01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-08-01 | 8 | 2024-08-01 | 6 |
| Cycle 2 | 2022-12-21 | 2 | 2022-12-21 | 2 |
| Cycle 3 | 2019-08-22 | 3 | 2019-08-22 | 1 |
CMS CCN 2654142026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Surrey Place St Lukes Hospital Skilled Nursing
14701 Olive Blvd · Chesterfield, MO 63017 · St. Louis County
Certified beds130CMS provider file
Recent citation rows22current CMS citation release
Penalty rows0current 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
22 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-09-11 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-10-02 · complaint2024-08-01 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-01 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Past Non-Compliance · 2024-07-15 · complaint2024-08-01 · HEALTHF0726Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-01 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2024-10-02 · complaint2024-08-01 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-01 · 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 · 2024-09-062024-08-01 · HEALTHF0838Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-01 · 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 · 2024-09-06 · complaint2024-08-01 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-08-232024-08-01 · FIREK0281Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Install proper backup exit lighting.
Correction field: Deficient, Provider has date of correction · 2024-09-062024-08-01 · 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 · 2024-09-062024-08-01 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Waiver has been granted2024-08-01 · 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 · 2024-08-022024-08-01 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Waiver has been granted2022-12-21 · HEALTHF0677Severity D · isolated; 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 · 2023-02-032022-12-21 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2023-01-112022-12-21 · 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 · 2023-02-102019-08-22 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2019-08-222019-08-22 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2019-09-302019-08-22 · HEALTHF0923Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Correction field: Deficient, Provider has date of correction · 2019-08-222019-08-22 · FIREK0930Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper storage of liquid oxygen.
Correction field: Deficient, Provider has date of correction · 2019-08-2203 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ST LUKES EPISCOPAL-PRESBYTERIAN HOSPITALOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/01/2024
- EAKER, NORMANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- EDWARDS, JASONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- GLOTZBACH, EDWARDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- MARITZ, CYNTHIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- PRICE, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- SNOWDEN, JAMESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- STEGMANN, DANIELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- BOESCH, JEFFREYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- EAKER, NORMANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/15/2014
- FRANKLIN, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- IVIE, GINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- MARITZ, CYNTHIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- BAGNALL, ANDREWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/15/2022
- EDWARDS, JASONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2021
- GLOTZBACH, EDWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2016
- PRICE, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2021
- SNOWDEN, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2021
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 hours4.72per resident day
RN hours1.76per resident day
Weekend nurse hours4.20per resident day
Staff turnover44.3%CMS reported field
06 / LOCAL RECORDS
Open the Chesterfield ledger →Other published facilities nearby
Brooking Park49 beds · CMS overall 3/559 citation rowsDelmar Gardens Of Chesterfield227 beds · CMS overall 3/564 citation rowsDelmar Gardens On The Green120 beds · CMS overall 2/564 citation rowsFriendship Village Chesterfield98 beds · CMS overall 5/534 citation rowsGarden View Care Center Of Chesterfield52 beds · CMS overall 4/533 citation rowsMason Pointe Care Center63 beds · CMS overall 5/535 citation rowsWestchester House, The159 beds · CMS overall 2/571 citation rows