Nursing homeActive
Bethesda Dilworth
9645 Big Bend Blvd, Saint Louis, MO 631223149685460350 certified beds · 128 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2020
Deficiencies
24
● 0● 22● 2
Penalties · 3 yrs
$88,946
1 fine
Last survey
2026-03-19
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Missouri Department of Health & Senior Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-23 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-04-11 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-01-29 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-09-12 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-23 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-03-13 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-29 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2020-02-07 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Missouri Department of Health & Senior Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 265764-20260319-F755
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 265764-20250903-F585
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-19Record 265764-20250723-F585
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 265764-20250723-F641
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 265764-20250723-F677
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-29Record 265764-20250723-F679
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-04-09Record 265764-20250411-F686
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 265764-20250411-F580
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 265764-20250129-F660
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 265764-20250129-F686
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 265764-20240912-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-23Record 265764-20240523-F689
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-13Record 265764-20240523-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-05Record 265764-20240313-F623
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-18Record 265764-20230929-F678
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 265764-20230929-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 265764-20230929-F759
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 265764-20230929-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 265764-20230929-F804
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-06Record 265764-20200207-F554
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-06Record 265764-20200207-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-06Record 265764-20200207-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-06Record 265764-20200207-F690
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-06Record 265764-20200207-F759
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-04-11 | Civil money penalty | $88,946 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.41
Facility
Missouri
National
Missouri 0.46 · National 0.69
Total nurse hours per resident day5.00
Facility
Missouri
National
Missouri 3.43 · National 3.86
Weekend total nurse hours4.46
Facility
Missouri
National
Missouri 3.02 · National 3.42
Total nursing staff turnover44%
Facility
Missouri
National
Missouri 56% · National 46%
Registered nurse turnover50%
Facility
Missouri
National
Missouri 48% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Missouri | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.0% | 4.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.6% | 4.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.3% | 23.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.6% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 22.2% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 10.2% | 5.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.1% | 25.6% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bethesda Health Group Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brinker, Joseph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Byrne, Roger Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cwiklowski, Renee Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dembiec, Scott Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kimball, Michele Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcintosh, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Peregrin, Kiel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Popp, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Select Rehabilitation, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bethesda Health Group Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bethesda Long Term Care Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bethesda Long Term Care Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Brinker, Joseph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brinker, Joseph Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Brinker, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brinker, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Byrne, Roger Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Byrne, Roger Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Byrne, Roger Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cwiklowski, Renee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dembiec, Scott Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Esther, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Esther, James Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Falker, Fred Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Falker, Fred Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hutchison, Philip Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hutchison, Philip Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Keller, Joseph Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Keller, Joseph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kimball, Michele Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Klingler, Kevin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Klingler, Kevin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mayes, Gary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mayes, Gary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcdonnell, Veronica Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mcdonnell, Veronica Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcintosh, Jessica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Meier, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Meier, John Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Peregrin, Kiel Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Peregrin, Kiel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Peregrin, Kiel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Popp, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rooney, Patrick Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rooney, Patrick Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rowe, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rowe, John Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Select Rehabilitation, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Teibel, Samantha Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Teibel, Samantha Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Missouri.
No county cost figures on file for St. Louis.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Grove At Kirkwood, The Kirkwood | 1.4 mi | 2026-04-02 | 0548 |
| Aberdeen Heights Kirkwood | 2.4 mi | 2025-08-15 | 080 |
| Fountain Care At Sunset Hills Saint Louis | 3.5 mi | 2026-01-27 | 3404 |
| Mary, Queen And Mother Center Shrewsbury | 2.8 mi | 2025-12-19 | 0151 |
| Friendship Village Sunset Hills Saint Louis | 3.7 mi | 2025-01-28 | 0162 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |