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Nursing HomeMedicaid Investigative

Bernard Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4335 West Pine Blvd, Central West End · Saint Louis, MO 63108141 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.5/5

based on 22 Google reviews

5
4
3
2
1
Bernard Care Center Nursing Home in Saint Louis, MO — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (22 vs median 10)

Bottom 25% in MO · Critically understaffed (RN) · Significantly below average staffing · Worst in RELIANT CARE MANAGEMENT chain · $37,388 in fines

Source: Medicare data

What this means for your family

While the administrative team is noted for being professional during transitions, the facility faces recurring, serious complaints regarding chronic understaffing and poor management responsiveness. Families should conduct an unannounced visit to observe current staffing levels and cleanliness before making a decision.

Google Reviews

Google Reviews

22 reviews on Google
Bernard Care Center receives highly polarized feedback, with significant concerns regarding staffing shortages, poor management responsiveness, and facility cleanliness. While some visitors praise the administrative team's professionalism during transitions, multiple families and former staff members have reported severe neglect and a lack of follow-through on basic care needs.

Quality Themes

Tap a score for details
FoodN/AStaff3.0Clean2.0ActivitiesN/AMedsN/AMemory1.0Comms2.0ValueN/A

Strengths

  • Welcoming administrative staff
  • Professional transition assistance
  • Friendly frontline personnel

Concerns

  • Severe staffing shortages impacting quality of care (mentioned by 2 reviewers)
  • Poor management responsiveness and defensive attitude toward complaints (mentioned by 2 reviewers)
  • Facility cleanliness and odor issues (mentioned by 2 reviewers)
  • Misleading information and lack of follow-through (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(1)'19(1)'21(2)'23(3)'25(4)

Distribution · 24 analyzed

5
6
4
3
3
2
2
0
1
13

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, how does the facility ensure that residents receive timely assistance with daily needs like hygiene and mobility?
  • 2I noticed some concerns regarding facility cleanliness; what is your current protocol for housekeeping and managing odors in resident living areas?
  • 3When a family member has a concern or a complaint, what is the specific process for escalating that issue to management to ensure it is addressed promptly?
  • 4With the recent CMS staffing ratings, what steps is the leadership team taking to improve staff retention and ensure consistent, high-quality care for residents?
  • 5Could you walk me through the daily activity schedule to see how residents are kept engaged and socialized throughout the week?
  • 6In the event of a medical emergency, what is the protocol for notifying family members and coordinating with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

My Father and Stepmother were there and it was the worst experience. The management was very lax. It was always smelly. When we complained to management, they were always in defense, rather than trying to fix the issues.

Long-term resident's family · 2018☆☆☆☆

I was very impressed by the Administrator in her team. They were very professional. They answer all the questions that the resident had they made them feel very comfortable doing the transition.

Professional visitor · 2023★★★★★

Full of flash truth and info, jo follow thru, very small room misleading information very poor care. Of love ones, extremely short of help some very good people but can't keep up with shortage of help

Family member · 2022☆☆☆☆
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.08hrs
10%
Registered nurses for medical care
Total Nursing
2.79hrs
68%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

4

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility14.3%
Worse than Avg
Here
14.3%
US
93.4%
MO
84.4%
St. louis city
63.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility67.3%
Worse than Avg
Here
67.3%
US
12.1%
MO
16.7%
St. louis city
43.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility59.6%
Worse than Avg
Here
59.6%
US
95.5%
MO
90.9%
St. louis city
82.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility37.5%
Worse than Avg
Here
37.5%
US
15.4%
MO
23.6%
St. louis city
17.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.1%
Worse than Avg
Here
32.1%
US
14.4%
MO
19.1%
St. louis city
17.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
15.3%
MO
18.9%
St. louis city
14.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility12.2%
Worse than Avg
Here
12.2%
US
81.8%
MO
65.9%
St. louis city
42.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

22deficiencies
2penalties
Well above state avg (12.0)
13 complaint-triggered
$37,388 in fines

Bernard Care Center shows a concerning pattern of recurring deficiencies across multiple care areas, with families filing complaints that triggered 14 additional inspections. The facility has persistent problems with resident rights protection, medication management, and fire safety systems that appear repeatedly across surveys from 2019-2024. While all violations show correction dates, the recurring nature of issues in resident dignity, medication errors, and safety hazards suggests ongoing quality challenges families should investigate thoroughly before considering placement.

Dec 19, 2025Routine
24
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0568Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Dec 19, 2025Complaint
6
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0923Potential for harm · IsolatedCorrected

Environmental Deficiencies

Have enough outside ventilation via a window or mechanical ventilation, or both.

0924Potential for harm · IsolatedCorrected

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

Feb 20, 2025Complaint
1
0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Apr 18, 2024Routine
23
0345Immediate jeopardy · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0346Immediate jeopardy · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0161Potential for harm · Pattern

Construction Deficiencies

Use approved construction type or materials.

0531Potential for harm · Pattern

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0568Potential for harm · PatternCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0700Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Try 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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Apr 18, 2024Complaint
3
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Nov 16, 2023Complaint
1
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Federal Penalties

Fine

Apr 18, 2024

$37,388

Payment Denial

Apr 18, 2024

44-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bernard Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Reliant Care Management

Chain Size

32 facilities nationwide

Chain avg rating: 1.1/5 · Rank 19 of 29 (Worst)

Ownership & Management

Key personnel

Johnson, LajuanaW-2 Managing EmployeeDestefane, RichardOfficer / DirectorReliant Care Management Company LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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