Heritage Care Center

    4401 N Hanley Rd, Saint Louis, MO, 63134
    2.2 · 31 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglect, abuse, unsanitary, mismanaged facility

    I had a loved one at this facility and, aside from a few caring long-term staff (Dollie, one excellent CNA, one maintenance and one housekeeping employee), my experience was awful. Current administration and many nursing staff are inexperienced, rude and neglectful - residents left in urine/feces, long gaps without showers, laundry mistakes, alleged abuse by a male CNA with no action taken. Meals are overcooked, cold, high in sodium; residents lost weight. There are medication errors, a persistent urine/feces stench, poor kitchen hygiene, locked doors, and administration that hides behind closed offices and fails to communicate (even about deaths). I would not recommend this place - it should be shut down or taken over.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.19 · 31 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.6
    • Staff

      2.2
    • Meals

      1.0
    • Amenities

      1.0
    • Value

      1.0

    Pros

    • Some competent and caring CNAs and staff
    • One highly qualified CNA noted by reviewers
    • A few long-term CNAs with experience
    • At least one reliable maintenance worker
    • At least one conscientious housekeeping employee
    • Instances of warm, caring staff providing 1:1 attention
    • Staff enthusiasm and resident engagement in some cases
    • Friendly and helpful staff interactions reported by some families
    • Diversity and inclusive programming/ conversations mentioned
    • Specific staff members who made families comfortable (named by reviewers)

    Cons

    • Inexperienced and uncaring director of nursing and administration
    • Nursing staff described as inexperienced and uncaring
    • CNA neglect: residents reportedly left in urine and feces
    • Long gaps between showers and poor personal hygiene care
    • Laundry problems and mismanaged personal items
    • Reports of resident abuse by at least one male CNA with no action taken
    • Meals described as high in sodium, overcooked, cold, and unappetizing
    • Resident weight loss attributed to poor nutrition
    • Administration isolated, unresponsive, and often unreachable by phone
    • Rude, unprofessional, and dismissive staff behavior
    • Strong and persistent odors of urine and feces; cleanliness concerns
    • Cockroach sightings and concerns about overall sanitation
    • Kitchen cleanliness and food safety concerns
    • Medication errors and inconsistent medication administration
    • Delayed or failed family notification, including failure to notify of death
    • Allegations of negligent medical care and lack of monitoring
    • Residents left alone, abandoned, or not sent to hospital when needed
    • Lockdown/restricted doors limiting access to outside
    • Disputes over residents' belongings and property handling
    • Perception that census/financial priorities outweigh resident care
    • Calls for shutdown or state takeover due to safety concerns

    Summary review

    Overall sentiment across the reviews is strongly negative, with many reviewers describing serious care, management, sanitary, and safety problems at Heritage Care Center. The most frequently cited issues relate to poor personal care (residents left in urine or feces, long gaps between showers, laundry mismanagement), meal quality and nutrition (meals high in sodium, overcooked/cold food, resident weight loss), and staff competence/attitude (inexperienced DON/administrator and nursing leadership, CNAs described as lazy or uncaring). Several reviewers claim that problems have escalated compared with the facility's condition 10–15 years ago.

    Care quality and clinical oversight: Multiple reviews allege inadequate monitoring and medical response: delayed or absent notification to families, inconsistent medication administration, and allegations that residents were ignored until hospitalization or that a resident died while at the facility and was not sent to the hospital. There are repeated claims of negligent medical care and abandonment (residents left alone or poorly monitored). Reviewers identify the DON and administration as inexperienced and isolated behind closed doors, which reviewers link to a breakdown in clinical accountability and poor response to incidents.

    Staffing and behavior patterns: The staffing picture is mixed but dominated by negative reports. Many reviewers describe CNAs and nursing staff as uncaring, rude, or unprofessional; phone calls often go unanswered and administration is described as dismissive. Multiple accounts mention at least one male CNA accused of abusive behavior with no corrective action taken. Conversely, a smaller number of reviewers praise individual staff members — notably one highly qualified CNA, several long-term CNAs, a maintenance worker, and some housekeeping staff — and recount warm, 1:1 attention from specific caregivers. These positive mentions are scattered and tend to emphasize individual employees rather than systemic strengths.

    Facilities, cleanliness, and safety: Numerous reviewers describe persistent odors of urine and feces, a general stench on entry, and in at least one case cockroach sightings. There are concerns about cleaning standards and kitchen hygiene, including alleged improper food safety measures. Some reviewers note pleasant smells and cleanliness in certain instances, indicating inconsistency in environmental maintenance. Safety concerns extend beyond cleanliness: reviewers allege restricted exit access (lockdown status), poor monitoring of residents, and an overall penitentiary-like atmosphere reported by several families.

    Dining and nutrition: Food quality and nutrition are consistent themes. Meals are repeatedly called high in sodium, overcooked, cold, and unappetizing; several reviewers connect poor food to resident weight loss. Concerns about kitchen practices and food safety are also mentioned, and these dining problems are framed as contributing to declining resident health and dignity.

    Communication, management, and accountability: Reviewers frequently complain about poor communication from management and the care team, including inconsistent updates from social workers and failure to notify families about important events (including death). Administration is described as unresponsive, isolated, and sometimes antagonistic. Some reviewers believe the facility prioritizes census and revenue over resident well-being. There are allegations of mishandling of residents' belongings and disputes over property, and calls from reviewers for regulatory intervention, shutdown, or takeover.

    Serious allegations and outcomes: A number of reviews include severe claims — allegations of abuse, medication errors, negligence leading to a resident's death, and state guardian negligence. These are grave accusations that appear multiple times in different forms (failure to send residents to hospital, lack of monitoring, and delayed family notification). Reviewers express distress, fear for loved ones' safety, and calls for closure of the facility.

    Positive pockets and variability: Although the dominant tone is negative, several reviews highlight positive experiences with individual staff members or specific aspects of programming. Reported positives include warm and engaging employees who provide one-on-one attention, inclusive programming and conversations, staff enthusiasm, and occasional helpful or friendly administrative interactions. These positives appear localized — tied to specific people or shifts — and do not offset the widespread complaints about systemic failures.

    Patterns and takeaway: The reviews portray a facility with significant inconsistency: some staff deliver compassionate, competent care while others are accused of neglect or abuse. Systemic problems are repeatedly noted in leadership, communication, sanitation, and nutrition, with multiple reviewers concluding that the facility's highest priorities appear financial (census) rather than clinical or person-centered care. Given the severity and recurrence of allegations — unaddressed abuse, medication errors, poor hygiene, and failures to notify families — the reviews collectively suggest urgent need for external review, stronger clinical oversight, improved staffing and training, clearer communication protocols, and remediation of environmental and food-safety concerns. Families’ experiences vary substantially depending on staff on duty, but the volume and gravity of negative reports indicate persistent, facility-level issues rather than isolated incidents.

    Location

    Map showing location of Heritage Care Center

    About Heritage Care Center

    Heritage Care Center sits over on 4401 N Hanley Rd in St. Louis, MO, where they've got 120 beds and help both seniors and adults with serious mental illness who also have medical needs, and folks find they face all sorts of health problems, so the staff, who work around the clock, pays attention to needs with skilled nursing, wound care, therapies like physical, speech, occupational, and even IV therapy if someone needs it, and for people coming right from the hospital, they handle post-surgical care, bariatric, tracheotomy, tube feeding, and there's support for dialysis and high-acuity needs too, so one can see there's a wide range of care. In addition, there's a unit focused on Medicare patients offering the types of rehab that help after surgeries or illness, and the center has both long-term and short-term care, such as respite care for families who might need a break, and hospice for those near the end of life. Rooms come fully furnished, with private bathrooms, wheelchair-accessible showers, air conditioning, cable, and kitchenettes, so there's some comfort built in, and people either pay privately or use Medicare or Medicaid.

    Heritage Care Center encourages folks to stay active and involved, so every day activities are planned-sometimes by the residents themselves-like games, crafts, trips, and even classes to keep people busy and connected, and the staff tries to make sure there's something for everyone, including memory care, which has special programs to help with memory loss and extra safety measures. Community spaces are available, with a fitness room if someone feels up to exercise, gardens, outdoor areas, a beauty salon, a library, a computer center, and a big dining room. One can even get services like laundry, housekeeping, linen changes, help arranging transportation, and there's always someone at the concierge desk, and the staff helps with personal care, medication management, and other daily needs. Licensed nurses supervise care all day, every day, and therapists and other professionals visit, such as dietitians, psychiatrists, dentists, podiatrists, and primary care doctors, while lab and X-ray services get handled as needed, which gives a bit more peace of mind to residents and their families.

    Heritage Care Center runs as both a Care Home and a nursing care facility, and there's a policy to not discriminate for any reason, whether that's age, color, disability, or anything else, and so the place feels respectful to most backgrounds. The center lets residents-both women and, based on one source, men too-join the community if they need skilled nursing, memory, or even psychiatric care, and the reviewers online haven't given it the highest marks, with a rating that sits at 1.6 out of 16 reviews, so it's worth asking lots of questions if someone decides to look into it. Folks looking for a community that lets them live as independently as possible, with staff always at hand and many types of therapy and activity, might find what they need here, and there's always an effort to offer a clean place, with meals, haircuts, and plenty of ways to socialize and stay busy-even those with high needs get the help they require, and the overall setup's been managed by Reliant Care Management Company, LLC, with oversight by the Missouri Health Care Association.

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