Heritage Care Center
Nursing Home · Missouri, MO
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Heritage Care Center

Nursing Home · Missouri, MO
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Heritage Care Center accepts Medicare, Medicaid, and private pay.

Overview of Heritage Care Center

Heritage Senior Living is a senior living community located in Blue Bell, PA. It offers a range of services including independent living, assisted living, memory care, home care, and respite care. The community is dedicated to creating a culture of support and compassion for residents and their families.

(314) 521-7471

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 59.7% Below MO avg. ▼ 59.7% Below MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 64.0% Below MO avg. ▼ 64.0% Below MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 54.3% Below MO avg. ▼ 54.3% Below MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 24.7% Below MO avg. ▼ 24.7% Below MO avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Missouri state averages

Total nursing care / resident Info This home is ranked 240th out of 256 homes in Missouri.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 24m per day
Rank #240 / 256Nurse hours — State benchmarkedThis home is ranked 240th out of 256 homes in Missouri.Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 256 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Missouri avg (3h 44m per day)
vs Missouri avg
-36%
Staff typeHours / Day / Residentvs state avg
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 6m per day

Capacity and availability

Avg. Length of Stay
302 days

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Breakdown by payment type

Medicare

10% of new residents, usually for short-term rehab.

Typical stay 3 - 4 months

Private pay

4% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

86% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

Privately-owned community
Home revenue
$9.9M
Profit
$190.9K
Privately-owned community
Home revenue
$9.9M Rank #64 / 263Revenue — State benchmarkedThis home is ranked 64th out of 263 homes in Missouri.Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$190.9K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #55 / 263Payroll — State benchmarkedThis home is ranked 55th out of 263 homes in Missouri.Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.8M
58.6% of revenue Rank #97 / 263Payroll % — State benchmarkedThis home is ranked 97th out of 263 homes in Missouri.Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri SNFs typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
Total costs $9.8M
Bed community size
120-bed community Rank #49 / 267Bed count — State benchmarkedThis home is ranked 49th out of 267 homes in Missouri.Shows this facility's certified or reported bed count compared to other Missouri SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 23 / 100 Rank #231 / 264Walk Score — State benchmarkedThis home is ranked 231st out of 264 homes in Missouri.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
92%
Rank #29 / 262Occupancy rate — State benchmarkedThis home is ranked 29th out of 262 homes in Missouri.Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 262. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
110 / 120
Average residents per home in Missouri 72 per day

Awards

Awards2023 Caring super star award, 2023 Caring star award, 2023 best of senior living award

License Details

Facility TypeSnf
CountySaint Louis
CMS Certification Number265534
Certification TypeMedicare/Medicaid

Ownership & Operating Entity

Heritage Care Center is legally operated by Heritage Care Center Of Berkeley, Llc, and administrated by Gwen Cabe.

Owner NameHeritage Care Center Of Berkeley, LLC

Therapy & Rehabilitation

1 service
Respite Care

Additional Services

1 service
Home Care

Amenities & Lifestyle

Specific ProgramsAssisted Living & Personal Care, Daybreak Program, Wellness Programs

Contact Heritage Care Center

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

MetricThis FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 07 This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7). Click this badge to view the full Missouri ranking.↓ 100% better

Health Inspection History

Inspections Since 2023
Total health inspections 20

Missouri average 6.6


Last Health inspection on Sep 2025

Total health citations
103 Rank #258 / 261Health citations — State benchmarkedThis home is ranked 258th out of 261 homes in Missouri.Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 261 MO SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 36.5

Citations per inspection
5.15 Rank #133 / 261Citations per inspection — State benchmarkedThis home is ranked 133rd out of 261 homes in Missouri.Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 261 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Missouri average 5.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

42 of 103 citations resulted from standard inspections; 56 of 103 resulted from complaint investigations; and 5 of 103 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations
10
1329% worse than Missouri average

Missouri average: 0.7


Serious Health citations
4 Rank #101 / 119Serious citations (G–I) — State benchmarkedThis home is ranked 101st out of 119 homes in Missouri.Shows G–I scope serious health citations for this facility versus other Missouri SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
300% worse than Missouri average

Missouri average: 1

10 critical citations Missouri average: 0.7

4 serious citations Missouri average: 1

89 moderate citations Missouri average: 33.6

0 minor citations Missouri average: 1.2
Citations history (last 3 years)
Abuse/Neglect moderate citation Sep 09, 2025
Corrected

Abuse/Neglect moderate citation Sep 09, 2025
Corrected

Administration moderate citation Sep 09, 2025
Corrected

Nursing Services moderate citation Sep 09, 2025
Corrected

Financial Assistance for
Nursing Home in Missouri

Heritage Care Center is located in SAINT LOUIS, Missouri.
Here are the financial assistance programs available to residents in Missouri.

Get Financial aid guidance

Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled
General Missouri resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
MO

Rural access prioritized.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$65/day) Home health services

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+
General Missouri resident, in approved facility.
Income Limits ~$1,215/month individual
Asset Limits $2,000 individual
MO

Supplements SSI; facility-based only.

Benefits
Monthly cash payment (~$156-$292/month) for care costs

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+
General Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.
Income Limits (2025) ~$2,901/month (300% FBR, individual); QIT required.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Caregiver must be family; small program size.

Benefits
Cash stipend ($1,000-$1,500/month) to family caregiver Respite Training Supplies ($500/year)

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled
General Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.
Income Limits (2025) ~$1,690/month (individual, projected); spenddown allowed.
Asset Limits $5,909.25 (individual), $11,818.45 (couple).
MO

Less intensive than waivers; statewide access.

Benefits
Personal care (2-4 hours/day) Homemaker services Limited respite Medical equipment

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled
General Missouri resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
MO

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Age
General Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based.
MO

Administered via AAAs and Alzheimer’s Association; rural focus.

Benefits
Respite (4-6 hours/week) Training Assistive tech ($500/year) Supplies

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Missouri resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
MO

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Heritage Care Center

Address 9.1 miles from city center Info Estimated distance in miles from Saint Louis's city center to Heritage Care Center's address, calculated via Google Maps.

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Address

Staffing Data

Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.

Total staff 119
Employees 107
Contractors 12
Staff to resident ratio 1.25:1
27% worse than Missouri average
Missouri average ratio: 1.71:1 Missouri average ratio: 1.71:1See full Missouri ranking
Avg staff/day 38
Average shift 8.4 hours
0% compared with Missouri average
Missouri average: 8.1 hours Missouri average shift: 8.1 hoursSee full Missouri ranking
Total staff hours (quarter) 28,960

Nursing staff breakdown

Q2 2025 · Apr 1 – Jun 30 More info This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 53
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

No contractors work on this role.

Contractor staffing

Q2 2025 · Apr 1 – Jun 30 More info This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.

Total hours from contractors

10.6%

3,069 contractor hours this quarter

Physical Therapy Aide: 5 Qualified Social Worker: 2 Speech Language Pathologist: 2 Respiratory Therapy Technician: 1 Medical Director: 1 Physical Therapy Assistant: 1

Staff by category

Q2 2025 · Apr 1 – Jun 30 More info This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Certified Nursing Assistant5305314,38391100%8.2
Licensed Practical Nurse150153,84991100%9.1
Medication Aide/Technician130132,79791100%8.7
Physical Therapy Aide0551,1817684%7.2
Other Dietary Services Staff2029168492%7.5
Registered Nurse6067606268%8.8
Clinical Nurse Specialist2027374853%15
Speech Language Pathologist0225275965%8.7
Administrator1015126470%8
Mental Health Service Worker1015126470%8
RN Director of Nursing3035123943%11.4
Nurse Practitioner2024803336%14.5
Respiratory Therapy Technician0114765763%8.4
Physical Therapy Assistant0114745864%8.2
Qualified Social Worker0223885763%6.8
Nurse Aide in Training8082512831%5.5
Dietitian1011842325%8
Medical Director0112433%8
53 Certified Nursing Assistant
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
5 Physical Therapy Aide
% of Days 84%
2 Other Dietary Services Staff
% of Days 92%
6 Registered Nurse
% of Days 68%
2 Clinical Nurse Specialist
% of Days 53%
2 Speech Language Pathologist
% of Days 65%
1 Administrator
% of Days 70%
1 Mental Health Service Worker
% of Days 70%
3 RN Director of Nursing
% of Days 43%
2 Nurse Practitioner
% of Days 36%
1 Respiratory Therapy Technician
% of Days 63%
1 Physical Therapy Assistant
% of Days 64%
2 Qualified Social Worker
% of Days 63%
8 Nurse Aide in Training
% of Days 31%
1 Dietitian
% of Days 25%
1 Medical Director
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 95
Medicare
3
3.2% of residents
Medicaid
92
96.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 18.0
65% worse than Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 31.7
63% worse than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 42.3%
114% worse than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 37.0%
80% worse than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.8%
13% better than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
In line with Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.3%
55% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
83% better than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.3%
22% better than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 19.4%
51% worse than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 36.5%
66% worse than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 37.5%
56% worse than Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 70.9%
22% worse than Missouri average

Missouri average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 8.3%
87% worse than Missouri average

Missouri average: 66.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $341K Rank #261 / 263Federal fines — State benchmarkedThis home is ranked 261st out of 263 homes in Missouri.Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 263 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
366% higher than Missouri average

Missouri average: $73K

Number of fines 5
105% more fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 3
336% more payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $341K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

8 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 14, 2025
$143K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Mar 14, 2025
99 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 26, 2024
$108K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 14, 2024
$17K

Last updated: Jan 2026

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Frequently Asked Questions about Heritage Care Center

Who is the owner of Heritage Care Center?

The legal owner and operator of Heritage Care Center is Heritage Care Center Of Berkeley, Llc.

Is Heritage Care Center in a walkable area?

Heritage Care Center has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Heritage Care Center?

Heritage Care Center's occupancy is 92%.

Who is the administrator of Heritage Care Center?

Gwen Cabe is the administrator of Heritage Care Center.

How many beds does Heritage Care Center have?

Heritage Care Center has 120 beds.

What is the address of Heritage Care Center?

Heritage Care Center is located at 4401 NORTH HANLEY RD.

What is the phone number of Heritage Care Center?

(314) 521-7471 will put you in contact with the team at Heritage Care Center.

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