CCN 265764 · St. Louis County, Missouri
Bethesda Dilworth
9645 Big Bend Blvd, Saint Louis, MO 63122
Bethesda Dilworth is a 350-bed nonprofit nursing home in Saint Louis, Missouri, first certified for Medicare or Medicaid in 2003. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 128.0 residents a day, about 37% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 350
- Average residents per day
- 128.0 (36.6% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Bethesda Long Term Care Inc
- Certified since
- May 1, 2003
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Missouri median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 5.00 | 3.36 | 3.68 |
| RN hours per resident per day | 0.41 | 0.39 | 0.58 |
| Weekend nurse hours per resident per day | 4.46 | ||
| Nursing staff turnover | 43.5% | 56.1% | 44.9% |
| Occupancy (residents / beds) | 36.6% | 74.2% | 85.7% |
| Fines reported by CMS | 1 totaling $88,946 | ||
| Health deficiencies, latest standard survey | 6 (Jul 23, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Bethesda Dilworth meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Bethesda Health Group IncOrganization | Operational / Managerial Control | n/a | 07/08/1999 |
| Select Rehabilitation, LLCOrganization | Operational / Managerial Control | n/a | 12/15/2015 |
| Brinker, JosephIndividual | Operational / Managerial Control | n/a | 07/01/2010 |
| Byrne, RogerIndividual | Operational / Managerial Control | n/a | 02/10/2014 |
| Cwiklowski, ReneeIndividual | Operational / Managerial Control | n/a | 05/04/2023 |
| Dembiec, ScottIndividual | Operational / Managerial Control | n/a | 03/01/2025 |
| Kimball, MicheleIndividual | Operational / Managerial Control | n/a | 02/21/2021 |
| McIntosh, JessicaIndividual | Operational / Managerial Control | n/a | 02/10/2025 |
| Peregrin, KielIndividual | Operational / Managerial Control | n/a | 02/23/2020 |
| Popp, JenniferIndividual | Operational / Managerial Control | n/a | 01/31/2025 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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