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.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-09 | 37 | 11.9 | 9.5 | +25.1 worse |
| 2 | 2023-09-29 | 30 | 13.0 | 9.8 | +17.0 worse |
| 3 | 2019-07-26 | 32 | 11.0 | 9.3 | +21.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 8 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 1 |
| Resident rights | 10 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Administration | 2 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.40 | 66.3% |
| RN staffing (reported) | 0.19 | 80.0% |
| 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-09-09 · Health · corrected 2025-10-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-09-09 · Health · corrected 2025-10-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0760Ensure that residents are free from significant medication errors.2025-09-09 · Health · corrected 2025-10-15
Potential for more than minimal harm
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2025-09-09 · Health · corrected 2025-10-15
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2025-09-09 · Health · corrected 2025-10-15
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2025-02-03 · Health · corrected 2025-02-16
Potential for more than minimal harm
- 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
- DF0610Respond appropriately to all alleged violations.2024-12-26 · Health · corrected 2025-02-16
Potential for more than minimal harm
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2024-08-05 · Health · corrected 2024-08-09
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-08-05 · Health · corrected 2024-08-09
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-08-05 · Health · corrected 2024-08-09
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2024-01-30 · Health · corrected 2024-03-13
Potential for more than minimal harm
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-12-12 · Health · corrected 2024-03-13
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-09-29 · Health · corrected 2023-11-13
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0759Ensure medication error rates are not 5 percent or greater.2023-09-29 · Health · corrected 2023-11-13
Potential for more than minimal harm
- 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
- JF0880Provide and implement an infection prevention and control program.2023-09-29 · Health · corrected 2023-11-13
Immediate jeopardy
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-05-03 · Health · corrected 2023-06-12
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2019-07-26 · Health · corrected 2019-09-08
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2019-07-26 · Health · corrected 2019-09-08
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| RELIANT CARE GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1996-06-30 |
| RICHARD J DESTEFANE REVOCABLE LIVING TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-03-01 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1993-04-01 |
| DESTEFANE, RICHARD | Individual | CORPORATE DIRECTOR | — | 1994-12-15 |
| DESTEFANE, RICHARD | Individual | CORPORATE OFFICER | — | 1994-11-29 |
| ATKINS, MONICA | Individual | W-2 MANAGING EMPLOYEE | — | 2017-10-30 |
Other facilities in SAINT LOUIS
| Name | Overall | Beds |
|---|---|---|
| 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.