CareSentinel

Compiled from official CMS federal data

BERNARD CARE CENTER, SAINT LOUIS, MO — Violations & Inspection Reports

CCN 265500 · 4335 WEST PINE BLVD, SAINT LOUIS, MO, 63108

Record as of Jun 2026 · Updated monthly from CMS

Does BERNARD CARE CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), BERNARD CARE CENTER (CCN 265500), in SAINT LOUIS, MO, has federal inspection findings.

In its current inspection cycle, CMS cited the facility for 23 deficiencies; the most severe is rated E — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2025-12-19. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $37,388 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 2 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Apr 2024.
  • 1 nutrition and hydration citation (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Aug 2022.
  • 12 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS has $37,388 in civil money penalties on file against this facility.

Below is this facility's federal inspection record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$37,388

CMS also records 44 days of payment denial.

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 68 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2026-04-08
CURRENT CYCLE
F555S/S E

Honor the resident's right to choose his or her attending physician.

2025-12-19
CURRENT CYCLE
F578S/S E

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

2025-12-19
CURRENT CYCLE
F688S/S E

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

57 more citations on file — Accidents & supervision 1 · Nutrition & hydration 1 · Medication & pharmacy 5 · Resident rights 10 · Other citations 38 (expand)
2025-12-19
CURRENT CYCLE
F658S/S E

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

2025-12-19
CURRENT CYCLE
F656S/S E

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

2025-12-19
CURRENT CYCLE
F584S/S E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

2025-12-19
CURRENT CYCLE
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2025-12-19
CURRENT CYCLE
F568S/S D

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

2025-12-19
CURRENT CYCLE
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2025-12-19
CURRENT CYCLE
F638S/S D

Assure that each resident’s assessment is updated at least once every 3 months.

2025-12-19
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-12-19
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2025-12-19
CURRENT CYCLE
F677S/S D

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

2025-12-19
CURRENT CYCLE
F687S/S D

Provide appropriate foot care.

2025-12-19
CURRENT CYCLE
F693S/S D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

2025-12-19
CURRENT CYCLE
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2025-12-19
CURRENT CYCLE
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2025-12-19
CURRENT CYCLE
F755S/S D

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

2025-12-19
CURRENT CYCLE
F804S/S D

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

2025-12-19
CURRENT CYCLE
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2025-12-19
CURRENT CYCLE
F908S/S D

Keep all essential equipment working safely.

2025-12-19
CURRENT CYCLE
F923S/S D

Have enough outside ventilation via a window or mechanical ventilation, or both.

2025-12-19
CURRENT CYCLE
F924S/S D

Put firmly secured handrails on each side of hallways.

2025-02-20
HISTORICAL
F690S/S D

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

2024-04-18
HISTORICAL
F567S/S E

Honor the resident's right to manage his or her financial affairs.

2024-04-18
HISTORICAL
F656S/S E

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

2024-04-18
HISTORICAL
F755S/S E

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

2024-04-18
HISTORICAL
F700S/S E

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2024-04-18
HISTORICAL
F689S/S E

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

2024-04-18
HISTORICAL
F804S/S E

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

2024-04-18
HISTORICAL
F568S/S E

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

2024-04-18
HISTORICAL
F584S/S E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

2024-04-18
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-04-18
HISTORICAL
F690S/S D

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

2024-04-18
HISTORICAL
F919S/S D

Make sure that a working call system is available in each resident's bathroom and bathing area.

2024-04-18
HISTORICAL
F658S/S D

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

2024-04-18
HISTORICAL
F677S/S D

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

2024-04-18
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-04-18
HISTORICAL
F684S/S D

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

2024-04-18
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2023-11-16
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2022-08-26
HISTORICAL
F806S/S F

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2022-08-26
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2022-08-26
HISTORICAL
F868S/S F

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

2022-08-26
HISTORICAL
F578S/S F

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

2022-08-26
HISTORICAL
F692S/S E

Provide enough food/fluids to maintain a resident's health.

2022-08-26
HISTORICAL
F656S/S E

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

2022-08-26
HISTORICAL
F568S/S E

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

2022-08-26
HISTORICAL
F584S/S E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

2022-08-26
HISTORICAL
F658S/S E

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

2022-08-26
HISTORICAL
F623S/S E

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

2022-08-26
HISTORICAL
F625S/S E

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

2022-08-26
HISTORICAL
F641S/S E

Ensure each resident receives an accurate assessment.

2022-08-26
HISTORICAL
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2022-08-26
HISTORICAL
F567S/S E

Honor the resident's right to manage his or her financial affairs.

2022-08-26
HISTORICAL
F700S/S E

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2022-08-26
HISTORICAL
F729S/S E

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

2022-08-26
HISTORICAL
F550S/S E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2022-08-26
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2022-08-26
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Overall CMS star rating

This facility: 1  ·  CMS state average: 2.5

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

BERNARD CARE CENTER — Federal Record

CMS overall 1/5 · 23 current-cycle deficiencies


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

Add what you saw at BERNARD CARE CENTER to this record

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Strict time limits can apply to taking legal action — consider consulting a qualified attorney promptly.

What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

Compare this facility on CMS’s own Care Compare →

Download the full federal record (PDF) →