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Complaint Investigation

Blue Circle Rehab And Nursing

Inspection Date: November 6, 2025
Total Violations 1
Facility ID 265817
Location SAINT LOUIS, MO
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Inspection Findings

F-Tag F0692

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

F 0692 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

part of the 400 Hall and the 500 Hall. He/She did not have Med Pass 2.0 to give the residents yesterday because it was out of stock. He/She told the Central Supply Clerk yesterday. Today, as soon as he/she got to work, he/she got a container of Med Pass 2.0 and gave it to four residents prior to passing his/her medications and prior to the surveyor arriving. The residents he/she gave the Med Pass 2.0 to included Resident #15, Resident #14 and Resident #10. He/She ran out of the Med Pass 2.0 and was not able to give any of the other residents the Med Pass 2.0 He/She should not have initialed the Ensure had been administered yesterday, 11/4/25. 6. During an interview on 11/5/25 at 11:45 A.M., the Central Supply Clerk said CMTs are responsible to pass nutritional supplements, including Ensure. CMT D never said anything to him/her about being out of Med Pass 2.0 yesterday. The facility was not out of Med Pass 2.0 yesterday or today. She stocks the CMT medication room weekly. They have plenty of Med Pass 2.0 on hand.

Observation of the CMT medication room at that time with the Central Supply Clerk showed several containers of Med Pass 2.0. 7. During an interview on 11/5/25 11:57 A.M., the Administrator said CMTs are responsible to administer the Med Pass 2.0 as ordered. 8. During an interview on 11/5/25 at 1:20 P.M., the facility's Medical Director said he expected the facility to follow their policies. He expected residents with nutritional supplement orders to receive the supplements as ordered. 9. During an interview on 11/6/25 at 9:11 A.M., the Administrator said CMT D clocked in to work at 6:36 A.M. on 11/5/25. She reviewed the video footage with the surveyor that showed the CMT arrived at the nurse's station at 6:36 A.M. on 11/5/25 and began to clean and stock his/her medication cart. From 6:36 A.M. until 6:50 A.M. when the surveyor arrived, the CMT never had Med Pass 2.0 on his/her medication cart and never left the nurse's station with Med Pass 2.0. 2658022

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📋 Inspection Summary

BLUE CIRCLE REHAB AND NURSING in SAINT LOUIS, MO inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SAINT LOUIS, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BLUE CIRCLE REHAB AND NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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