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LUTHERAN CONVALESCENT HOME Inspection Report, Violations & Safety Grade (WEBSTER GROVES, Missouri)

723 SOUTH LACLEDE STATION RD, WEBSTER GROVES, Missouri 63119

Phone: 3149685570

CMS Overall:4/5

Overview & Bed Count

Certified Beds
251
Avg Residents/Day
99.5
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
St. Louis
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing1/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityMissouri AvgDifference
RN Hours per Resident per Day0.240.46-0.22
Total Nurse Hours per Resident per Day1.093.40-2.31
CMS Staffing Rating1/52.2/5-
Nursing Staff Turnover83.1%56.9%-

Health Citation History

10 health citations on record

DateCategoryDescriptionSeverity
2026-08-12Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D – Moderate Harm Potential
2024-11-07Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2024-11-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-11-07Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-11-07Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-11-07Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2023-08-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-08-10Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2023-08-10Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2023-08-10Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D – Moderate Harm Potential

Fire Safety Citation History

12 fire safety citations on record

DateCategoryDescriptionSeverity
2024-11-07Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2024-11-07Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2024-11-07Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-11-07Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-11-07Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2023-08-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-08-10Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2023-08-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2019-09-13Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2019-09-13Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2019-09-13Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.E – Moderate Harm Potential
2019-09-13Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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