Bluebird Wellness and Rehabilitation in Saint Louis has a 1-star overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It also has reported nurse staffing below the federal benchmark (3.10 vs. 4.1 hours/resident/day), $234,836 in fines over the last 24 months, and a recent federal penalty.
Last inspection: October 9, 2025Penalties, last 24 months: $234,836recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.099.
Staffing detail
Registered nurses
0.23
Licensed practical nurses
0.76
Nurse aides
2.12
Weekend nursing
2.66
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 81%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
18%16.7%Improving
Residents with a fall causing major injury
2%3.1%Worsening
Residents with pressure ulcers (bedsores)
9.6%4.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.2%2.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.8%4.7%Improving
Residents whose ability to walk got worse
20.8%6.5%Improving
Long-stay residents on antianxiety or sleep medication
15.6%16.7%Worsening
Short-stay residents newly given an antipsychotic
0%3%Worsening
Residents with a long-term catheter
1%0%Improving
Residents with new or worsening incontinence
29.9%15.9%Improving
Residents with depressive symptoms
13%25.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.3%—
Long-stay residents given the pneumonia vaccine
90.2%68.6%Worsening
Short-stay residents given the seasonal flu vaccine
—23%—
Short-stay residents given the pneumonia vaccine
24.1%10.1%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited August 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $234,836 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $234,836 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jun 18, 2024
99 days
Federal fine
Jun 18, 2024
$234,836
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of OPCO SKILLED MANAGEMENT · 64 homes · 2.4 stars avg
Occupancy
161.7 residents on an average day (86% of 188 beds)
Resident voice
Resident council
Medicare history
Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.