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
🏥 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
View recent deficiencies (5 shown)
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 4, 2024 · Quality of Life and Care Deficiencies
- Tag 0657 Severity EDevelop 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 EProvide and implement an infection prevention and control program.Mar 6, 2024 · Infection Control Deficiencies
- Tag 0909 Severity ERegularly 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 DEnsure 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 fMar 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
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