Bentleys Extended Care
3060 Ashby Road · Overland, MO · 63114 · 3144260433
72 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $28,969 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $126,939 |
Inspection citations (66 in the current record)
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Potential for harm · E April 30, 2026 · found via complaint
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected June 14, 2026 · Nursing and Physician Services
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Potential for harm · D April 30, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 14, 2026 · Pharmacy Service
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Actual harm · G February 25, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 15, 2026 · Quality of Life and Care
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Actual harm · G February 25, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 15, 2026 · Quality of Life and Care
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Actual harm · G December 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 15, 2026 · Quality of Life and Care
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Potential for harm · E December 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D December 10, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 15, 2026 · Quality of Life and Care
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Potential for harm · D April 30, 2025 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected May 28, 2025 · Quality of Life and Care
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Immediate jeopardy · J February 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D February 4, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 24, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
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.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Ensure each resident receives an accurate assessment.
Corrected November 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 24, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024
Provide appropriate foot care.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · E October 24, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · E October 24, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected November 15, 2024 · Nursing and Physician Services
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Potential for harm · D October 24, 2024
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected December 6, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 10, 2025 | Payment Denial | 5 days |
| February 4, 2025 | Fine | $28,969 |
| June 30, 2023 | Fine | $97,970 |
| June 30, 2023 | Payment Denial | 20 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265732 · certified since June 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.