St. Louis City County, Missouri · Nursing home
Bernard Care Center
1 of 5 overall from CMS
4335 West Pine Blvd, Saint Louis, MO 63108
At a glance
- Overall rating 1 of 5 Below the state average of 2.5
- Nurse time per resident, per day 1.99 hours Below the state average of 3.43
- Nursing staff who left in a year 45.3% Below the state average of 56.0%
- Health citations, last 3 inspection cycles 69 None at the harm level or above
- Fines in 3 years $37,388 1 fine
- Certified beds in use 93.3% of 141 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Bernard Care Center is a 141-bed nursing home in Saint Louis, Missouri (St. Louis City County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 1.99 nurse staffing hours per resident per day, below the Missouri average of 3.43. CMS lists 1 fine totaling $37,388 in the past three years.
- Certified beds
- 141
- Residents per day (average)
- 131.5
- Certified since
- 1992 (34 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Reliant Care Management (34 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Bernard Care Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $37,388 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 24 health deficiencies in the latest inspection cycle (the standard inspection on Dec 19, 2025 plus complaint and infection-control inspections); the Missouri average is 11.4. Which have been corrected?Inspection results in CMS data
- Registered nurse time is 0.11 hours per resident per day; the Missouri average is 0.46. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Missouri average 2.5
- Health inspections 2 of 5 Missouri average 2.8
- Staffing 1 of 5 Missouri average 2.2
- Quality measures Not rated Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 1.99 h Missouri average 3.43
- Nurse aides 1.56 h Missouri average 2.29
- Licensed practical nurses 0.32 h Missouri average 0.68
- Registered nurses 0.11 h Missouri average 0.46
- All staff, weekends 1.82 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover45.3%
- Missouri average56.0%
- Registered nurse turnoverNot reported
- Missouri average47.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 24.3% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.0% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.4% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 83.7% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 17.3% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 27.1% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.7% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 59.6% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.1% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.2% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | CMS could not validate the data | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.62 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.25 | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 17.9% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.2% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 3.9% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 69 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 13 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Dec 19, 2025 | 24 | 8 |
| Apr 18, 2024 | 17 | 10 |
| Aug 26, 2022 | 28 | 10 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (69)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 30, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to choose his or her attending physician.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 23, 2026)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Feb 2, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 2, 2026)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 2, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 2, 2026)
-
EPotential for more than minimal harm, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Keep all essential equipment working safely.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Have enough outside ventilation via a window or mechanical ventilation, or both.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Put firmly secured handrails on each side of hallways.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Feb 2, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 14, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to manage his or her financial affairs.
Resident Rights · Deficient, Provider has date of correction (Jun 2, 2024)
-
EPotential for more than minimal harm, pattern
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights · Deficient, Provider has date of correction (Jun 2, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Jun 2, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 2, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 2, 2024)
Showing the 30 most recent of 69.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Apr 18, 2024 | Fine | $37,388 |
| Apr 18, 2024 | Payment Denial | 44 days |
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size67 of 487 by certified beds
- Missouri average residents per day73.0
- ChainReliant Care Management
- Chain average overall rating1.2 of 5
- Resident or family councilNone
- Homes in Saint Louis36
- Homes in St. Louis City County13
Common questions
What is the CMS star rating for Bernard Care Center?
Bernard Care Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is not published.
How many beds does Bernard Care Center have?
Bernard Care Center has 141 certified beds. It averages 131.5 residents per day, about 93.3% of its certified beds.
How much nursing care do residents get at Bernard Care Center?
The home reports 1.99 hours of nurse staffing per resident per day, including 0.11 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Bernard Care Center been fined?
Yes. CMS lists 1 fine totaling $37,388 in the past three years. It also lists 1 payment denial.
Does Bernard Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Grand Manor Health Care Center 120beds 89.7%in use 2.00nurse hours a day
- 4 of 5 Life Care Center of St Louis 100beds 91.8%in use 3.54nurse hours a day
- 3 of 5 Delhaven Manor 156beds 18.7%in use 7.18nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in St. Louis City County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265500. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.