Bethesda Dilworth has received an F grade based on CMS data, with a score of 37/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this Saint Louis facility should carefully review its inspection history and quality metrics.
Staffing levels at Bethesda Dilworth exceed national averages, with 5.37 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.66 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 23 deficiencies at Bethesda Dilworth, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.37 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.66 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.87 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 3.84 | 2.4 | Above Average |
| Weekend Total Nursing | 4.81 | 3.8 | Above Average |
| Weekend RN Hours | 0.45 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0585 Severity DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eSep 2, 2025 · Resident Rights Deficiencies
- Tag 0679 Severity EProvide activities to meet all resident's needs.Jul 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0585 Severity DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eJul 22, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Jul 22, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Jul 22, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.2% | 4.5% | Worse |
| Falls with major injury | 9.2% | 3.0% | Worse |
| On antipsychotic medication | 8.0% | 14.5% | Better |
| Urinary tract infections | 3.0% | 2.5% | Worse |
| ADL decline (daily activities) | 21.7% | 14.0% | Worse |
| Excessive weight loss | 14.3% | 7.5% | Worse |
| New/worsened incontinence | 30.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $90,599
How This Grade Was Calculated
This facility's grade of F is based on a score of 37 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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