Bluebird Wellness and Rehabilitation

Bluebird Wellness and Rehabilitation is a 188-bed skilled nursing facility at 9350 Green Park Road, Saint Louis, Saint Louis County, Missouri, operated by Blooming Oaks Wellness & Rehabilitation LLC under the administration of Anita Tillery. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing coverage for residents requiring skilled care and post-acute rehabilitation services.

Staffing composition reveals significant clinical limitations. Registered nurse hours average 14 minutes per resident per day, representing a 50% reduction compared to Missouri’s state average of 28 minutes. This marked RN shortfall constrains clinical assessment capacity and responsiveness to acute changes in resident condition. Weekend RN presence deteriorates further to just 5 minutes per day; 75% below the state average of 20 minutes, creating substantial gaps in clinical oversight during evenings and weekends when administrative support is minimal.

Licensed practical nurses provide 45 minutes per day (10% above state average), delivering consistent hands-on nursing care. Certified nursing aides provide 2 hours 13 minutes per day (4% below state average). Physical therapist hours are 1 minute per day (50% below state average), severely limiting rehabilitation capacity for a facility marketed as a rehabilitation center.

Quality measures for long-stay residents show mixed outcomes. Hospitalization rates are 2.22 per 1,000 days (7% worse than Missouri average). Emergency department visits are 1.85 per 1,000 days (21% better than state average), indicating some strength in managing chronic conditions. Short-stay rehabilitation outcomes are substantially weaker.

Falls with major injury occur at 2.0% of residents; 155% worse than Missouri’s average of 0.8%, reflecting either inadequate fall prevention protocols or a higher-risk admission population. Successful return to home or community is 32.3% (36% worse than state average of 50.6%). Ability to care for self at discharge is 46.7% (13% worse than state average of 53.7%). These discharge metrics suggest residents exit the facility with lower functional capacity than patients at comparable facilities, pointing to either more acute admissions, extended institutional placement, or limited rehabilitation effectiveness.

Short-stay readmission rates are 15.9% (37% better than state average of 25.3%), a positive signal that discharged residents generally remain stable after leaving the facility. Short-stay emergency department visit rates are 14.5% (8% worse than state average of 13.4%).

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable facilities. This unusually sparse inspection history requires explanation. Families must request and review the facility’s current licensing status, actual inspection records from the Missouri Department of Health and Senior Services, and documentation of the reason for the absence of routine regulatory oversight.

Families should request information on weekend RN staffing, emergency response, fall prevention, incident tracking, rehabilitation program outcomes, and below average discharge outcome metrics.

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Facility Direct Line (314) 845-0900 info@bluebirdwellness.com