Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lutheran Senior Services At Breeze Park during CMS and state inspections, most recent first.
A resident with Parkinson's Disease and dysphagia began choking during a meal, but staff failed to call EMS as required by the facility's policy. Despite attempts to manage the situation internally with back thrusts, suctioning, and the Heimlich maneuver, the resident became unresponsive and later expired. Interviews revealed that staff did not call EMS, highlighting a significant deficiency in emergency response.
Failure to Call EMS During Choking Incident
Penalty
Summary
The facility failed to adhere to its Emergency First Aid policy and acceptable standards of practice when a resident began choking on food during a meal and required emergency treatment. Despite the resident showing signs of choking, such as gagging and a change in color, staff did not call Emergency Medical Services (EMS) as required by the facility's policy. Instead, staff attempted to manage the situation internally by performing back thrusts, using a suction machine, and attempting the Heimlich maneuver, all of which were unsuccessful. The resident, who had diagnoses of Parkinson's Disease and dysphagia, was initially assisted with eating and showed no difficulty until the choking incident. During the event, staff moved the resident to their room and continued to attempt various interventions, including abdominal thrusts and suctioning, but failed to clear the airway. The resident eventually became unresponsive, and staff continued their efforts until the resident no longer had a heartbeat or respirations. Interviews with staff, including a CNA, LPN, and the Director of Nursing, revealed that no one called EMS during the incident, despite the facility's policy and the emergent nature of the situation. The administrator and the resident's physician both confirmed that EMS should have been called in such an emergency. The failure to call EMS was identified as a deficiency at the immediate and serious jeopardy level, indicating a significant lapse in following emergency protocols.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Saint Charles
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Delmar Gardens Of O'fallon | 4.2 mi | ★★★★★ | 1 | 0 |
| Mcclay Senior Care | 4.5 mi | ★★★★★ | 1 | 0 |
| St Peters Rehab And Healthcare Center | 5.3 mi | ★★★★★ | 2 | 0 |
| Garden View Care Center | 5.6 mi | ★★★★★ | 2 | 0 |
| St Peters Post Acute | 5.6 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.