Senior CareScorecard

Nursing home · St. Louis, MO

Bethesda Dilworth

9645 Big Bend Blvd, St. Louis, MO 63122 · 350 certified beds · non profit ownership

Medicare & MedicaidFined $88,946 in 3 years
Medicare overall rating3 / 5AverageSt. Louis area 2.1 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
4/5Staffing Above average
3/5Quality measures Average
3/5Short-stay (rehab) quality Average
3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Mar 19, 2026, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 23, 2025) it had 6 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 5.00 hours per resident per day here, 46% more than the Missouri average (3.43) and 29% more than the U.S. average (3.86). Registered nurses account for 0.41 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 44% over the past year, 13 points lower than Missouri (56%) and 2 points lower than the U.S. (46%).

How Bethesda Dilworth compares

This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).

This homeSt. Louis areaMissouriU.S.
Total nurse hours per resident per day5.003.663.433.86
Registered nurse hours per resident per day0.410.430.460.68
Weekend nurse hours per resident per day4.463.223.013.42
Nursing staff turnover (past year)44%58%56%46%
Registered nurse turnover (past year)50%56%48%43%
Citations at the most recent standard inspection614.711.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Mar 19, 20261complaint
Sep 3, 20251complaint
Jul 23, 20254standard
Apr 11, 20252complaint · 1 harm-level citation
Jan 29, 20252complaint
Sep 12, 20241complaint
May 23, 20242complaint · 1 harm-level citation
Mar 13, 20241complaint
Sep 29, 20235standard + complaint
Feb 7, 20205standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 24 of 24 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Mar 19, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service · complaint
DDeficient, Provider has date of correction
Sep 3, 2025Honor 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.
Resident rights · complaint
DDeficient, Provider has date of correction
Jul 23, 2025Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Jul 23, 2025Honor 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.
Resident rights
DDeficient, Provider has date of correction
Jul 23, 2025Ensure each resident receives an accurate assessment.
Resident assessment and care planning
DDeficient, Provider has date of correction
Jul 23, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Apr 11, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
J immediate jeopardyDeficient, Provider has date of correction
Apr 11, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident rights · complaint
DDeficient, Provider has date of correction
Jan 29, 2025Plan the resident's discharge to meet the resident's goals and needs.
Resident assessment and care planning · complaint
DDeficient, Provider has date of correction
Jan 29, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Sep 12, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of life and care · complaint
DDeficient, Provider has date of correction
May 23, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation · complaint
DDeficient, Provider has date of correction
May 23, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care · complaint
G actual harmDeficient, Provider has date of correction
Mar 13, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights · complaint
DDeficient, Provider has date of correction
Sep 29, 2023Ensure 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.
Pharmacy service
DDeficient, Provider has date of correction
Sep 29, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Sep 29, 2023Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy service
DDeficient, Provider has date of correction
Sep 29, 2023Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of life and care
DDeficient, Provider has date of correction
Sep 29, 2023Ensure medication error rates are not 5 percent or greater.
Pharmacy service · complaint
EDeficient, Provider has date of correction
Feb 7, 2020Allow residents to self-administer drugs if determined clinically appropriate.
Resident rights
DDeficient, Provider has date of correction
Feb 7, 2020Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident assessment and care planning
DDeficient, Provider has date of correction
Feb 7, 2020Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Feb 7, 2020Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of life and care
DDeficient, Provider has date of correction
Feb 7, 2020Ensure medication error rates are not 5 percent or greater.
Pharmacy service
DDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Apr 11, 2025Fine$88,946

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Questions about Bethesda Dilworth

Answers computed from CMS data for this facility.

What is Bethesda Dilworth's Medicare rating?

Medicare rates Bethesda Dilworth 3 out of 5 stars overall (average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.

How did Bethesda Dilworth do on its last inspection?

Inspectors' most recent visit in the CMS data was on Mar 19, 2026, when they cited 1 problem from a complaint investigation. The most common area was pharmacy service (1 citation). None rose to the level of actual harm; the most serious was severity code D, on a scale from A to L. 0 of 1 are marked corrected in the CMS data. At its most recent standard inspection (Jul 23, 2025) it had 6 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Has Bethesda Dilworth been fined?

Yes. CMS reports 1 fine totaling $88,946 in the past three years.

Does Bethesda Dilworth accept Medicaid?

Bethesda Dilworth is certified for both Medicare and Medicaid. Call (314) 968-5460 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.