Lutheran Senior Services at Breeze Park
600 Breeze Park Drive, Saint Charles, MO 63304 · All homes in Saint Charles
Lutheran Senior Services at Breeze Park, a 50-bed non profit - church related nursing facility in Saint Charles, MO, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6369395223
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 4.82
- Well above average · nurse hrs/day · nat'l 3.89
- 16
- Inspection findings · 2 serious
- $41K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 265767
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 50
- Residents
- 47
- In Hospital
- No
- County
- St. Charles
- Last Inspection
- Mar 7, 2024
Staffing Data
How the 4.82 total nursing hours per resident-day are staffed:
- RN Hours
- 0.77 (nat'l avg: 0.68)
- LPN Hours
- 1.25
- CNA Hours
- 2.81
- Total Nursing Hours
- 4.82 (nat'l avg: 3.89)
- PT Hours
- 0.00
- Nursing Turnover
- 54.9%
- RN Turnover
- 50.0%
What the CMS Record Reveals About Lutheran Senior Services at Breeze Park
Lutheran Senior Services at Breeze Park operates 50 certified beds in Saint Charles, MO with approximately 47 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 16 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $41K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.82 total nursing hours per resident day (national average 3.89), with RN coverage at 0.77 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Lutheran Senior Services at Breeze Park falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 54.9%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (16 most recent)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 6, 2024
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.
Category: Environmental Deficiencies
Corrected: Apr 19, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 19, 2024
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.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 19, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 29, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 29, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 29, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 29, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 29, 2022
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.
Category: Pharmacy Service Deficiencies
Corrected: Nov 22, 2019
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.
Category: Pharmacy Service Deficiencies
Corrected: Nov 22, 2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 22, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 22, 2019
Assess the resident when there is a significant change in condition
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 22, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Aug 26, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.4% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.7% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 98.1% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 24.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 19.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 94.4% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 100.0% | No |
Penalty History 1 penalties totaling $41K
| Date | Type | Amount |
|---|---|---|
| Dec 5, 2024 | Fine | $41K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Lutheran Senior Services at Breeze Park?
What are the staffing levels at Lutheran Senior Services at Breeze Park?
How many beds does Lutheran Senior Services at Breeze Park have?
Does Lutheran Senior Services at Breeze Park have any deficiencies on record?
Has Lutheran Senior Services at Breeze Park received any fines or penalties?
Who owns Lutheran Senior Services at Breeze Park?
When was Lutheran Senior Services at Breeze Park last inspected?
What quality measures are tracked for Lutheran Senior Services at Breeze Park?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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