The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: F
Nursing home report
BERNARD CARE CENTER
SAINT LOUIS, MO · Medicare-certified · 141 beds
Needs attention
For-profitChain member
1 of 5 overall
BERNARD CARE CENTER in Saint Louis, MO has a 1-star overall rating, with 1-star staffing and 2-star health inspection scores. It has the lowest overall rating flag, reported nurse staffing of 2.79 hours per resident per day versus the 4.1-hour federal benchmark, and no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.7911 hrs/resident/day
Quality measures
Last inspection: December 19, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7911.
Staffing detail
- Registered nurses
- 0.08
- Licensed practical nurses
- 0.52
- Nurse aides
- 2.20
- Weekend nursing
- 2.53
Hours per resident per day.
Total staff turnover: 42%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
37.5%Worsening
Residents with a fall causing major injury
1.1%Worsening
Residents with pressure ulcers (bedsores)
4.3%Worsening
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
8.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
32.1%Improving
Residents whose ability to walk got worse
29.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
23.6%Improving
Residents with a long-term catheter
1.1%Steady
Residents with new or worsening incontinence
17.9%Improving
Residents with depressive symptoms
67.3%Worsening
Long-stay residents given the seasonal flu vaccine
59.6%Steady
Long-stay residents given the pneumonia vaccine
14.3%Worsening
Short-stay residents given the pneumonia vaccine
12.2%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to make sure residents got food that met their allergies, intolerances, and preferences. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 806 — 42 CFR §483.60 — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited August 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 22 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $37,388 in total fines · 1 payment denial.
- 44 days
Medicare/Medicaid payment denial
Apr 18, 2024
- $37,388
Federal fine
Apr 18, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of RELIANT CARE MANAGEMENT · 32 homes · 1.2 stars avg
- Occupancy
- 131.4 residents on an average day (93% of 141 beds)
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.