Grand Manor Health Care Center
Medicare-certified3645 COOK AVE, Saint Louis, MO 63113
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Blue Circle Rehab and Nursing provides skilled nursing and rehabilitation services in Saint Louis, Missouri, with a focus on personalized recovery plans. Our experienced team supports patients through post-hospital transitions and complex medical needs, helping them regain independence and return home stronger.
Capacity
90 residents
Location
Saint Louis, MO
Status
Listed in a public registry
2939 MAGAZINE STREET, Saint Louis, Missouri 63106
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on December 11, 2024, state inspectors cited 23 health deficiencies (the Missouri average is 11.4).
Nurses and nurse aides spend 2 hours 48 minutes with each resident a day, below the Missouri average of 3 hours 26 minutes.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 48 minutesBelow the Missouri average |
| Registered nurse time per resident, per day | 18 minutesBelow the Missouri average |
| Nursing staff who left in the past year | 70%Above the Missouri average |
48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 15, 2026 · Complaint investigation · 2 citations
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 6, 2025 · Complaint investigation · 1 citation
Provide enough food/fluids to maintain a resident's health.
Provide timely, quality laboratory services/tests to meet the needs of residents.
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.
Make sure that a working call system is available in each resident's bathroom and bathing area.
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.
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.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide care and assistance to perform activities of daily living for any resident who is unable.
PASARR screening for Mental disorders or Intellectual Disabilities
Keep residents' personal and medical records private and confidential.
Post nurse staffing information every day.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide and implement an infection prevention and control program.
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.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Ensure medication error rates are not 5 percent or greater.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Provide safe and appropriate respiratory care for a resident when needed.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Ensure services provided by the nursing facility meet professional standards of quality.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that residents are free from significant medication errors.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Honor the resident's right to manage his or her financial affairs.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Reasonably accommodate the needs and preferences of each resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
2939 MAGAZINE STREETSaint Louis, MO 63106
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3645 COOK AVE, Saint Louis, MO 63113
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State inspectors visited on December 11, 2024 and cited 23 health deficiencies, 8 of them from complaint investigations. The Missouri average is 11.4.
Nurses and aides spend 2 hours 48 minutes with each resident per day, including 18 minutes from registered nurses. 70% of nursing staff left over the past year.
Medicare's records show no fines against Blue Circle Rehab and Nursing in the last three years.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.