01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-11 | 3 | 2025-08-14 | 4 |
| Cycle 2 | 2025-08-14 | 14 | 2025-02-27 | 9 |
| Cycle 3 | 2025-02-27 | 57 | 2024-08-29 | 10 |
CMS CCN 2651182026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Aspen Point Health And Rehabilitation
2840 West Clay St · Saint Charles, MO 63301 · St. Charles County
Certified beds180CMS provider file
Recent citation rows97current CMS citation release
Penalty rows8current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
97 rows in the current release
21 rows carry G–L scope/severity codes; 8 carry J–L. 21 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-11 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-02-262026-02-11 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2026-02-262026-02-11 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-262025-08-14 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-14 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-14 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-14 · FIREK0919Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-14 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-14 · FIREK0932Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-02-27 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · HEALTHF0583Severity G · isolated actual harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · HEALTHF0658Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · HEALTHF0692Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · HEALTHF0883Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · FIREK0311Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Waiver has been granted2025-02-27 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Waiver has been granted2025-02-27 · FIREK0347Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Waiver has been granted2025-02-27 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-03-252025-02-27 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Waiver has been granted03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-02-27 | Fine | $44,298 | 0 |
| 2024-12-09 | Fine | $12,012 | 0 |
| 2024-08-29 | Fine | $150,799 | 0 |
| 2024-02-23 | Fine | $110,638 | 0 |
| 2024-02-23 | Payment Denial | $0 | 73 |
| 2023-10-02 | Fine | $4,587 | 0 |
| 2023-09-25 | Fine | $4,587 | 0 |
| 2023-09-05 | Fine | $13,762 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- VHS MO OPCO HOLDINGS LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/01/2023
- VERTICAL HEALTH SERVICES LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/01/2023
- VHS HOLDCO LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/01/2023
- VHS ULTIMATE PARENT LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 06/01/2023
- CLAY STREET CONSULTING LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2023
- KEENER, LYNDSIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/29/2024
- MAYLACK, ELIZABETHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2023
- MILLER, WILLIAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2023
- CLAY STREET CONSULTING LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/17/2025
- KEENER, LYNDSIIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/04/2025
- MAYLACK, ELIZABETHIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/04/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.41per resident day
RN hours0.83per resident day
Weekend nurse hours3.04per resident day
Staff turnover52.1%CMS reported field
06 / LOCAL RECORDS
Open the Saint Charles ledger →Other published facilities nearby
Laurel Meadows Wellness & Rehabilitation103 beds · CMS overall 2/553 citation rowsLewis & Clark Gardens142 beds · CMS overall 1/595 citation rowsLutheran Senior Services At Breeze Park50 beds · CMS overall 4/537 citation rowsNhc Healthcare, St Charles120 beds · CMS overall 4/538 citation rowsWindsor Estates Of St Charles81 beds · CMS overall 1/5119 citation rows