Bethesda Dilworth
9645 Big Bend Blvd, Saint Louis, MO 63122 · St. Louis County · 350 certified beds · avg 128 residents/day · certified since May 1, 2003 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 11, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 9, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 23, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 23, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (24)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Jul 23, 2025 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 23, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 11, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Apr 11, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jan 29, 2025 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint |
| Jan 29, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Sep 12, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 23, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 23, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 13, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Sep 29, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Sep 29, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 29, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 7, 2020 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 7, 2020 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 7, 2020 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 7, 2020 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Feb 7, 2020 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 5 | 0 | D |
| 2023 | 5 | 0 | E |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 9 | 1 | J ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $88,946.
| Date | Type | Amount / length |
|---|---|---|
| Apr 11, 2025 | Fine | $88,946 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.92 | 3.66 | 3.95 | top 10% in Missouri; top 15% in the U.S. |
| Registered Nurse hours | 0.41 | 0.49 | 0.69 | bottom 48% in Missouri; bottom 23% in the U.S. |
| Weekend total nurse staffing | 4.39 | 3.22 | 3.50 | top 10% in Missouri; top 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.33 | 0.48 | bottom 30% in Missouri; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 43.5 | 56.0 | 45.8 | top 19% in Missouri; top 46% in the U.S. |
| RN turnover (%) | 50.0 | 47.8 | 42.9 | top 46% in Missouri; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.00, RN 0.41, weekend 4.46. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bethesda Long Term Care INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2006 |
| Bethesda Health Group INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/08/1999 |
| Bethesda Health Group INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| Bethesda Long Term Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2006 |
| Brinker, Joseph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2010 |
| Brinker, Joseph | Individual | Corporate Director | NOT APPLICABLE | 07/01/2010 |
| Brinker, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 07/10/2010 |
| Brinker, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2010 |
| Brinker, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2010 |
| Byrne, Roger | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/10/2014 |
| Byrne, Roger | Individual | Corporate Officer | NOT APPLICABLE | 02/10/2014 |
| Byrne, Roger | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/10/2014 |
| Byrne, Roger | Individual | ADP of the SNF | NOT APPLICABLE | 02/10/2014 |
| Cwiklowski, Renee | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/04/2023 |
| Cwiklowski, Renee | Individual | ADP of the SNF | NOT APPLICABLE | 05/04/2023 |
| Dembiec, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Dembiec, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2025 |
| Esther, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2018 |
| Esther, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Falker, Fred | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Grove at Kirkwood, the | 1.4 mi | Kirkwood, MO | ★☆☆☆☆ | 1/5 | SFF |
| Aberdeen Heights | 2.4 mi | Kirkwood, MO | ★★★★★ | 5/5 | |
| Mary, Queen and Mother Center | 2.8 mi | Shrewsbury, MO | ★★☆☆☆ | 2/5 | |
| Lutheran Convalescent Home | 3.3 mi | Webster Groves, MO | ★★★★★ | 4/5 | |
| Fountain Care at Sunset Hills | 3.5 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| Friendship Village Sunset Hills | 3.7 mi | Saint Louis, MO | ★★★☆☆ | 3/5 | |
| Bluebird Wellness and Rehabilitation | 4.2 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| McKnight Place Extended Care | 4.8 mi | Saint Louis, MO | ★★★★☆ | 4/5 | |
| Quarters at Des Peres, the | 4.9 mi | Des Peres, MO | ★☆☆☆☆ | 1/5 | |
| Sherbrooke Village | 4.9 mi | Saint Louis, MO | ★★☆☆☆ | 2/5 | |
| Fieser Nursing Center | 5.1 mi | Fenton, MO | ★★☆☆☆ | 2/5 | |
| Garden View Care Center at Dougherty Ferry | 5.3 mi | Valley Park, MO | ★★★★☆ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265764.