Lutheran Senior Services At Breeze Park
600 Breeze Park Drive, Saint Charles, MO 63304


Lutheran Senior Services At Breeze Park is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 265767. The address is 600 Breeze Park Drive, Saint Charles, MO 63304. The zip code is 63304. The phone number is 6369395223.


Lutheran Senior Services At Breeze Park · 600 Breeze Park Drive, Saint Charles, MO 63304

Federal Provider Number 265767
Provider Name LUTHERAN SENIOR SERVICES AT BREEZE PARK
Address 600 BREEZE PARK DRIVE
SAINT CHARLES, MO 63304
Phone Number 6369395223
SSA County Code 910
County Name St. Charles
Ownership Type Non profit - Church related
Certified Beds 81
Certified Beds Residents 80
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LUTHERAN SENIOR SERVICES
Date First Approved to Provide Medicare Medicaid Services 01/02/2004
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 2.84125
Reported LPN Staffing Hours per Resident per Day 1.38938
Reported RN Staffing Hours per Resident per Day 0.53813
Reported Licensed Staffing Hours per Resident per Day 1.9275
Reported Total Nurse Staffing Hours per Resident per Day 4.76876
Reported Physical Therapist Staffing Hours per Resident Per Day 0.075
Expected CNA Staffing Hours per Resident per Day 2.42238
Expected LPN Staffing Hours per Resident per Day 0.63277
Expected RN Staffing Hours per Resident per Day 1.15368
Expected Total Nurse Staffing Hours per Resident per Day 4.20882
Adjusted CNA Staffing Hours per Resident per Day 2.87799
Adjusted LPN Staffing Hours per Resident per Day 1.82244
Adjusted RN Staffing Hours per Resident per Day 0.34853
Adjusted Total Nurse Staffing Hours per Resident per Day 4.56717
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 02/02/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 8
Cycle 2 Number of Standard Health Deficiencies 6
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 60
Cycle 2 Standard Health Survey Date 01/21/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 60
Cycle 3 Total Number of Health Deficiencies 3
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 10/30/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 24.667
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lutheran Senior Services At Breeze Park

Owner Name Role Association Date
BAGY, RICHARD (Individual) DIRECTOR since 04/27/2010
BARR, NORMA (Individual) DIRECTOR since 04/27/2010
BAUM, CARLA (Individual) DIRECTOR since 11/01/2009
BAUM, CARLA (Individual) MANAGING EMPLOYEE since 11/01/2009
BODENDIECK, LEE (Individual) DIRECTOR since 04/22/2008
CHRISTIANSEN, JOEL (Individual) DIRECTOR since 06/27/2011
DANKENBRING, JAMES (Individual) DIRECTOR since 09/13/2004
DROLLINGER, DIANE (Individual) DIRECTOR since 03/24/2014
DUNAJCIK, KARL (Individual) DIRECTOR since 04/28/2009
HARTWIG, SCOTT (Individual) DIRECTOR since 04/27/2010
KOMLOS, JOHN (Individual) DIRECTOR since 04/23/2013
KOTOVSKY, JOHN (Individual) DIRECTOR since 09/17/2007
KOTOVSKY, JOHN (Individual) MANAGING EMPLOYEE since 09/17/2007
LUCAS, WILLIAM (Individual) DIRECTOR since 11/25/2013
LUTHERAN SENIOR SERVICES (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/02/2000
LUTHERAN SENIOR SERVICES (Organization) OPERATIONAL/MANAGERIAL CONTROL since 02/02/2000
MUELLER, KATHLEEN (Individual) DIRECTOR since 04/27/2010
OGIER, PAUL (Individual) MANAGING EMPLOYEE since 07/01/2003
RASO, MICHAEL (Individual) MANAGING EMPLOYEE since 04/01/2013
RASO, MICHAEL (Individual) OFFICER since 04/03/2006
ROBINSON-RAINEY, CARLA (Individual) DIRECTOR since 04/28/2009
ROTH, WILLIAM (Individual) DIRECTOR since 04/22/2008
SIMMONS, WILLIAM (Individual) DIRECTOR since 04/22/2008
STEVENS, HOLLY (Individual) MANAGING EMPLOYEE since 11/13/2011
WALDEN, HENRY (Individual) DIRECTOR since 04/28/2009

Saint Charles · Nursing Home

Windsor Estates of St Charles Snal, LLC 2150 West Randolph Street, Saint Charles, MO 63301
Lewis & Clark Gardens 1221 Boonslick Road, Saint Charles, MO 63301
Nhc Healthcare, St Charles 35 Sugar Maple Lane, Saint Charles, MO 63303
Frontier Health & Rehabilitation 2840 West Clay, Saint Charles, MO 63301
Mount Carmel Senior Living - St Charles, LLC 723 First Capitol Drive, Saint Charles, MO 63301

MO · Nursing Home

Heartland Care and Rehabilitation Center 2525 Boutin Drive, Cape Girardeau, MO 63701
Macon Health Care Center 29612 Kellogg Avenue, Po Box 465, Macon, MO 63552
Nhc Healthcare, Desloge 801 Brim Street, Po Box Aa, Desloge, MO 63601
Rolla Manor Care Center 1800 White Columns Drive, Rolla, MO 65401
Seneca House 914 Chickesaw Street, Seneca, MO 64865
Rolla Health & Rehabilitation Suites 1200 Mccutchen Road, Rolla, MO 65401
Crowley Ridge Care Center 1204 North Outer Road, Po Box 668, Dexter, MO 63841
Gamma Road Lodge 250 E Locust, Wellsville, MO 63384
Gasconade Manor Nursing Home 1910 Nursing Home Road, Po Box 520, Owensville, MO 65066
Autumn Oaks Caring Center 1310 Hovis Street, Mountain Grove, MO 65711
Potosi Manor, Inc 307 South Highway 21, Potosi, MO 63664
Presbyterian Manor of Rolla 1200 Homelife Plaza, Rolla, MO 65401
Buffalo Prairie Center for Rehab and Healthcare 631 West Main Street, Buffalo, MO 65622
Webco Manor 1687 West Washington, Marshfield, MO 65706
Warsaw Health and Rehabilitation Center 1609 Sunchase Drive, Warsaw, MO 65355
Abbey Woods Center for Rehabilitation and Healing 5026 Faraon St, Saint Joseph, MO 64506
Gregory Ridge Health Care Center 7001 Cleveland Avenue, Kansas City, MO 64132
River City Living Community 3038 West Truman Blvd, Jefferson City, MO 65109
Bernard Care Center 4335 West Pine Blvd, Saint Louis, MO 63108
Parkside Manor 1201 Hunt Avenue, Columbia, MO 65202
Twin Pines Adult Care Center 316 South Osteopathy Street, Kirksville, MO 63501
Cypress Point-skilled Nursing By Americare 801 Baliff Drive, Dexter, MO 63841
Riverways Manor 403 Watercress Road, Box 969, Van Buren, MO 63965
Salem Memorial District Hospital Po Box 774, 35629 Highway 72, Salem, MO 65560
Shady Lawn Living Center 13277 State Route D, Savannah, MO 64485
E W Thompson Health & Rehabilitation Center 975 Mitchell Road, Sedalia, MO 65301
Hunter Acres Caring Center 628 North West Street, Sikeston, MO 63801
Wilshire At Lakewood 600 N E Meadowview Drive, Lees Summit, MO 64064
Fulton Presbyterian Manor 811 Center Street, Fulton, MO 65251
St Joseph's Bluffs 1306 West Main Street, Jefferson City, MO 65109
Appleton City Manor 600 North Ohio, Po Box 98, Appleton City, MO 64724
Carriage Square Living & Rehab Center 4009 Gene Field Road, Saint Joseph, MO 64506
Redwood of Cameron 801 Euclid, Po Box 438, Cameron, MO 64429
Monroe Manor 200 South St, Paris, MO 65275
Parkdale Manor Care Center 814 West South Avenue, Maryville, MO 64468
Delmar Gardens of Meramec Valley #1 Arbor Terrace, Fenton, MO 63026
Fountainbleau Lodge 2001 North Kingshighway, Cape Girardeau, MO 63701
Nhc Healthcare, Joplin 2700 East 34th Street, Po Box 2877, Joplin, MO 64803
Nick's Health Care Center, LLC 253 East Highway 116, Plattsburg, MO 64477
Mcdonald County Living Center 1000 Patterson Street, Anderson, MO 64831