C

LUTHERAN SENIOR SERVICES AT BREEZE PARK

600 BREEZE PARK DRIVE, SAINT CHARLES, MO 63304
Score: 68 / 100

Lutheran Senior Services At Breeze Park is an average performer in CMS ratings, earning a C grade with a score of 68/100. Located in Saint Charles, Missouri, the facility meets baseline standards across most quality metrics.

Staffing levels at Lutheran Senior Services At Breeze Park exceed national averages, with 4.82 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.77 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 16 deficiencies at Lutheran Senior Services At Breeze Park, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.82 3.8 Above Average
Registered Nurses (RN) 0.77 0.7 Average
Licensed Practical Nurses (LPN) 1.25 0.7 Above Average
Certified Nursing Assistants (CNA) 2.81 2.4 Above Average
Weekend Total Nursing 4.23 3.8 Above Average
Weekend RN Hours 0.43 0.7 Below Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Dec 4, 2024
Most Recent Inspection
🟠 14 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0684 Severity J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Dec 4, 2024 · Quality of Life and Care Deficiencies
  • Tag 0657 Severity E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Mar 6, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Mar 6, 2024 · Infection Control Deficiencies
  • Tag 0909 Severity E
    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.
    Mar 6, 2024 · Environmental Deficiencies
  • Tag 0693 Severity D
    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 f
    Mar 6, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.8% 4.5% Average
Falls with major injury 6.4% 3.0% Worse
On antipsychotic medication 15.9% 14.5% Average
Urinary tract infections 6.4% 2.5% Worse
ADL decline (daily activities) 13.6% 14.0% Average
Excessive weight loss 7.1% 7.5% Average
New/worsened incontinence 19.0% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $41,347

How This Grade Was Calculated

This facility's grade of C is based on a score of 68 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Church related
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 6, 2024
Deficiencies (Cycle 1)
4