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Nursing homeFAID #7347

Bethesda Dilworth

9645 BIG BEND BLVD, SAINT LOUIS, MO, 63122
(314) 968-5460
350 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections4/5 staffing3/5 quality measuresSource: CMS Care Compare

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Bed capacity
350
State license
052737
CMS facility ID
265764
Care type
Nursing home
Facility name
Bethesda Dilworth
Street address
9645 BIG BEND BLVD
City / state / ZIP
Saint Louis, MO 63122
Phone
(314) 968-5460
State license #
052737

Bethesda Dilworth is a Medicare/Medicaid-certified skilled nursing facility in Saint Louis, Missouri. It is licensed for 350 beds — well above the median for skilled nursing facilities in Missouri (97 beds).

It is one of 156 senior care facilities in Saint Louis and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Bethesda Dilworth 38 times across 14 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $88,946 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Bethesda Long Term Care, Inc
Ownership type
Non profit - Corporation
Administrator
Renee Cwiklowski

Registered owners & officers

Bethesda Health Group Inc
Operational control · Additional disclosable party — since 1999
Bethesda Long Term Care Inc
Direct owner · Additional disclosable party — since 2006
Brinker, Joseph
Governing body · Director · Officer · Operational control · Additional disclosable party — since 2010
Byrne, Roger
Governing body · Officer · Operational control · Additional disclosable party — since 2014
Cwiklowski, Renee
Operational control · Additional disclosable party — since 2023
Dembiec, Scott
Operational control · Additional disclosable party — since 2025
Esther, James
Governing body · Director — since 2018
Falker, Fred
Governing body · Director — since 2022
Hutchison, Philip
Governing body · Officer — since 2020
Keller, Joseph
Governing body · Director — since 2019
Kimball, Michele
Operational control · Additional disclosable party — since 2021
Klingler, Kevin
Governing body · Officer — since 2024
Mayes, Gary
Governing body · Director — since 2023
Mcdonnell, Veronica
Governing body · Director — since 2025
Mcintosh, Jessica
Operational control · Additional disclosable party — since 2025
Meier, John
Governing body · Officer — since 2019
Peregrin, Kiel
Governing body · Officer · Operational control · Additional disclosable party — since 2020
Popp, Jennifer
Operational control · Additional disclosable party — since 2025
Rooney, Patrick
Governing body · Officer — since 2021
Rowe, John
Governing body · Director — since 2025
Select Rehabilitation, Llc
Operational control · Additional disclosable party — since 2015
Teibel, Samantha
Governing body · Director — since 2025

Regulatory standing

Licensed / certified since
2003-05-01
License expires
2027-05-31
CMS overall rating
3 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$88,946 total
Last standard inspection
2025-07-23
Nurse staffing
5.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$428 per day (≈ $13,010/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
35% Medicaid · 10% Medicare · 55% private/other
Occupancy
37% (fiscal year 2024)
Vs. state median
67% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
350
Licensed as
SNF
Memory care
Yes — dedicated memory care
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-03-19Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-03
2025-09-03Health inspectionComplaint-triggered1 citation
F-0585
D · No harm foundFrom a complaint
Honor 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.
Corrected 2025-09-19
11 earlier / fire-safety inspections (36 citations)
2025-07-23Health inspection4 citations
F-0585
D · No harm found
Honor 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.
Corrected 2025-09-19
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-08-29
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-29
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2025-08-29
2025-04-11Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-12
F-0686
J · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-09
2025-01-29Health inspectionComplaint-triggered2 citations
F-0660
D · No harm foundFrom a complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2025-02-28
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-28
2024-09-12Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-30
2024-05-23Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-13
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-23
2024-03-13Health inspectionComplaint-triggered1 citation
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-05
2023-09-29Health inspectionComplaint-triggered5 citations
F-0678
D · No harm found
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 2023-10-18
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-27
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-27
F-0761
D · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-10-27
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-10-27
2020-02-07Health inspection5 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2020-03-06
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-06
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-03-06
F-0690
D · No harm found
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 2020-03-06
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-03-06
2025-07-23Fire-safety inspection3 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-06
K-0531
E · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-08-11
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-07-24
2023-09-29Fire-safety inspection6 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-10-27
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2023-10-27
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-27
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-10-27
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-10-27
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-27
2020-02-07Fire-safety inspection5 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-03-06
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-06
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-03-06
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2020-03-06
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2020-03-06

Federal penalties

2025-04-11Fine$88,946
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265764.
What people say on Google.
3.381 ratings on Google
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered