Bethesda Dilworth

9645 Big Bend Blvd · Saint Louis, MO · 63122 · 3149685460

350 certified beds Non profit - Corporation

  • Staffing hours comfortably above national benchmarks.
  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

$88,946 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 88
Staffing 20% 85
Federal penalties 15% 60
Trend 10% 86
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day5.123.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day4.49≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)1 · $88,946

Inspection citations (24 in the current record)

  • Potential for harm · D March 19, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 3, 2026 · Pharmacy Service

  • Potential for harm · D September 3, 2025 · found via complaint

    Honor 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.

    Corrected September 19, 2025 · Resident Rights

  • Potential for harm · D July 23, 2025

    Honor 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.

    Corrected September 19, 2025 · Resident Rights

  • Potential for harm · D July 23, 2025

    Ensure each resident receives an accurate assessment.

    Corrected August 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 23, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · E July 23, 2025

    Provide activities to meet all resident's needs.

    Corrected August 29, 2025 · Quality of Life and Care

  • Immediate jeopardy · J April 11, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 9, 2025 · Quality of Life and Care

  • Potential for harm · D April 11, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 12, 2025 · Resident Rights

  • Potential for harm · D January 29, 2025 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected February 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 29, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 28, 2025 · Quality of Life and Care

  • Potential for harm · D September 12, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 30, 2024 · Quality of Life and Care

  • Actual harm · G May 23, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 23, 2024 · Quality of Life and Care

  • Potential for harm · D May 23, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 13, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 13, 2024 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected April 5, 2024 · Resident Rights

  • Potential for harm · D September 29, 2023

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected October 18, 2023 · Quality of Life and Care

  • Potential for harm · D September 29, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected October 27, 2023 · Pharmacy Service

  • Potential for harm · D September 29, 2023

    Ensure 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.

    Corrected October 27, 2023 · Pharmacy Service

  • Potential for harm · E September 29, 2023

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected October 27, 2023 · Nutrition and Dietary

  • Potential for harm · E September 29, 2023 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 27, 2023 · Pharmacy Service

  • Potential for harm · D February 7, 2020

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected March 6, 2020 · Resident Rights

  • Potential for harm · D February 7, 2020

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 6, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2020

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 6, 2020 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2020

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 6, 2020 · Quality of Life and Care

  • Potential for harm · D February 7, 2020

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 6, 2020 · Pharmacy Service

Federal penalties

DateTypeAmount / length
April 11, 2025Fine$88,946

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265764 · certified since May 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.