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Nursing home report

HERITAGE CARE CENTER

SAINT LOUIS, MO · Medicare-certified · 120 beds

Needs attention
Special Focus candidateAbuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

HERITAGE CARE CENTER in Saint Louis, MO has a 1-star overall rating, with 1-star health inspection and staffing scores, though quality measures are 4 stars. It is a Special Focus Facility candidate/flagged facility, has $335,771 in fines in the last 24 months, and reported nurse staffing of 1.85 hours per resident per day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

1.8506 hrs/resident/day

Quality measures

Last inspection: May 15, 2026Penalties, last 24 months: $335,771special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.8506.

Staffing detail

Registered nurses
0.09
Licensed practical nurses
0.41
Nurse aides
1.35
Weekend nursing
1.43

Hours per resident per day.

Total staff turnover: 75%
Registered nurse turnover: 100%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

36%54.5%Worsening

Residents with a fall causing major injury

2.9%0.9%Improving

Residents with pressure ulcers (bedsores)

2.5%0%Improving

Residents with a urinary tract infection

1%0%Improving

Residents who lost too much weight

5%11.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

40.4%7.1%Improving

Residents whose ability to walk got worse

25.2%8.2%Improving

Long-stay residents on antianxiety or sleep medication

29.4%33%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

22.7%10.9%Improving

Residents with depressive symptoms

65.3%64.9%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

70.9%

Long-stay residents given the pneumonia vaccine

37.1%67.9%Improving

Short-stay residents given the pneumonia vaccine

12.9%17.4%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited January 2024 — isolated incident, immediate jeopardy to residents.

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F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited December 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 742 — 42 CFR §483.40 — S/S: J

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2023 — isolated incident, immediate jeopardy to residents.

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F-Tag 880 — 42 CFR §483.80(a) — S/S: J

The home failed to let the resident help develop and carry out their own care plan. Cited April 2025 — isolated incident, actual harm.

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F-Tag 553 — 42 CFR §483.10 — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. PENALTY

    A federal fine of $81,430 was recorded.

  7. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 20 health deficiencies.

    See what inspectors found
  9. INSPECTION

    Health inspection found 2 health deficiencies.

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  10. PENALTY

    A federal payment denial was recorded.

  11. PENALTY

    A federal fine of $146,162 was recorded.

  12. PENALTY

    A federal fine of $108,179 was recorded.

  13. PENALTY

    A federal fine of $16,801 was recorded.

Penalties & enforcement

On record with Medicare: 6 fines · $424,748 in total fines · 3 payment denials.

  • Federal fine

    Feb 17, 2026

    $81,430
  • Medicare/Medicaid payment denial

    Mar 14, 2025

    99 days
  • Federal fine

    Mar 14, 2025

    $146,162
  • Federal fine

    Dec 26, 2024

    $108,179
  • Federal fine

    Jun 14, 2024

    $16,801
  • Medicare/Medicaid payment denial

    Dec 12, 2023

    60 days
  • Federal fine

    Dec 12, 2023

    $45,311
  • Medicare/Medicaid payment denial

    Sep 29, 2023

    6 days

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of RELIANT CARE MANAGEMENT · 33 homes · 1.2 stars avg
Occupancy
106.4 residents on an average day (89% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.