-09

    Potential for more than minimal harm

  46. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-14 · Health · corrected 2024-06-11

    Immediate jeopardy

  47. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-02 · Health · corrected 2024-04-22

    Potential for more than minimal harm

  48. EF0584Honor 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.2024-01-30 · Health · corrected 2024-03-13

    Potential for more than minimal harm

  49. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-30 · Health · corrected 2024-03-13

    Immediate jeopardy

  50. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-30 · Health · corrected 2024-03-13

    Potential for more than minimal harm

  51. DF0610Respond appropriately to all alleged violations.2024-01-30 · Health · corrected 2024-03-13

    Potential for more than minimal harm

  52. EF0584Honor 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.2023-12-12 · Health · corrected 2024-03-13

    Potential for more than minimal harm

  53. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-12 · Health · corrected 2024-03-13

    Immediate jeopardy

  54. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-12 · Health · corrected 2024-03-13

    Potential for more than minimal harm

  55. DF0610Respond appropriately to all alleged violations.2023-12-12 · Health · corrected 2024-03-13

    Potential for more than minimal harm

  56. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-12 · Health · corrected 2024-01-16

    Immediate jeopardy

  57. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-12-12 · Health · corrected 2023-12-07

    Potential for more than minimal harm

  58. JF0742Provide 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.2023-12-12 · Health · corrected 2024-03-13

    Immediate jeopardy

  59. EF0567Honor the resident's right to manage his or her financial affairs.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  60. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  61. EF0570Assure the security of all personal funds of residents deposited with the facility.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  62. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  63. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  64. DF0610Respond appropriately to all alleged violations.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  65. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  66. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  67. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  68. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  69. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-29 · Health · corrected 2023-11-13

    Actual harm

  70. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  71. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  72. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  73. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  74. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  75. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  76. EF0759Ensure medication error rates are not 5 percent or greater.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  77. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-29 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  78. JF0880Provide and implement an infection prevention and control program.2023-09-29 · Health · corrected 2023-11-13

    Immediate jeopardy

  79. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-23 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  80. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-06-30 · Health · corrected 2023-06-02

    Potential for more than minimal harm

  81. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-30 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  82. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-06-30 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  83. DF0610Respond appropriately to all alleged violations.2023-05-03 · Health · corrected 2023-06-12

    Potential for more than minimal harm

  84. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-03 · Health · corrected 2023-06-12

    Potential for more than minimal harm

  85. EF0742Provide 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.2023-05-03 · Health · corrected 2023-06-12

    Potential for more than minimal harm

  86. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-03 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  87. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-05-03 · Health · corrected 2023-07-24

    Potential for more than minimal harm

  88. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  89. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  90. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  91. DF0641Ensure each resident receives an accurate assessment.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  92. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  93. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  94. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  95. DF0761Ensure 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.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  96. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  97. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-07-26 · Health · corrected 2019-09-09

    Potential for more than minimal harm

  98. FF0880Provide and implement an infection prevention and control program.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

  99. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2019-07-26 · Health · corrected 2019-09-08

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
RELIANT CARE GROUP LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%1996-06-30
RICHARD J DESTEFANE REVOCABLE LIVING TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2018-03-01
RELIANT CARE MANAGEMENT COMPANY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL1993-04-01
DESTEFANE, RICHARDIndividualCORPORATE DIRECTOR1994-12-15
DESTEFANE, RICHARDIndividualCORPORATE OFFICER1994-11-29
ATKINS, MONICAIndividualW-2 MANAGING EMPLOYEE2017-10-30

Other facilities in SAINT LOUIS

NameOverallBeds
BETHESDA SOUTHGATE★★★★★130
CHRISTIAN EXTENDED CARE & REHABILITATION★★★★★60
DELMAR GARDENS SOUTH★★★★☆184
FRIENDSHIP VILLAGE SUNSET HILLS★★★★☆144
BARNES-JEWISH EXTENDED CARE★★★★☆120

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.