Bethesda Southgate

    5943 Telegraph Rd, St. Louis, MO, 63129
    3.5 · 57 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Nice facility but unsafe care

    I had a deeply mixed experience. The facility is clean, modern and homey, with many warm, attentive aides, nurses, social workers and helpful administration; meals, activities and some rehab therapists were excellent and there's a real sense of community in places like memory care. But I also witnessed unprofessional behavior (smoking/weed smell, gossip, staff on phones), chronic understaffing/agency CNAs, slow response times and poor communication from leadership. Most troubling were safety lapses and care errors - falls left unattended, medication/dressing mistakes that led to infection and extra surgery, bedsores and hospitalizations - which destroyed my trust. There are pockets of great care, but because of the inconsistency and safety concerns I urge extreme caution.

    Pricing

    Schedule a Tour

    Amenities

    3.54 · 57 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.1
    • Meals

      4.1
    • Amenities

      4.1
    • Value

      1.0

    Pros

    • Compassionate and attentive nursing staff
    • Skilled and effective physical and occupational therapy reported by many
    • Personalized and tailored rehabilitation programs
    • Dedicated individual aides and staff noted by name (e.g., Gennelle, Kelly, Gwen, Jen)
    • Clean, well-maintained facility and modern amenities
    • Private rooms with private baths available
    • Positive recovery outcomes and successful discharges reported
    • Continuity of care including hospice and extended-care services
    • Open and informative communication from staff reported by some families
    • Delicious meals and generally good dining experience
    • Engaging activities and social events (music, bingo, movies)
    • Safe and secure memory-care environment cited by several reviewers
    • Friendly, welcoming atmosphere and strong sense of community
    • Responsive administration and honest management noted in some reviews
    • Good medication management and frequent clinical check-ins reported by some

    Cons

    • Understaffing and reliance on agency/temporary CNAs
    • Slow call-button response times and long waits for assistance
    • Instances of neglect or inadequate supervision (left in wheelchair, unattended)
    • Falls and safety lapses, including incidents of residents left on the floor
    • Medication errors, timing issues, and at least one denied medication due to order issues
    • Rude, rough, or unprofessional aides and nursing behavior
    • Poor or inconsistent communication from leadership to nursing to families
    • Staff gossiping, unprofessional conduct, and reports of smoking or marijuana smell
    • Inconsistent therapy quality; some therapists ineffective or distracted
    • Hygiene and infection concerns (bed sores, infections, pneumonia hospitalizations)
    • Delayed personal care (showers postponed to next shift)
    • Allegations of elder abuse, cover-ups, wrongful death, and distrust of management
    • Odors reported in some areas (urine, older-resident smell)
    • Variable experiences producing widely inconsistent quality of care
    • Full charges despite use of temp staff and perceived inadequate staffing

    Summary review

    Overall sentiment across the reviews of Bethesda Southgate is highly mixed: many families and residents strongly praise the facility for compassionate nursing, effective rehabilitation, cleanliness, and positive recovery outcomes, while an equally large set of reviewers report serious problems with staffing, safety, communication, and professionalism. The result is a polarized portrait—some residents received excellent, individualized care and made clear progress, whereas others experienced neglect, safety incidents, and distressing caregiver behavior.

    Care quality and clinical performance are among the most frequently discussed topics. Positive reports emphasize attentive nursing, personalized plans, successful restorative care, and effective physical and occupational therapy that helped patients achieve goals and return home. Several reviews name specific caregivers and therapists (Gennelle, Kelly, Gwen, Jen) who provided exceptional support. Conversely, a substantial number of reviewers describe alarming care failures: slow or non-existent responses to call buttons, residents left in wheelchairs for long stretches, delayed showers or personal care, medication timing problems, and in the most serious cases falls left undiscovered for hours, bed sores, infections, hospitalizations, and allegations of elder abuse and wrongful death. These safety and dignity issues are among the most critical concerns raised.

    Rehabilitation and therapy services receive mixed feedback. Many families highlight skilled, dedicated therapists and tailored rehab programs that led to meaningful mobility and functional improvements. These accounts describe clear therapy goals, encouraging progress, and well-equipped rehab spaces. However, other reviewers report limited therapy frequency, therapists who spent excessive time on computers rather than with patients, or therapy that failed to produce expected mobility gains. A few families transferred residents elsewhere and saw improvement, indicating inconsistency in therapy quality or intensity.

    Staff behavior, morale, and professionalism are recurring themes with wide variability. Numerous reviewers praise warm, friendly, and hardworking staff who create a welcoming environment and communicate well with families. At the same time, multiple reports describe rude or rough aides, gossiping staff, nurses sitting on their phones, and instances of unprofessional conduct such as smoking or smelling of marijuana. Several reviewers point to understaffing, low pay, and heavy reliance on agency staff as contributors to these problems. The presence of long-term, engaged employees is cited in positive reviews, while negative reviews frequently single out temporary or undertrained staff as part of the problem.

    Facility, cleanliness, and environment are generally seen as strengths, with many reviewers noting a modern, well-maintained, and odor-free environment—private rooms with baths, clean common spaces, a dedicated memory-care unit, and pleasant dining areas with activities like piano during meals. That said, cleanliness concerns are not absent: intermittent reports of urine odors, an initial mold issue in a toilet, and older-resident odors in some areas were reported. Memory-care was praised by several families for being secure and odor-free, though a few accounts of distressing roommate situations and disruptive residents were also mentioned.

    Dining and activities are frequently mentioned in positive terms: meals are called delicious by many, dietary staff are adaptable, and activities such as bingo, movies, group events, and special occasions are available. Some reviewers in short-term rehab settings felt activities were limited compared with long-term residents, noting only occasional bingo or movie days. Still, several families appreciated community programming, social director involvement, and opportunities for family engagement and meetings.

    Management, communication, and transparency show a stark divide in reviewer experience. Some families describe honest, competent leadership with an open-door policy, helpful social workers, and good communication about care plans. Others report poor communication from leadership, perceived cover-ups, distrust, and management that seems more financially motivated than resident-focused. These negative accounts frequently accompany the most severe care complaints and contribute to a lack of trust.

    Patterns and notable concerns: the reviews suggest the facility can deliver high-quality, compassionate care and successful rehabilitation for many residents, but outcomes are highly inconsistent and appear sensitive to staffing levels, the presence of long-term knowledgeable staff vs agency/temp staff, and management oversight. The most serious and recurring red flags are safety lapses (falls, delayed response), medication and infection issues, and occasional unprofessional or neglectful staff behavior. These are not universal but are significant enough to merit careful scrutiny by prospective residents and families.

    Recommendations for families considering Bethesda Southgate based on these reviews: verify current staffing ratios and the extent of agency/temporary staff use; ask specifically about call-button response protocols, fall prevention and detection systems, infection-control policies, and how medication orders are handled; request to meet therapy staff and see typical therapy schedules and progress measures; tour the memory-care unit and sample dining; ask for references from recent families and review state inspection histories. Given the facility’s polarized reviews, an individualized, up-to-date assessment during a visit and direct conversations with leadership and frontline staff are essential to determine whether Bethesda Southgate’s strengths align with a particular resident’s care needs and safety expectations.

    Location

    Map showing location of Bethesda Southgate

    About Bethesda Southgate

    Bethesda Southgate has a lot of different care options, so whether someone needs independent living, assisted living, memory care, skilled nursing, rehab, or hospice, there's a space for them and their needs can be met right on the same campus, which makes moving through life's stages a little smoother, and what's nice is they've got private rooms and a few different floor plans, so folks can pick what suits them, plus there's Wi-Fi, kitchen setups, cable TV, and even washers and dryers, which is handier than you might think. Their staff includes nurses, certified nurse assistants, therapists, and aides who've got training in care, and they try hard to keep things clean, comfortable, and odor-free. If someone's dealing with dementia or Alzheimer's, there's something called Memory Lane, which is a secure part of the community made especially for memory loss, with gardens, walking paths, and courtyards where you don't need to worry about folks wandering off, and they use programs like "Landmarks for Living," "Music & Memory," and this computer-based thing called "It's Never 2 Late" (iN2L), which tries to keep residents connected and engaged, maybe not for everyone, but for some, it's good. For those who need rehab, they've got the Bethesda Rehab & Therapy Center, running seven days a week, with therapists who help people work to regain strength and mobility after illness or injury. Assisted living here means help with daily things, and for people who want less hands-on care, independent apartments are available, and meals get cooked by a chef, which probably beats heating up a microwave dinner alone, and there are activities-exercise classes, baking, cards, gardening, trips to the store-for folks who want to keep busy, plus religious services with pastoral care. Bethesda Southgate sits near 5943 Telegraph Road and falls under the Bethesda Health Group, which is nonprofit and aims to offer reliable care without flash, so while the buildings are nice and the courtyards look like a pleasant place to sit, it feels more like a place set up for real life than for show. There are medical services like podiatry, eye exams, hearing, and dental visits for people who need them without going out somewhere else, and respite and hospice care is available. People who move in find a calm, clean environment where staff get to know residents, and the community works to keep everyone feeling safe and respected. The "Care Finder" and "Calendar of Events" help families keep up with what's happening and figure out what level of care is best, and if things change with someone's health, there's support for the transition. They've also got a good infection control setup, with easy access to flu and COVID vaccines, which is important these days. The campus has lawns, gardens, a dining hall, and guest houses for visits, and if you walk around, you'll see folks chatting in the courtyard, staff greeting people by name, and a sense of steady routine. There's nothing too fancy, but the care is thoughtful, and the goal is always to give residents purpose and comfort as they age.

    People often ask...

    Nearby Communities

    • Front exterior view of the American House Town and Country senior living facility with a circular driveway, landscaped greenery, and an American flag on a flagpole under a wooden entrance canopy.
      $5,000+3.9 (61)
      suite
      assisted living, memory care

      American House Town and Country

      1020 Woods Mill Rd, Town and Country, MO, 63017
    • Exterior view of a senior living facility named The Ashton on Dorsey, featuring a large covered entrance with stone pillars, multiple windows, and three flagpoles with flags in front of the building under a clear blue sky.
      $4,100 – $6,900+4.7 (76)
      Studio • 1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      The Ashton on Dorsey

      1105 Dorsey Ln, Louisville, KY, 40223
    • Evening view of the entrance area of Belmont Village Senior Living Lincoln Park, featuring brick walls, decorative lighting fixtures, a circular chandelier on the ceiling, and a sign with the facility's name visible near the street.
      $5,506 – $7,157+4.5 (131)
      Semi-private • 1 Bedroom • Studio
      independent, assisted living, memory care

      Belmont Village Senior Living Lincoln Park

      700 W Fullerton Ave, Chicago, IL, 60614
    • Exterior view of Belmont Village Senior Living Glenview building at dusk, showing a large covered entrance with white columns, well-maintained landscaping with bushes and trees, and a multi-story brick and siding facade with lit windows.
      $3,965+4.6 (121)
      Semi-private
      independent, assisted living, memory care

      Belmont Village Senior Living Glenview

      2200 Golf Rd, Glenview, IL, 60025
    • Exterior view of a large, modern three-story senior living facility building with a covered entrance driveway, surrounded by green lawns and trees under a partly cloudy blue sky.
      $5,633 – $7,322+3.9 (69)
      Semi-private • 1 Bedroom • Studio
      assisted living, memory care

      Alto Grayslake

      1865 E Belvidere Rd, Grayslake, IL, 60030
    • Aerial view of a senior living facility named Montage Mason surrounded by green lawns, trees, parking lots, and nearby buildings under a clear sky.
      $4,395 – $5,274+4.5 (75)
      Semi-private
      assisted living, memory care

      Montage Mason

      5373 Merten Dr, Mason, OH, 45040
    © 2025 Mirador Living