Bluebird Wellness and Rehabilitation
9350 Green Park Road · Saint Louis, MO · 63123 · 3148450900
188 certified beds For profit - Limited Liability company Chain: Opco Skilled Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $234,836 |
Inspection citations (84 in the current record)
-
Potential for harm · D October 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
-
Potential for harm · D August 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 8, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 10, 2025 · Pharmacy Service
-
Potential for harm · E August 8, 2025
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 September 10, 2025 · Pharmacy Service
-
Potential for harm · D August 8, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 10, 2025 · Nutrition and Dietary
-
Potential for harm · D August 8, 2025 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected September 10, 2025 · Resident Rights
-
Potential for harm · D August 8, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 10, 2025 · Quality of Life and Care
-
Potential for harm · E August 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 10, 2025 · Quality of Life and Care
-
Potential for harm · D August 8, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 10, 2025 · Quality of Life and Care
-
Potential for harm · D March 26, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 26, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected April 21, 2025 · Administration
-
Potential for harm · D March 26, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 30, 2025 · Infection Control
-
Immediate jeopardy · J October 15, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 21, 2024 · Quality of Life and Care
-
Potential for harm · D October 15, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J August 27, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 21, 2024 · Quality of Life and Care
-
Actual harm · G August 27, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 9, 2024 · Quality of Life and Care
-
Actual harm · G August 27, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 1, 2024 · Quality of Life and Care
-
Potential for harm · D August 27, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 1, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E August 27, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 1, 2024 · Nursing and Physician Services
-
Potential for harm · D August 27, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 1, 2024 · Pharmacy Service
-
Potential for harm · D August 27, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 1, 2024 · Resident Assessment and Care Planning
-
Immediate jeopardy · K July 12, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 21, 2024 · Quality of Life and Care
-
Potential for harm · D July 12, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected August 12, 2024 · Pharmacy Service
-
Potential for harm · D July 12, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 1, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 18, 2024 | Fine | $234,836 |
| June 18, 2024 | Payment Denial | 99 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265703 · certified since January 21, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.