Heritage Care Center

Nursing Home · Saint Louis, MO

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Limited Liability company

CMS certification number265534
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

4401 North Hanley Road
Saint Louis, MO 63134
St. Louis County
Phone
(314) 521-7471
ZIP code
63134 – all care providers

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Facility details

Certified beds
120
Residents per day
106.4 (89% occupied)
Ownership
For profit - Limited Liability company
Legal name
Heritage Care Center of Berkeley, LLC
Chain
Reliant Care Management (34 facilities, avg 1.2★)
Medicare certified since
June 21, 1993
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.2
Quality measures★★★★★ 4/5
State avg 2.7
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
1.85 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.09 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.41 (state 0.68 · U.S. 0.86)
Nurse aides
1.35 (state 2.29 · U.S. 2.32)
Weekend total
1.43 (state 3.02 · U.S. 3.42)
Nursing staff turnover
75.0 (state 56.0 · U.S. 45.8)%
RN turnover
100.0 (state 47.8 · U.S. 42.9)%
Administrators who left
3 in the last year

Inspections

Last standard inspection
September 9, 2025
Health deficiencies (last cycle)
24.0 (state 11.5 · U.S. 9.3)
From complaints
11
Citations on record (3 years)
71 health · 9 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-15 Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
F0586 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-22
2026-04-16 Honor the resident's right to choose his or her attending physician.
F0555 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2026-02-18
2026-02-17 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0838 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0882 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0756 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-09 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-06-26 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0741 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-25
2025-05-23 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 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.
F0553 · Resident Rights Deficiencies · complaint inspection		 G
Actual harm		 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.
F0623 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-24
2025-04-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0661 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 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.
F0553 · Resident Rights Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-05-24
2025-03-14 Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-05-24
2025-03-14 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-25
2025-03-14 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0623 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-24
2025-03-14 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0661 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-24
2025-03-14 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-25
2025-02-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-02-16
2025-02-03 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-16
2024-12-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-02-16
2024-12-26 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-16
2024-09-12 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-21
2024-08-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-09
2024-08-05 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-09
2024-08-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-09
2024-06-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-06-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

9 penalties in the last three years, including $424,748 in fines.

DateTypeAmount
2026-02-17Fine$81,430
2025-03-14Payment Denial99 days payment denial
2025-03-14Fine$146,162
2024-12-26Fine$108,179
2024-06-14Fine$16,801
2023-12-12Payment Denial60 days payment denial
2023-12-12Fine$45,311
2023-09-29Payment Denial6 days payment denial
2023-09-29Fine$26,865

Ownership & management

NameRoleSince
Destefane, Richard (individual)Corporate Director · NOT APPLICABLE
Destefane, Richard (individual)Corporate Officer · NOT APPLICABLE
Reliant Care Management Company LLC (organization)Operational/managerial Control · NOT APPLICABLE
Atkins, Monica (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Heritage Care Center?

Heritage Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Heritage Care Center have?

It has 120 certified beds and cares for about 106 residents per day.

Has Heritage Care Center been fined?

Yes. CMS lists 9 penalties totaling $424,748 in the last three years.

Who owns Heritage Care Center?

It is part of Reliant Care Management and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Heritage Care Center?

(314) 521-7471. The facility is located at 4401 North Hanley Road, Saint Louis, MO 63134.

Other nursing homes in Saint Louis

Compare all nursing homes in Saint Louis, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.