Bethesda Southgate
5943 Telegraph Road, Saint Louis, MO 63129 · St. Louis County · 130 certified beds · avg 82 residents/day · certified since Apr 3, 2003
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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)
▲ Actual harm, one-off · Sep 25, 2019 · F-0689
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: Oct 30, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 |
|---|---|---|
| May 1, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jul 18, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 18, 2024 | 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. |
| Jul 18, 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. |
| Jul 18, 2024 | 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. |
| Jul 18, 2024 | D · Potential for 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. |
| Nov 3, 2022 | 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. |
| Nov 3, 2022 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Sep 25, 2019 | ▲ 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. |
| Sep 25, 2019 | D · Potential for harm, one-off | The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. |
| Sep 25, 2019 | D · Potential for harm, one-off | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. |
| Sep 25, 2019 | 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. |
| Sep 25, 2019 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Sep 25, 2019 | 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. |
| Sep 25, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 1 | G ▲ |
| 2022 | 2 | 0 | D |
| 2024 | 5 | 0 | E |
| 2025 | 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)
No fines or payment denials in the published 3-year window.
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) | 4.14 | 3.66 | 3.95 | top 28% in Missouri; top 34% in the U.S. |
| Registered Nurse hours | 0.63 | 0.49 | 0.69 | top 18% in Missouri; top 44% in the U.S. |
| Weekend total nurse staffing | 3.66 | 3.22 | 3.50 | top 28% in Missouri; top 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.33 | 0.48 | top 24% in Missouri; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 31.5 | 56.0 | 45.8 | top 4% in Missouri; top 17% in the U.S. |
| RN turnover (%) | 10.0 | 47.8 | 42.9 | top 4% in Missouri; top 4% 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 4.32, RN 0.66, weekend 3.82. 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: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 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 | 06/30/2000 |
| Brinker, Joseph | Individual | Corporate Director | NOT APPLICABLE | 07/01/2010 |
| Brinker, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Brinker, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2010 |
| Brinker, Joseph | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Brinker, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2010 |
| 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 |
| Cosby, Darlene | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/08/2021 |
| Cosby, Darlene | Individual | ADP of the SNF | NOT APPLICABLE | 08/08/2021 |
| Elite Medical Staffing Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/12/2017 |
| Esther, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Falker, Fred | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Hutchison, Philip | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Keller, Joseph | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Kimball, Michele | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/21/2021 |
| Kimball, Michele | Individual | ADP of the SNF | NOT APPLICABLE | 02/21/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Nazareth Living Center | 2.1 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| Nexus at Columbia | 4.6 mi | Columbia, IL | ★☆☆☆☆ | 2/5 | |
| Bluebird Wellness and Rehabilitation | 4.7 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| Delmar Gardens South | 4.9 mi | Saint Louis, MO | ★★★★☆ | 4/5 | |
| Woodland Manor Nursing Center | 5.0 mi | Arnold, MO | ★★☆☆☆ | 4/5 | |
| Sherbrooke Village | 5.1 mi | Saint Louis, MO | ★★☆☆☆ | 2/5 | |
| Lemay Nursing | 5.3 mi | Saint Louis, MO | ★★☆☆☆ | 3/5 | |
| Fountain Care at Sunset Hills | 6.6 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | |
| Friendship Village Sunset Hills | 6.8 mi | Saint Louis, MO | ★★★☆☆ | 3/5 | |
| South County Health Care Center | 6.9 mi | Arnold, MO | ★☆☆☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 265756.