Heritage Care Center: Staffing, Turnover, and Inspection Record
Heritage Care Center is a 120-bed for-profit nursing home in Saint Louis, Missouri, part of Reliant Care Management. In the CMS August 2026 release it reported 1.35 nurse aide hours per resident per day, 41% below the Missouri average of 2.29, and 75.0% nursing staff turnover (Missouri average 56.0%).
Heritage Care Center
4401 North Hanley RoadSaint Louis, MO 63134
St. Louis County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Heritage Care Center, nurse aides logged 1.35 hours per resident per day, 41% below the Missouri average. With about 106 residents a day, that works out to roughly 144 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 23% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.35 | 2.29 | 2.32 |
| Licensed practical nurses | 0.41 | 0.68 | 0.86 |
| Registered nurses | 0.09 | 0.46 | 0.69 |
| All nursing staff | 1.85 | 3.43 | 3.86 |
| All nursing staff, weekends | 1.43 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
75.0% of nursing staff at Heritage Care Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 100.0%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 9, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 24 health deficiencies (Missouri average 11.5). CMS lists 6 fines totaling $424,748 and 3 payment denials in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 17, 2026 | Fine | $81,430 |
| Mar 14, 2025 | Payment Denial | 99 days from Apr 17, 2025 |
| Mar 14, 2025 | Fine | $146,162 |
| Dec 26, 2024 | Fine | $108,179 |
| Jun 14, 2024 | Fine | $16,801 |
| Dec 12, 2023 | Fine | $45,311 |
| Dec 12, 2023 | Payment Denial | 60 days from Jan 13, 2024 |
| Sep 29, 2023 | Fine | $26,865 |
| Sep 29, 2023 | Payment Denial | 6 days from Nov 7, 2023 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Heritage Care Center holds 1 of 5 overall; the Missouri average is 2.5.
About Heritage Care Center
- Ownership: For profit - Limited Liability company
- Chain: Reliant Care Management, 34 homes
- Legal name: Heritage Care Center of Berkeley, LLC
- Medicare and Medicaid certified since: Jun 21, 1993
- Councils: resident council
- Area: urban
Nursing homes near Heritage Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Amberwood Estates Nursing and Rehabilitation Saint Louis | 1.2 | 115 | 0.39 | 0.71 | 84.5% | 1 | $13,409 |
| Oak Knoll Skilled Nursing & Rehabilitation Center Ferguson | 1.7 | 79 | 2.21 | 3.04 | 41.1% | 2 | None |
| St Johns Place Saint Louis · many days without an RN | 1.9 | 94 | — | — | — | 1 | None |
| Arbor Hills Care & Rehab Center Ferguson | 2.2 | 150 | 2.38 | 3.37 | 79.8% | 1 | $282,840 |
| Normandy Nursing Center Saint Louis · abuse citation | 2.5 | 116 | 2.26 | 3.22 | 56.3% | 1 | $9,315 |
| U-City Forest Manor Saint Louis | 3.4 | 120 | 1.73 | 2.57 | 60.7% | 1 | $15,949 |
| The Estates of St Louis, LLC Saint Louis · many days without an RN | 3.6 | 94 | 1.91 | 2.49 | 65.6% | 1 | $66,640 |
| Bentleys Extended Care Overland · abuse citation · no staffing data submitted | 3.9 | 72 | — | — | — | 1 | $28,969 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.