HERITAGE CARE CENTER, SAINT LOUIS

Special Focus Facility candidate · CMS abuse icon · St. Louis · MO · For profit - Limited Liability company · RELIANT CARE MANAGEMENT chain · 120 certified beds · CCN 265534 · HERITAGE CARE CENTER OF BERKELEY, LLC


HERITAGE CARE CENTER, SAINT LOUIS operates 120 certified beds in SAINT LOUIS, Missouri. Its Medicare and Medicaid certification dates to 1993-06-21. It averages 106.4 residents a day.

What harm was found in the violations cited at HERITAGE CARE CENTER, SAINT LOUIS?

CMS lists 95 health-inspection deficiencies for HERITAGE CARE CENTER, SAINT LOUIS since 2019-07-26, 83 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-15.

Survey dateTagDeficiencySeverity
2026-05-15F0586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.D
2026-04-16F0555Honor the resident's right to choose his or her attending physician.E
2026-02-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2026-02-17F0610Respond appropriately to all alleged violations.D
2025-09-09F0838, F0865, F0880, F0881, F0882Conduct 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. / Have a plan that describes the process for conducting QAPI and QAA activities. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2025-09-09F0584, F0727, F0756, F0883Honor 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. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2025-09-09F0558, F0568, F0600, F0602, F0628, F0641, F0684, F0689, F0697, F0760, F0761Reasonably accommodate the needs and preferences of each resident. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure that residents are free from significant medication errors. / 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.D
2025-06-26F0576Ensure residents have reasonable access to and privacy in their use of communication methods.E
2025-06-26F0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.D
2025-05-23F0697Provide safe, appropriate pain management for a resident who requires such services.D
2025-04-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-04-25F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.G
2025-04-25F0623, F0658, F0661Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D
2025-03-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-03-14F0553, F0603Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).G
2025-03-14F0576, F0925Ensure residents have reasonable access to and privacy in their use of communication methods. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2025-03-14F0623, F0658, F0661, F0741Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.D
2025-02-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-02-03F0610Respond appropriately to all alleged violations.D
2024-12-26F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-12-26F0610Respond appropriately to all alleged violations.D
2024-09-12F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-08-05F0880Provide and implement an infection prevention and control program.E
2024-08-05F0759, F0760Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.D
2024-06-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-05-02F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-01-30F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J
2024-01-30F0584Honor 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.E
2024-01-30F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2023-12-12F0600, F0689, F0742Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide 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.J
2023-12-12F0584Honor 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.E
2023-12-12F0609, F0610, F0740Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D
2023-09-29F0880Provide and implement an infection prevention and control program.J
2023-09-29F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-09-29F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-09-29F0567, F0568, F0570, F0759Honor the resident's right to manage his or her financial affairs. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Assure the security of all personal funds of residents deposited with the facility. / Ensure medication error rates are not 5 percent or greater.E
2023-09-29F0580, F0609, F0610, F0622, F0623, F0656, F0686, F0690, F0691, F0695, F0698, F0726, F0758Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Implement 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.D
2023-08-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2019-07-26F0880, F0925Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2019-07-26F0656, F0804Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2019-07-26F0573, F0578, F0582, F0641, F0745, F0758, F0761, F0842Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Honor 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure each resident receives an accurate assessment. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Implement 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was HERITAGE CARE CENTER, SAINT LOUIS fined 6 times?

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

Has HERITAGE CARE CENTER, SAINT LOUIS had payment denied by Medicare more than once?

Payment denial startLength in days
2025-04-1799
2024-01-1360
2023-11-076

How is HERITAGE CARE CENTER, SAINT LOUIS staffed relative to the MO average?

MeasureThis facilityMO average
Total nurse staffing hours per resident per day1.850623.43324
Total nursing staff turnover (%)75.056.0
Average number of residents per day106.473.0

Who owns HERITAGE CARE CENTER, SAINT LOUIS, and what chain is it in?

HERITAGE CARE CENTER, SAINT LOUIS is registered with CMS as For profit - Limited Liability company, operates under the legal business name HERITAGE CARE CENTER OF BERKELEY, LLC and belongs to the RELIANT CARE MANAGEMENT chain.

RoleOwnerAssociation date
W-2 MANAGING EMPLOYEEATKINS, MONICAsince 10/30/2017
CORPORATE DIRECTORDESTEFANE, RICHARDsince 12/15/1994
CORPORATE OFFICERDESTEFANE, RICHARDsince 11/29/1994
OPERATIONAL/MANAGERIAL CONTROLRELIANT CARE MANAGEMENT COMPANY LLCsince 04/01/1993

Were you or a family member harmed at HERITAGE CARE CENTER, SAINT LOUIS?