LUTHERAN SENIOR SERVICES AT BREEZE PARK

SAINT CHARLES, MO · 50 beds · Non profit - Church related

52 Trust Score
Grade: D MEDIUM Risk → Stable

Red Flags

  • 2 citation(s) at the highest severity level — immediate risk to residents

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating
  • Below-average deficiency count (4 vs 12 state avg)
  • Above-average RN staffing (0.78 hrs vs 0.49 state avg)

Quick Facts

★★★★☆
CMS Overall
★★★★☆
Health Inspection
4
0.3x state avg
Deficiencies
$41,347
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

December 4, 2024

1 deficiency
F0684 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

March 6, 2024

4 deficiencyies
F0657 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0693 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0909 Potential Harm Scope/Severity: E

Environmental Deficiencies

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Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

June 16, 2022

5 deficiencyies
F0677 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

October 10, 2019

6 deficiencyies
F0600 Immediate Jeopardy Scope/Severity: J

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0637 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Assess the resident when there is a significant change in condition

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0744 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

See full violation history →

Staffing

0.78
RN hrs/res/day
1.28
LPN hrs/res/day
2.87
CNA hrs/res/day
4.33
Weekend hrs/res/day
55%
Total nurse turnover
50%
RN turnover

A nurse checks on each resident roughly every 4.9 hours on average.

Fines & Penalties

  • Fine Dec 4, 2024
    $41,347
Total $41,347

Ownership

Non profit - Church related Chain: EVERTRUE
  • LUTHERAN SENIOR SERVICES

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 02/02/2000

    100% Organization
  • LUTHERAN SENIOR SERVICES

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 02/02/2000

    Organization
  • ANDERSON, DAVID

    CORPORATE DIRECTOR

    Since since 07/01/2019

    Individual
  • BANTLE, JULIE

    CORPORATE DIRECTOR

    Since since 07/01/2019

    Individual
  • BEUMER, BRENT

    CORPORATE DIRECTOR

    Since since 06/27/2022

    Individual
  • BROWN, DANIEL

    CORPORATE DIRECTOR

    Since since 04/25/2018

    Individual
  • CHRISTELL, ROY

    CORPORATE DIRECTOR

    Since since 04/25/2017

    Individual
  • DROLLINGER, DIANE

    CORPORATE DIRECTOR

    Since since 03/24/2014

    Individual
  • DUNN, JEFFREY

    CORPORATE DIRECTOR

    Since since 04/28/2015

    Individual
  • KUHLMANN, FREDERICK

    CORPORATE DIRECTOR

    Since since 04/28/2015

    Individual
  • MARLES, ADAM

    CORPORATE DIRECTOR

    Since since 11/01/2021

    Individual
  • MCCLINE, ELISE

    CORPORATE DIRECTOR

    Since since 07/01/2021

    Individual
  • MEADOWS, MEGAN

    CORPORATE DIRECTOR

    Since since 01/24/2022

    Individual
  • MUELLER, HARRY

    CORPORATE DIRECTOR

    Since since 04/26/2016

    Individual
  • SOMBART, LISA

    CORPORATE DIRECTOR

    Since since 04/25/2017

    Individual
  • SOMMER, CHRISTOPHER

    CORPORATE DIRECTOR

    Since since 07/01/2023

    Individual
  • TICE, PAUL

    CORPORATE DIRECTOR

    Since since 04/25/2017

    Individual
  • TOON, NORMAN

    CORPORATE DIRECTOR

    Since since 05/01/2019

    Individual
  • MARLES, ADAM

    CORPORATE OFFICER

    Since since 11/01/2021

    Individual
  • SCHAEFER, RONALD

    CORPORATE OFFICER

    Since since 02/06/2023

    Individual
  • SNEED, CHADWICK

    CORPORATE OFFICER

    Since since 07/01/2020

    Individual
  • MARLES, ADAM

    W-2 MANAGING EMPLOYEE

    Since since 11/01/2021

    Individual
  • SCHAEFER, RONALD

    W-2 MANAGING EMPLOYEE

    Since since 02/06/2023

    Individual
  • SNEED, CHADWICK

    W-2 MANAGING EMPLOYEE

    Since since 07/01/2020

    Individual
  • STEVENS, HOLLY

    W-2 MANAGING EMPLOYEE

    Since since 11/13/2011

    Individual

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