Heritage Care Center
4401 North Hanley Road, Saint Louis, MO, 63134
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Reliant Care Management
- Certified beds
- 120 · avg 107 residents/day
- Total nursing staff turnover
- 73.8% — higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 100% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $424,748 total
- Payment denials
- 3 denials
Medicare certification
- CMS Certification Number
- 265534
- Certified beds
- 120 beds · avg 107 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Heritage Care Center Of Berkeley, Llc
- Chain affiliation
- Reliant Care Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Reliant Care Management chain — 32 facilities across 2 states. Chain-wide average overall rating 1.2 / 5.
Disclosed owners (5 on record)
- Richard j Destefane Revocable Living Trust
5% or Greater Indirect Ownership Interest · 100% · since 2018
- Monica Atkins
W-2 Managing Employee · 100% · since 2017
- Reliant Care Group Llc
5% or Greater Direct Ownership Interest · 100% · since 1996
- Richard j Destefane
Corporate Director · 100% · since 1994
- Reliant Care Management Company Llc
Operational/managerial Control · since 1993
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 97)
- E0555·Apr 16, 2026Complaint
Resident Rights Deficiencies
Honor the resident's right to choose his or her attending physician.
- J0689·Feb 17, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0610·Feb 17, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- F0838·Sep 9, 2025Complaint
Administration Deficiencies
Conduct 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.
- E0727·Sep 9, 2025Complaint
Nursing and Physician Services Deficiencies
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.
- D0684·Sep 9, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0602·Sep 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0600·Sep 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20261 fine · $81K
- 20251 fine · $146K · 1 payment denial
- 20242 fines · $125K
- 20232 fines · $72K · 2 payment denials
Most recent events
- Feb 17, 2026Fine · $81K
- Mar 14, 2025Payment denial · 99 days · starting Apr 17, 2025
- Mar 14, 2025Fine · $146K
- Dec 26, 2024Fine · $108K
- Jun 14, 2024Fine · $17K
- Dec 12, 2023Payment denial · 60 days · starting Jan 13, 2024
Largest single fine on record: $146K.
Fire-safety citations
24 Life-Safety-Code citations on file. Most recent: Sep 9, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Heritage Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.