Heritage Care Center has received an F grade based on CMS data, with a score of 1/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Saint Louis facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at Heritage Care Center, with 2.40 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 99 deficiencies at Heritage Care Center, including 10 classified as serious — among the most concerning citation levels. The most notable finding involved: have a plan that describes the process for conducting qapi and qaa activities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.40 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.19 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.47 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.74 | 2.4 | Below Average |
| Weekend Total Nursing | 1.94 | 3.8 | Below Average |
| Weekend RN Hours | 0.14 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.Sep 8, 2025 · Administration Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Sep 8, 2025 · Infection Control Deficiencies
- Tag 0881 Severity FImplement a program that monitors antibiotic use.Sep 8, 2025 · Infection Control Deficiencies
- Tag 0882 Severity FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Sep 8, 2025 · Infection Control Deficiencies
- Tag 0838 Severity FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day opeSep 8, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.4% | 4.5% | Better |
| Falls with major injury | 3.0% | 3.0% | Average |
| On antipsychotic medication | 49.2% | 14.5% | Worse |
| Urinary tract infections | 0.2% | 2.5% | Better |
| ADL decline (daily activities) | 46.8% | 14.0% | Worse |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 14.3% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $343,318
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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