Elder Care Record

Missouri › St. Louis City County › Saint Louis

Bernard Care Center

4335 West Pine Blvd, Saint Louis, MO 63108

CCN 265500 · For-profit, limited liability company · 141 certified beds · chain Reliant Care Management

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 141 beds, Bernard Care Center serves Saint Louis in St. Louis City County, Missouri and has taken Medicare and Medicaid residents since 1992.

CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 2, staffing 1 and quality measures 2.

Inspectors recorded 69 health deficiencies across the three most recent survey cycles (24, 17, 28 by cycle, most recent first), none at the actual-harm level. That is 48.9 per 100 beds, more than the state median of 32.1.

CMS lists 2 penalties in the period covered: fines totalling $37K and 1 payment denial.

Reported nurse staffing is 2.0 hours per resident per day (0.1 RN), below the Missouri median of 3.4; nursing staff turnover is 45.3%.

69health deficiencies, 3 survey cyclesnone at actual-harm level
$37Kfines listed by CMS2 penalties in period
2.0nurse hours per resident per daystate median 3.4
93%occupancy (residents ÷ beds)132 residents a day

Compared with county, state and nation

MeasureThis facilitySt. Louis City Co. medianMissouri medianUS average
Overall star rating1123.0
Health citations, 3 cycles69573128.7
Citations per 100 beds48.943.832.126.8
Total nurse hours per resident day2.03.13.43.9
RN hours per resident day0.10.20.40.7
Nursing staff turnover45.3%63.6%56.1%45.8%
Fines listed$37,388$31,665$0—

County and state figures are medians across facilities (13 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)24
Cycle 217
Cycle 328

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Dec 2025, 18 Apr 2024.

Severity mix: D ×34 E ×30 F ×4 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
10 Jun 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation30 Jun 2026
8 Apr 2026F0555Honor the resident's right to choose his or her attending physician.EComplaint investigation23 Apr 2026
19 Dec 2025F0578Honor 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.EStandard survey2 Feb 2026
19 Dec 2025F0584Honor 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.EComplaint investigation2 Feb 2026
19 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey2 Feb 2026
19 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey2 Feb 2026
19 Dec 2025F0688Provide 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.EStandard survey2 Feb 2026
19 Dec 2025F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DStandard survey2 Feb 2026
19 Dec 2025F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey2 Feb 2026
19 Dec 2025F0638Assure that each resident’s assessment is updated at least once every 3 months.DStandard survey2 Feb 2026
19 Dec 2025F0641Ensure each resident receives an accurate assessment.DStandard survey2 Feb 2026
19 Dec 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey2 Feb 2026
19 Dec 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey2 Feb 2026
19 Dec 2025F0687Provide appropriate foot care.DComplaint investigation2 Feb 2026
19 Dec 2025F0693Ensure 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.DStandard survey2 Feb 2026
19 Dec 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey2 Feb 2026
19 Dec 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey2 Feb 2026
19 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey2 Feb 2026
19 Dec 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey2 Feb 2026
19 Dec 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation2 Feb 2026
19 Dec 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey2 Feb 2026
19 Dec 2025F0908Keep all essential equipment working safely.DComplaint investigation2 Feb 2026
19 Dec 2025F0923Have enough outside ventilation via a window or mechanical ventilation, or both.DComplaint investigation2 Feb 2026
19 Dec 2025F0924Put firmly secured handrails on each side of hallways.DComplaint investigation2 Feb 2026
20 Feb 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation14 Mar 2025
18 Apr 2024F0567Honor the resident's right to manage his or her financial affairs.EStandard survey2 Jun 2024
18 Apr 2024F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey2 Jun 2024
18 Apr 2024F0584Honor 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.EStandard survey2 Jun 2024
18 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey2 Jun 2024
18 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation2 Jun 2024
18 Apr 2024F0700Try 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.EStandard survey2 Jun 2024
18 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey2 Jun 2024
18 Apr 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey2 Jun 2024
18 Apr 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey2 Jun 2024
18 Apr 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation2 Jun 2024
18 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation2 Jun 2024
18 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey2 Jun 2024
18 Apr 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey2 Jun 2024
18 Apr 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey2 Jun 2024
18 Apr 2024F0880Provide and implement an infection prevention and control program.DStandard survey2 Jun 2024
18 Apr 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey2 Jun 2024
16 Nov 2023F0760Ensure that residents are free from significant medication errors.DComplaint investigation22 Dec 2023
26 Aug 2022F0578Honor 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.FStandard survey10 Oct 2022
26 Aug 2022F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.FStandard survey10 Oct 2022
26 Aug 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Oct 2022
26 Aug 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey10 Oct 2022
26 Aug 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey10 Oct 2022
26 Aug 2022F0567Honor the resident's right to manage his or her financial affairs.EStandard survey10 Oct 2022
26 Aug 2022F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey10 Oct 2022
26 Aug 2022F0584Honor 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.EStandard survey10 Oct 2022
26 Aug 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey10 Oct 2022
26 Aug 2022F0625Notify 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.EStandard survey10 Oct 2022
26 Aug 2022F0641Ensure each resident receives an accurate assessment.EStandard survey10 Oct 2022
26 Aug 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey10 Oct 2022
26 Aug 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey10 Oct 2022
26 Aug 2022F0692Provide enough food/fluids to maintain a resident's health.EStandard survey10 Oct 2022
26 Aug 2022F0700Try 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.EStandard survey10 Oct 2022
26 Aug 2022F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.EStandard survey10 Oct 2022
26 Aug 2022F0759Ensure medication error rates are not 5 percent or greater.EStandard survey10 Oct 2022
26 Aug 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey10 Oct 2022
26 Aug 2022F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey10 Oct 2022
26 Aug 2022F0583Keep residents' personal and medical records private and confidential.DStandard survey10 Oct 2022
26 Aug 2022F0585Honor 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.DStandard survey10 Oct 2022
26 Aug 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey10 Oct 2022
26 Aug 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Oct 2022
26 Aug 2022F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey10 Oct 2022
26 Aug 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Oct 2022
26 Aug 2022F0760Ensure that residents are free from significant medication errors.DStandard survey10 Oct 2022
26 Aug 2022F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey10 Oct 2022

Penalties

DateTypeAmountDetail
18 Apr 2024Payment denial—44 days
18 Apr 2024Fine$37,388

Staffing

Total nursing1.99 h
Nurse aides1.56 h
LPN0.32 h
RN0.11 h
Weekend total1.82 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 45.3%, RNs —; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay24.3%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.1%3.6%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay27.1%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.1%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay39.5%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Bernard Care Center, Llc. Chain: Reliant Care Management (34 facilities).

OrganisationRole in the CMS recordInterestSince
Reliant Care Management Company LLCOperational/managerial controlNOT APPLICABLE11/01/1991

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in St. Louis City County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Life Care Center of St LouisSaint Louis1004333737.0$16K16 Jan 2026
Delhaven ManorSaint Louis1563244830.8$73K16 Mar 2026
Oak Park Care CenterSaint Louis1203413831.7—14 Aug 2024
Blue Circle Rehab and NursingSaint Louis902118088.9$13K15 Jan 2026
Beauvais Rehab and Healthcare Centerabuse iconSaint Louis1841216334.2—26 Sep 2025
Carrie Elligson Gietner Health Care CenterSaint Louis1301115743.8$93K21 May 2026
Grand Manor Health Care CenterSaint Louis1201214638.3$126K28 May 2026
Lansdowne VillageSaint Louis1451216846.9$15K17 Nov 2025

All 13 facilities in St. Louis City County

Questions and answers

How many deficiencies has Bernard Care Center been cited for?

69 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Bernard Care Center been fined?

Yes. CMS lists fines totalling $37K in the period covered, plus 1 payment denial.

How does staffing at Bernard Care Center compare?

Reported total nurse staffing is 2.0 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Bernard Care Center?

It is part of the Reliant Care Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Reliant Care Management Company LLC. Individual owners and managers are not listed on this site.

When was Bernard Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 10 Jun 2026; the most recent standard health survey was 19 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.