Amberwood Estates Nursing and Rehabilitation
Saint Louis · 1.3 mi · 115 beds
Citations0Substantiated0
Heritage Care Center
4401 NORTH HANLEY ROAD, Saint Louis, MO, 63134
Nursing home120 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 24 deficiencies against Heritage Care Center in Saint Louis, Missouri at its most recent standard inspection on 2025-09-09, 11 of them arising from complaints. 11 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 6 times, totalling $424,748. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
120certified beds
24deficiencies at the last inspection
11immediate-jeopardy findings on record
4actual-harm findings on record
6federal fines, $424,748
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.11
Actual harmA resident was harmed, but not placed in immediate danger.4
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.80
Potential for minimal harmThe least serious band.0
Most recentDEJDFFFFFEEEEDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Resident Rights Deficiencies · F0586 · 2026-05-15 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to choose his or her attending physician.
Resident Rights Deficiencies · F0555 · 2026-04-16 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-02-17 · from a complaint · Immediate jeopardy to resident health or safety
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-02-17 · from a complaint · No actual harm, potential for more than minimal harm
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.
Administration Deficiencies · F0838 · 2025-09-09 · from a complaint · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · F0882 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Honor 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.
Resident Rights Deficiencies · F0584 · 2025-09-09 · from a complaint · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0727 · 2025-09-09 · from a complaint · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · F0568 · 2025-09-09 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-09-09 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2025-09-09 · from a complaint · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-09-09 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-09-09 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS1.85062
Nursing staff turnoverShare of nursing staff who left in a year75%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS6
Total fined$424,748
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one9
Ownership
Who owns Heritage Care Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ATKINS, MONICA | Individual | NOT APPLICABLE | since 10/30/2017 |
| DESTEFANE, RICHARD | Individual | NOT APPLICABLE | since 12/15/1994 |
| DESTEFANE, RICHARD | Individual | NOT APPLICABLE | since 11/29/1994 |
| RELIANT CARE MANAGEMENT COMPANY LLC | Organization | NOT APPLICABLE | since 04/01/1993 |
Part of the RELIANT CARE MANAGEMENT group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Oak Knoll Skilled Nursing & Rehabilitation Center
Ferguson · 1.7 mi · 79 beds
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ST Johns Place
Saint Louis · 2.0 mi · 94 beds
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Normandy Nursing Center
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Citations0Substantiated0
U-city Forest Manor
Saint Louis · 3.3 mi · 120 beds
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Estates of ST Louis, LLC, the
Saint Louis · 3.9 mi · 94 beds
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Contact
Ask Heritage Care Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 265534.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction