Special Focus candidateAbuse citationFor-profitChain member
★★★★★1 of 5 overall
HERITAGE CARE CENTER in Saint Louis, MO has a 1-star overall rating, with 1-star health inspection and staffing ratings, and is a special focus facility candidate. Reported staffing is 2.25 hours per resident per day versus the 4.1 federal benchmark, and it has had $352,572 in fines in the last 24 months.
Last inspection: February 17, 2026Penalties, last 24 months: $352,572special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.2491.
Staffing detail
Registered nurses
0.09
Licensed practical nurses
0.42
Nurse aides
1.74
Weekend nursing
2.01
Hours per resident per day.
Total staff turnover: 74%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
44.6%Worsening
Residents with a fall causing major injury
1.9%Improving
Residents with pressure ulcers (bedsores)
1.9%Improving
Residents with a urinary tract infection
0.2%Steady
Residents who lost too much weight
6.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
36.4%Improving
Residents whose ability to walk got worse
25.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
30.4%Worsening
Residents with a long-term catheter
0.2%Worsening
Residents with new or worsening incontinence
12.5%Improving
Residents with depressive symptoms
59.8%Worsening
Long-stay residents given the seasonal flu vaccine
70.9%Steady
Long-stay residents given the pneumonia vaccine
38.3%Improving
Short-stay residents given the pneumonia vaccine
14.3%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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $81,430 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 20 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $146,162 was recorded.
PENALTY
A federal fine of $108,179 was recorded.
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 · 32 homes · 1.2 stars avg
Occupancy
107.2 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.