Nursing homeActiveSpecial Focus Facility candidate · what this means

Heritage Care Center

4401 North Hanley Road, Saint Louis, MO 631343145217471120 certified beds · 106 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
19
since 2019
Deficiencies
95
08015
Penalties · 3 yrs
$424,748
6 fines · 3 actions
Last survey
2026-05-15
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-15Complaint010CMS-2567 (Care Compare)
2026-04-16Complaint010CMS-2567 (Care Compare)
2026-02-17Complaint011CMS-2567 (Care Compare)
2025-09-09Standard0200CMS-2567 (Care Compare)
2025-06-26Complaint020CMS-2567 (Care Compare)
2025-05-23Complaint010CMS-2567 (Care Compare)
2025-04-25Complaint032CMS-2567 (Care Compare)
2025-03-14Complaint063CMS-2567 (Care Compare)
2025-02-03Complaint011CMS-2567 (Care Compare)
2024-12-26Complaint011CMS-2567 (Care Compare)
2024-09-12Complaint010CMS-2567 (Care Compare)
2024-08-05Complaint030CMS-2567 (Care Compare)
2024-06-14Complaint001CMS-2567 (Care Compare)
2024-05-02Complaint010CMS-2567 (Care Compare)
2024-01-30Complaint031CMS-2567 (Care Compare)
2023-12-12Complaint043CMS-2567 (Care Compare)
2023-09-29Standard0182CMS-2567 (Care Compare)
2023-08-23Complaint010CMS-2567 (Care Compare)
2019-07-26Standard0120CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-15Complaint survey · 1 deficiencyOfficial report
F586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-22Record 265534-20260515-F586
2026-04-16Complaint survey · 1 deficiencyOfficial report
F555Honor the resident's right to choose his or her attending physician.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-29Record 265534-20260416-F555
2026-02-17Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-02-18Record 265534-20260217-F689
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-18Record 265534-20260217-F610
2025-09-09Standard survey · 20 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F558
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F568
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F600
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F602
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F641
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F697
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F727
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F756
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F760
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F761
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F838
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F865
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F881
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F882
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 265534-20250909-F883
2025-06-26Complaint survey · 2 deficienciesOfficial report
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265534-20250626-F576
F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Scope/severity DStandard
Care planningStaffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265534-20250626-F741
2025-05-23Complaint survey · 1 deficiencyOfficial report
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 265534-20250523-F697
2025-04-25Complaint survey · 5 deficienciesOfficial report
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-24Record 265534-20250425-F553
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-24Record 265534-20250425-F689
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 265534-20250425-F623
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 265534-20250425-F658
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 265534-20250425-F661
2025-03-14Complaint survey · 9 deficienciesOfficial report
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-24Record 265534-20250314-F553
F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-24Record 265534-20250314-F603
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-24Record 265534-20250314-F689
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265534-20250314-F576
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 265534-20250314-F623
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 265534-20250314-F658
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-24Record 265534-20250314-F661
F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Scope/severity DStandard
Care planningStaffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 265534-20250314-F741
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-14Record 265534-20250314-F925
2025-02-03Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-02-16Record 265534-20250203-F689
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-16Record 265534-20250203-F610
2024-12-26Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-02-16Record 265534-20241226-F689
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-16Record 265534-20241226-F610
2024-09-12Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 265534-20240912-F600
2024-08-05Complaint survey · 3 deficienciesOfficial report
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 265534-20240805-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 265534-20240805-F760
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-09Record 265534-20240805-F880
2024-06-14Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-11Record 265534-20240614-F689
2024-05-02Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 265534-20240502-F600
2024-01-30Complaint survey · 4 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-03-13Record 265534-20240130-F600
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-13Record 265534-20240130-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-13Record 265534-20240130-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-13Record 265534-20240130-F610
2023-12-12Complaint survey · 7 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-03-13Record 265534-20231212-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-16Record 265534-20231212-F689
F742Provide 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.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-03-13Record 265534-20231212-F742
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-13Record 265534-20231212-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-13Record 265534-20231212-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-13Record 265534-20231212-F610
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-07Record 265534-20231212-F740
2023-09-29Standard survey · 20 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-13Record 265534-20230929-F689
F880Provide and implement an infection prevention and control program.Scope/severity JHarm
Infection control
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-11-13Record 265534-20230929-F880
F567Honor the resident's right to manage his or her financial affairs.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F567
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F568
F570Assure the security of all personal funds of residents deposited with the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F570
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F580
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F610
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F622
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F623
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F690
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F691
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F698
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F726
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-13Record 265534-20230929-F812
2023-08-23Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-18Record 265534-20230823-F600
2019-07-26Standard survey · 12 deficienciesOfficial report
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F573
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F578
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F582
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F656
F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F745
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F758
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F804
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-09Record 265534-20190726-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-09-08Record 265534-20190726-F925

Penalties & enforcement

DateActionAmountSource
2026-02-17Civil money penalty$81,430CMS · Penalties
2025-03-14Civil money penalty$146,162CMS · Penalties
2025-03-14Denial of payment for new admissions
Payment denial for 99 days, from 2025-04-17
CMS · Penalties
2024-12-26Civil money penalty$108,179CMS · Penalties
2024-06-14Civil money penalty$16,801CMS · Penalties
2023-12-12Civil money penalty$45,311CMS · Penalties
2023-12-12Denial of payment for new admissions
Payment denial for 60 days, from 2024-01-13
CMS · Penalties
2023-09-29Civil money penalty$26,865CMS · Penalties
2023-09-29Denial of payment for new admissions
Payment denial for 6 days, from 2023-11-07
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.09
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day1.85
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours1.43
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover75%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover100%
Facility
Missouri
National
Missouri 48% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMissouriNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.3%4.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.2%4.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
48.4%23.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.2%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
24.3%18.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.1%5.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
31.4%25.6%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Reliant Care Management Company LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Atkins, Monica
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Destefane, Richard
Individual
CORPORATE OFFICERNOT APPLICABLE
Destefane, Richard
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Reliant Care Management34 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.

No county cost figures on file for St. Louis.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Amberwood Estates Nursing And Rehabilitation
Saint Louis
1.2 mi2026-02-041560
Oak Knoll Skilled Nursing & Rehabilitation Center
Ferguson
1.7 mi2025-06-110130
St Johns Place
Saint Louis
1.9 mi2025-12-090280
Arbor Hills Care & Rehab Center
Ferguson
2.2 mi2026-02-200587
Normandy Nursing Center
Saint Louis
2.5 mi2026-06-303293
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01