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Nursing home report

BETHESDA DILWORTH

SAINT LOUIS, MO · Medicare-certified · 350 beds

Needs attention
Non-profit
3 of 5 overall

Bethesda Dilworth in St. Louis, MO has a 3-star overall rating, with 3 stars for health inspections and quality measures and 4 stars for staffing; reported nurse staffing is 5.12 hours per resident per day, above the federal benchmark of 4.1. The facility also has a recent federal penalty and $88,946 in fines over the last 24 months, with recent citations related to pressure ulcer care, accident hazards/supervision, and resident activities.

Facility ratings

Health inspections

Staffing

5.1177 hrs/resident/day

Quality measures

Last inspection: March 19, 2026Penalties, last 24 months: $88,946recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1177.

Staffing detail

Registered nurses
0.63
Licensed practical nurses
0.98
Nurse aides
3.51
Weekend nursing
4.49

Hours per resident per day.

Total staff turnover: 36%
Registered nurse turnover: 30%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

6%Steady

Residents with a fall causing major injury

7.9%Improving

Residents with pressure ulcers (bedsores)

8.9%Steady

Residents with a urinary tract infection

3.4%Steady

Residents who lost too much weight

12.6%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

23%Improving

Residents whose ability to walk got worse

22.1%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

20.9%Worsening

Short-stay residents newly given an antipsychotic

0.5%Steady

Residents with a long-term catheter

0.2%Improving

Residents with new or worsening incontinence

25.4%Improving

Residents with depressive symptoms

0.4%Worsening

Long-stay residents given the seasonal flu vaccine

97.7%Steady

Long-stay residents given the pneumonia vaccine

80.2%Worsening

Short-stay residents given the seasonal flu vaccine

62.9%Steady

Short-stay residents given the pneumonia vaccine

42.9%Worsening

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The home failed to provide activities that met all residents’ needs. Cited July 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 679 — 42 CFR §483.24 — S/S: E

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: E

The nursing home failed to keep medication mistakes below the allowed level. Cited September 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $88,946 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $88,946 in total fines.

  • Federal fine

    Apr 11, 2025

    $88,946

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
118.5 residents on an average day (34% of 350 beds)
Resident voice
Resident council
Medicare history
Certified for 23 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.