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.
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.
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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
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 4 health deficiencies.
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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.