Blue Circle Rehab and Nursing
2939 Magazine Street · Saint Louis, MO · 63106 · 3145310500
90 certified beds For profit - Limited Liability company
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.
- 3 citations involved actual harm to residents.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.70 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
74% 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: 4 of 5
| Total nurse hours / resident-day | 2.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.31 | ≈ weekday level |
| Nursing turnover / year | 74% | median 45% |
| Fines (3-yr window) | 1 · $13,042 |
Inspection citations (80 in the current record)
-
Potential for harm · D January 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 11, 2026 · Quality of Life and Care
-
Potential for harm · E January 15, 2026 · found via complaint
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 February 11, 2026 · Pharmacy Service
-
Actual harm · G November 6, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected November 21, 2025 · Quality of Life and Care
-
Potential for harm · D December 11, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · E December 11, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · D December 11, 2024
Keep residents' personal and medical records private and confidential.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · D December 11, 2024
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · D December 11, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · D December 11, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024
Post nurse staffing information every day.
Corrected January 21, 2025 · Nursing and Physician Services
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Potential for harm · E December 11, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 21, 2025 · Pharmacy Service
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Potential for harm · D December 11, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected January 21, 2025 · Pharmacy Service
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Potential for harm · E December 11, 2024
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 January 21, 2025 · Pharmacy Service
-
Potential for harm · F December 11, 2024
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected January 21, 2025 · Administration
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Potential for harm · F December 11, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 21, 2025 · Nutrition and Dietary
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Potential for harm · E December 11, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 21, 2025 · Environmental
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Potential for harm · E December 11, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 21, 2025 · Resident Rights
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Potential for harm · E December 11, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 21, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 21, 2025 · Infection Control
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Potential for harm · D March 6, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 6, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 9, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 29, 2023 | Fine | $13,042 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265817 · certified since October 18, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.