All states › Missouri › Saint Louis › Bernard Care Center
4335 West Pine Blvd Saint Louis, MO 63108 · St. Louis City County
All 36 nursing homes in Saint Louis, MO (35 take Medicaid)
CMS certification number 265500 · See this home on Medicare Care Compare
Is Bernard Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Bernard Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 0.83 hours per resident per day at Bernard Care Center, below the Missouri median of 3.37 (US median: 3.72). About 0.08 of those hours are from registered nurses. On weekends it falls to 0.72 hours, 14% below its all-week average. 76.6% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Bernard Care Center: Medicare and Medicaid
Bernard Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 19, 2025 and found 16 deficiencies, plus 13 from complaint inspections in the same period. In total, inspectors issued 74 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 74 citations at Bernard Care Center across 9 inspection dates, 18 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 31, 2026 (complaint inspection). The most common areas cited were quality of life and care (19) and resident rights (18). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, August 31, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 31, 2026 · 2 citations · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
August 7, 2026 · 3 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide or get specialized rehabilitative services as required for a resident.
June 10, 2026 · 1 citation · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
April 8, 2026 · 1 citation · includes complaint inspection
EHonor the resident's right to choose his or her attending physician.
December 19, 2025 · 22 citations · includes complaint inspection
EHonor 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.
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide 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.
DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DAssure that each resident’s assessment is updated at least once every 3 months.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate foot care.
DEnsure 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.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DKeep all essential equipment working safely.
DHave enough outside ventilation via a window or mechanical ventilation, or both.
DPut firmly secured handrails on each side of hallways.
February 20, 2025 · 1 citation · includes complaint inspection
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
April 18, 2024 · 16 citations · includes complaint inspection
EHonor the resident's right to manage his or her financial affairs.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
ETry 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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide and implement an infection prevention and control program.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
November 16, 2023 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
August 26, 2022 · 27 citations
FHonor 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.
FEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor the resident's right to manage his or her financial affairs.
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EHonor 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.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
ENotify 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.
EEnsure each resident receives an accurate assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide enough food/fluids to maintain a resident's health.
ETry 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.
EVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
EEnsure medication error rates are not 5 percent or greater.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that residents are free from significant medication errors.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Questions to ask on a tour of Bernard Care Center
- Inspectors cited the home at the immediate-jeopardy level on August 31, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 31, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 76.6% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $37,388 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 18, 2024 | Fine | $37,388 |
| Apr 18, 2024 | Payment Denial | 44 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | — |
| August 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
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Location
Hospitals near Bernard Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.6 mi
- 0.6 mi
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0.7 mi
Barnes Jewish Hospital St LouisEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 4h 37m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Bernard Care Center › All nursing homes in Saint Louis ›
Compare Bernard Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Christian Extended Care & Rehabilitation · Saint Louis · 5 stars · 9.5 mi
- Life Care Center of St Louis · Saint Louis · 4 stars · 1.4 mi
- Lutheran Convalescent Home · Webster Groves · 4 stars · 5.0 mi
- McKnight Place Extended Care · Saint Louis · 4 stars · 6.8 mi
Other Reliant Care Management nursing homes in Missouri
- Greenville Health Care Center · Greenville · 3 stars
- Portageville Health Care Center · Portageville · 3 stars
- Cedargate Health Care Center · Poplar Bluff · 2 stars
- Sarcoxie Health Care Center · Sarcoxie · 2 stars
- Edgewood Manor Health Care Center · Raytown · 2 stars
- Nick's Health Care Center · Plattsburg · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 35 Reliant Care Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.