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
Data as of July 1, 2026
1 of 5 overall
BERNARD CARE CENTER has an overall rating of 1 out of 5 stars, with a 1-star staffing rating and 1.99 reported nurse hours per resident per day versus the 4.1-hour federal benchmark. It has a lowest-overall-rating flag, 2-star health inspection and quality measures ratings, and no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
1.9891 hrs/resident/day
Quality measures
Last inspection: April 8, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 1.9891.
Staffing detail
- Registered nurses
- 0.11
- Licensed practical nurses
- 0.32
- Nurse aides
- 1.56
- Weekend nursing
- 1.82
Hours per resident per day.
Total staff turnover: 45%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
33.3%40.5%Worsening
Residents with a fall causing major injury
0.8%0.8%No change
Residents with pressure ulcers (bedsores)
4.1%5.2%Worsening
Residents with a urinary tract infection
0.8%0%Improving
Residents who lost too much weight
13.7%3.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
35%8.2%Improving
Residents whose ability to walk got worse
49.2%16.1%Improving
Long-stay residents on antianxiety or sleep medication
24.4%20.3%Improving
Residents with a long-term catheter
1.6%0.7%Improving
Residents with new or worsening incontinence
23%10.2%Improving
Residents with depressive symptoms
73.3%71.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—59.6%—
Long-stay residents given the pneumonia vaccine
16.5%28.1%Improving
Short-stay residents given the pneumonia vaccine
—17.9%—
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 home failed to respect residents’ right to choose their own doctor. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 555 — 42 CFR §483.10 — 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 1 health deficiency.
See what inspectors found
- 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 · 33 homes · 1.2 stars avg
- Occupancy
- 131.5 residents on an average day (93% of 141 beds)
- Medicare history
- Certified for 34 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.