Bernard Care Center
4335 West Pine Blvd · Saint Louis, MO · 63108 · 3143710200
141 certified beds For profit - Limited Liability company Chain: Reliant Care Management
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.
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.08 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.79 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.08 | 0.55–0.75 |
| Weekend hours / resident-day | 2.53 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 1 · $37,388 |
Inspection citations (68 in the current record)
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Potential for harm · E April 8, 2026 · found via complaint
Honor the resident's right to choose his or her attending physician.
Corrected April 23, 2026 · Resident Rights
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Potential for harm · D December 19, 2025
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · E December 19, 2025
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.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · D December 19, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected February 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2025
Ensure each resident receives an accurate assessment.
Corrected February 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 19, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · E December 19, 2025
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.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · D December 19, 2025
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.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · D December 19, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · D December 19, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · D December 19, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 2, 2026 · Pharmacy Service
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Potential for harm · D December 19, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 2, 2026 · Pharmacy Service
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Potential for harm · D December 19, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 2, 2026 · Infection Control
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Potential for harm · E December 19, 2025 · found via complaint
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.
Corrected February 2, 2026 · Resident Rights
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Potential for harm · D December 19, 2025 · found via complaint
Provide appropriate foot care.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · D December 19, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 2, 2026 · Nutrition and Dietary
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Potential for harm · D December 19, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected February 2, 2026 · Environmental
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Potential for harm · D December 19, 2025 · found via complaint
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected February 2, 2026 · Environmental
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Potential for harm · D December 19, 2025 · found via complaint
Put firmly secured handrails on each side of hallways.
Corrected February 2, 2026 · Environmental
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Potential for harm · D February 20, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · E April 18, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected June 2, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 18, 2024 | Fine | $37,388 |
| April 18, 2024 | Payment Denial | 44 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 265500 · certified since August 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.