Bentleys Extended Care: Aides Charged for Training - MO
Federal inspectors who visited Bentleys Extended Care on April 29 and 30 found the facility had been running the arrangement for at least two years. The mechanism was a written contract the facility called a "CNA Training Program Assistance Agreement." The document, dated 2025, set tuition at $720, collected in installments of $140.40 per pay period. If a student quit or failed to finish the program, no refund would be issued, and the facility would not recognize course completion until it had been fully reimbursed.
Charging nurse aides for their own competency evaluation program is a federal violation.
The administrator told inspectors the arrangement was framed internally as help. The facility, she explained, paid for the certification program upfront, then had the aide sign an agreement to pay it back over 12 weeks. She described it as assistance for workers interested in becoming certified.
One of the aides inspectors interviewed had already been through it. CNA M, hired as an uncertified nurse aide in 2024, said the facility had him pay for the CNA certification program. He completed it. He is now a certified nursing assistant. The inspection report does not say whether he was told at hiring that the cost would come out of his wages.
A second aide, NA L, had signed the repayment agreement on April 21, just eight days before inspectors arrived. His or her personnel file contained the contract. The hire date listed was March 6, 2026, meaning the aide had been working at the facility for roughly six weeks before signing.
A third aide, NA G, had a different situation. He or she had spent about a year working in laundry before moving into a nurse aide position at the start of April 2026. The facility offered to cover the CNA program cost with a repayment plan of around $100 per paycheck. At the time inspectors interviewed NA G, he or she had not yet enrolled and had not received any money for the program. There was no documentation of enrollment in the personnel file.
The inspection report rated the violation as causing minimal harm or potential for actual harm and noted that some residents were affected, a reference to the staffing implications of the training arrangement rather than direct resident injury.
What the report leaves unresolved is how many aides had cycled through the repayment agreement before inspectors arrived. The three workers identified represent the facility's current uncertified aide population, not a complete accounting of everyone who signed a contract. CNA M's account suggests the practice predates the 2025 agreement document by at least a year.
The administrator did not indicate the practice had stopped.
Bentleys Extended Care sits on Ashby Road in Overland, a small city just outside St. Louis. The facility had 52 residents at the time of the inspection. The complaint inspection was completed April 30, 2026.
NA G, who moved from folding laundry to caring for residents two months ago to see if he or she would like the work, was still waiting to find out what the job would actually cost.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bentleys Extended Care from 2026-04-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
BENTLEYS EXTENDED CARE in OVERLAND, MO was cited for violations during a health inspection on April 30, 2026.
Federal inspectors who visited Bentleys Extended Care on April 29 and 30 found the facility had been running the arrangement for at least two years.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.