Nursing home report
Registered name: ELLISVILLE REHABILITATION AND NURSING
ELLISVILLE, MO · Medicare-certified · 210 beds
Bethesda Meadow in Ellisville, MO has an overall rating of 1 out of 5 stars, with 1-star health inspection and quality ratings and 2-star staffing. It is a Special Focus Facility candidate with $260,092 in fines over the last 24 months, and reported nurse staffing is 3.92 hours per resident per day versus the 4.1 federal benchmark.
Health inspections
Staffing
3.9156 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9156.
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 appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited April 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 697 — 42 CFR §483.25(k) — S/S: J
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited May 2025 — isolated incident, actual harm.
F-Tag 604 — 42 CFR §483.12 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 7 health deficiencies.
A federal payment denial was recorded.
A federal fine of $91,055 was recorded.
Health inspection found 9 health deficiencies.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal fine of $169,037 was recorded.
On record with Medicare: 2 fines · $260,092 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Jan 16, 2026
Federal fine
Jan 16, 2026
Medicare/Medicaid payment denial
Nov 26, 2024
Federal fine
Nov 26, 2024
Now operated by Ellisville Rehabilitation and Nursing, previously Bethesda Meadow.
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.
