Lutheran Senior Services at Breeze Park
600 Breeze Park Drive, Saint Charles, MO 63304 · St. Charles County · 50 certified beds · avg 46 residents/day · certified since Jan 2, 2004
Part of chain: EVERTRUE (5 facilities, chain avg rating 4.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Dec 5, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 6, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 2, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 2, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 2, 2026 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 2, 2026 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Dec 5, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jun 17, 2022 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 17, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 17, 2022 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 17, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 17, 2022 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | E |
| 2024 | 5 | 1 | J ▲ |
| 2026 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $41,347.
| Date | Type | Amount / length |
|---|---|---|
| Dec 5, 2024 | Fine | $41,347 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.53 | 3.66 | 3.95 | top 18% in Missouri; top 22% in the U.S. |
| Registered Nurse hours | 0.69 | 0.49 | 0.69 | top 13% in Missouri; top 37% in the U.S. |
| Weekend total nurse staffing | 4.02 | 3.22 | 3.50 | top 18% in Missouri; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.33 | 0.48 | top 15% in Missouri; top 42% in the U.S. |
| Total nursing staff turnover (%) | 37.9 | 56.0 | 45.8 | top 9% in Missouri; top 31% in the U.S. |
| RN turnover (%) | 25.0 | 47.8 | 42.9 | top 19% in Missouri; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.71, RN 0.72, weekend 4.18. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lutheran Senior Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/02/2000 |
| Anderson, David | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2019 |
| Beumer, Brent | Individual | Corporate Director | NOT APPLICABLE | 06/27/2022 |
| Brown, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 04/25/2018 |
| Christell, Roy | Individual | Corporate Director | NOT APPLICABLE | 04/25/2017 |
| Cooper, Valerie | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/02/2000 |
| Cooper, Valerie | Individual | ADP of the SNF | NOT APPLICABLE | 01/07/2026 |
| Lin, Walter | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/02/2000 |
| Lin, Walter | Individual | ADP of the SNF | NOT APPLICABLE | 10/30/2025 |
| Lutheran Senior Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/02/2000 |
| Marles, Adam | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2021 |
| Meadows, Megan | Individual | Corporate Director | NOT APPLICABLE | 01/24/2022 |
| Mueller, Harry | Individual | Corporate Director | NOT APPLICABLE | 04/26/2016 |
| Schaefer, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 02/06/2023 |
| Sneed, Chadwick | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2020 |
| Sombart, Lisa | Individual | Corporate Director | NOT APPLICABLE | 04/25/2017 |
| Sommer, Christopher | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Tice, Paul | Individual | Corporate Officer | NOT APPLICABLE | 04/25/2017 |
| Toon, Norman | Individual | Corporate Director | NOT APPLICABLE | 05/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Delmar Gardens of O'Fallon | 4.2 mi | O Fallon, MO | ★★★☆☆ | 2/5 | |
| McClay Senior Care | 4.5 mi | Saint Peters, MO | ★★★☆☆ | 3/5 | |
| St Peters Rehab and Healthcare Center | 5.3 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| Garden View Care Center | 5.6 mi | O Fallon, MO | ★☆☆☆☆ | 1/5 | abuse |
| St Peters Post Acute | 5.6 mi | Saint Peters, MO | ★☆☆☆☆ | 1/5 | |
| Ignite Medical Resort St Peters | 5.6 mi | Saint Peters, MO | —/5 | ||
| Sunterra Springs Dardenne Prairie | 6.1 mi | Dardenne Prairie, MO | ★★☆☆☆ | 2/5 | |
| Abbey Senior Health | 6.6 mi | O Fallon, MO | ★★★☆☆ | 2/5 | abuse |
| Delmar Gardens of Chesterfield | 7.1 mi | Chesterfield, MO | ★★★☆☆ | 3/5 | |
| Friendship Village Chesterfield | 7.2 mi | Chesterfield, MO | ★★★★★ | 4/5 | |
| NHC Healthcare, St Charles | 7.5 mi | Saint Charles, MO | ★★★★☆ | 4/5 | |
| Surrey Place St Lukes Hospital Skilled Nursing | 7.5 mi | Chesterfield, MO | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 265767.