01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-02 | 5 | 2026-04-02 | 8 |
| Cycle 2 | 2024-03-07 | 5 | 2024-03-07 | 3 |
| Cycle 3 | 2022-06-17 | 5 | 2022-06-17 | 11 |
CMS CCN 2657672026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lutheran Senior Services At Breeze Park
600 Breeze Park Drive · Saint Charles, MO 63304 · St. Charles County
Certified beds50CMS provider file
Recent citation rows37current CMS citation release
Penalty rows1current 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
37 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-02 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-02 · HEALTHF0688Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-02 · HEALTHF0700Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-02 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-02 · HEALTHF0880Severity F · widespread; 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 · 2026-05-152026-04-02 · FIREK0131Severity D · isolated; potential for more than minimal harm
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-02 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-02 · 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: Deficient, Provider has date of correction · 2026-05-152026-04-02 · 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 · 2026-05-152026-04-02 · 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 · 2026-05-152026-04-02 · FIREK0920Severity E · pattern; 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 · 2026-05-152026-04-02 · FIREK0921Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2026-05-152026-04-02 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-05-152024-12-05 · HEALTHF0684Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-12-06 · complaint2024-03-07 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-04-192024-03-07 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-04-192024-03-07 · 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 · 2024-04-192024-03-07 · HEALTHF0909Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-04-192024-03-07 · 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 · 2024-04-192024-03-07 · 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 · 2024-04-192024-03-07 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-04-192022-06-17 · 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 · 2022-07-292022-06-17 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2022-07-292022-06-17 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2022-07-2903 / 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 |
|---|---|---|---|
| 2024-12-05 | Fine | $41,347 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LUTHERAN SENIOR SERVICESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 02/02/2000
- BEUMER, BRENTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/27/2022
- CHRISTELL, ROYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2017
- MEADOWS, MEGANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/24/2022
- MUELLER, HARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/26/2016
- SOMBART, LISAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/25/2017
- SOMMER, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- TOON, NORMANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2019
- ANDERSON, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2019
- BROWN, DANIELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/25/2018
- MARLES, ADAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2021
- SCHAEFER, RONALDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/06/2023
- SNEED, CHADWICKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2020
- TICE, PAULIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/25/2017
- LUTHERAN SENIOR SERVICESOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/02/2000
- COOPER, VALERIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/02/2000
- LIN, WALTERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/02/2000
- COOPER, VALERIEIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/07/2026
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 hours4.71per resident day
RN hours0.72per resident day
Weekend nurse hours4.18per resident day
Staff turnover37.9%CMS reported field
06 / LOCAL RECORDS
Open the Saint Charles ledger →Other published facilities nearby
Aspen Point Health And Rehabilitation180 beds · CMS overall 1/597 citation rowsLaurel Meadows Wellness & Rehabilitation103 beds · CMS overall 2/553 citation rowsLewis & Clark Gardens142 beds · CMS overall 1/595 citation rowsNhc Healthcare, St Charles120 beds · CMS overall 4/538 citation rowsWindsor Estates Of St Charles81 beds · CMS overall 1/5119 citation rows