Bentwood Nursing & Rehab
1501 Charbonier Road · Florissant, MO · 63031 · 3149212700
116 certified beds For profit - Limited Liability company Chain: Mgm Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 2 · $107,465 |
Inspection citations (60 in the current record)
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Potential for harm · D February 24, 2026 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected April 8, 2026 · Resident Rights
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Potential for harm · D February 24, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D February 24, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D February 24, 2026 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 8, 2026 · Quality of Life and Care
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Potential for harm · D February 24, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 8, 2026 · Pharmacy Service
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Potential for harm · D November 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D November 17, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected December 17, 2025 · Quality of Life and Care
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Potential for harm · D September 26, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 29, 2024 · Quality of Life and Care
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Potential for harm · D September 26, 2024 · found via complaint
Provide appropriate foot care.
Corrected October 29, 2024 · Quality of Life and Care
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Actual harm · G May 15, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 15, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D May 15, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D May 15, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D May 15, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 15, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D May 15, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D May 15, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2024
Provide activities to meet all resident's needs.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · D May 15, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · D May 15, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected June 19, 2024 · Pharmacy Service
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Potential for harm · F May 15, 2024
Provide and implement an infection prevention and control program.
Corrected June 19, 2024 · Infection Control
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Potential for harm · E May 15, 2024
Implement a program that monitors antibiotic use.
Corrected June 19, 2024 · Infection Control
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Potential for harm · E May 15, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 19, 2024 · Infection Control
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Potential for harm · D March 13, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 15, 2024 | Fine | $73,450 |
| May 15, 2024 | Payment Denial | 4 days |
| January 23, 2024 | Fine | $34,015 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265757 · certified since April 16, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.