Nursing home report
SAINT LOUIS, MO · Medicare-certified · 350 beds
Bethesda Dilworth in Saint Louis, MO has a 3-star overall rating, with 3-star health inspection and quality ratings and 4-star staffing. Staffing is above the federal benchmark at 5.00 vs 4.1 hours per resident per day, but the home has had $88,946 in fines in the last 24 months, a recent federal penalty, and recent citations for pressure ulcer care, accident hazards/supervision, and resident activities.
Health inspections
Staffing
4.9983 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9983.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
F-Tag 679 — 42 CFR §483.24 — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited September 2023 — limited pattern, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — 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.
F-Tag 804 — 42 CFR §483.60 — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 4 health deficiencies.
A federal fine of $88,946 was recorded.
On record with Medicare: 1 fine · $88,946 in total fines.
Federal fine
Apr 11, 2025
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.
