Nursing HomeInspections

Bethesda Dilworth

Nursing home in Saint Louis, MO

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
9645 Big Bend Blvd, Saint Louis, MO 63122
Phone
(314) 968-5460
Listed under
Nonprofit
Medicare CCN
265764
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
350
Average residents per day
125
Ownership
Nonprofit, corporation
Legal business name
Bethesda Long Term Care INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265764. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 23, 2025. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 7, 2020 to Mar 19, 2026): 10 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 19, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 3, 2025Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 23, 2025Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 23, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 23, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 23, 2025Provide activities to meet all resident's needs.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Apr 11, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 11, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Jan 29, 2025Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 29, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 12, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
May 23, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 24. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $88,946 in the last three years.

Apr 11, 2025Fine: $88,946

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.17 hours
Registered nurse (RN) time per resident per day
0.47 hours
Nurse aide time per resident per day
3.53 hours
Total nurse staffing on weekends
4.48 hours
Nursing staff turnover (yearly)
43%
RN turnover (yearly)
55%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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