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 Meramec Bluffs during CMS and state inspections, most recent first.
A resident with dementia and a history of falls was found on the floor by CNAs, but the incident was not documented as a fall and neither the physician nor next of kin were notified, contrary to facility policy. Interviews revealed staff did not recognize the event as a fall, though leadership confirmed it should have been reported.
Staff failed to use a gait belt when transferring a resident with dementia and a recent femur fracture from the floor to a wheelchair after a fall, contrary to facility policy. The incident was not documented in the medical record, and no fall assessment or post-fall follow-up was completed.
A resident with limited mobility and hand contractures did not receive proper care as staff failed to ensure the use of palm protectors as ordered. Observations showed the resident's fingers curling into their palms due to unsecured or absent protectors. Staff interviews revealed inconsistencies in applying and documenting the use of palm protectors, leading to a deficiency in care.
Failure to Notify NOK and Physician of Resident Fall
Penalty
Summary
The facility failed to notify the next of kin (NOK) and physician of a resident fall, as required by its own Event Reporting Policy. The policy states that all events, including falls, must be reported to the resident's physician and family or power of attorney. In this incident, a resident with late onset Alzheimer's dementia, short term memory loss, and a history of right femur fracture surgery was found sitting on the floor next to their bed by a CNA. Video evidence confirmed the resident was on the floor, and staff questioned the resident about hitting their head or falling out of bed. Despite this, there was no documentation in the resident's progress notes regarding the fall, nor any record that the physician or NOK were notified. Interviews with the involved CNAs revealed that they did not consider the event a fall and therefore did not report it. However, the DON and Executive Director confirmed that such an event should be classified and reported as a fall according to facility policy, and that appropriate notifications should have been made.
Failure to Use Gait Belt and Document Fall Event
Penalty
Summary
Facility staff failed to follow acceptable standards of practice when transferring a resident after a fall. Video evidence showed that two CNAs lifted a resident from the floor to a wheelchair by pulling under the resident's arms, without the use of a gait belt, despite facility policy requiring the use of appropriate lifting techniques and devices. Both CNAs later confirmed in interviews that a gait belt should have been used during the transfer, and the Director of Nursing and Executive Director also stated that staff are expected to use a gait belt in such situations. The resident involved had a history of late onset Alzheimer's dementia with behavioral disturbances, short term memory loss, a recent right femur fracture with weight bearing as tolerated, and muscle weakness. The incident was not documented in the resident's progress notes, and there was no evidence of a fall assessment or post-fall follow-up. The facility's policies require documentation and appropriate notification following such events, but these procedures were not followed in this case.
Failure to Ensure Proper Use of Palm Protectors for Resident
Penalty
Summary
The facility failed to ensure that a resident with limited mobility received appropriate equipment and assistance to maintain mobility. The resident, who had diagnoses including contracture to an unspecified joint, Alzheimer's disease, and dementia, was observed not wearing palm protectors as ordered by the physician and recommended by therapy. The resident's medical record indicated a physician order for the use of splints or braces on the resident's hands every day, which was not consistently followed. Observations revealed that the resident's palm protectors were not properly secured or were entirely absent on multiple occasions. During meal times and other periods, the resident's fingers were observed curling into the palms of their hands, indicating that the palm protectors were not applied as required. Staff interviews confirmed that the responsibility for applying and ensuring the proper use of palm protectors was not consistently upheld, with aides and nurses failing to secure the protectors or document their application accurately. Interviews with various staff members, including CNAs, LPNs, the ADON, and the DON, highlighted a lack of adherence to the protocol for applying palm protectors. It was noted that the nurses were responsible for verifying the application of the protectors and marking the treatment as administered in the resident's record. However, this was not done consistently, and there was a failure to document when the protectors were not applied, leading to a deficiency in the resident's care.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Ballwin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Manchester Rehab And Healthcare Center | 1 mi | ★★★★★ | 0 | 0 |
| Big Bend Woods Healthcare Center | 2.5 mi | ★★★★★ | 22 | 0 |
| Delmar Gardens On The Green | 2.8 mi | ★★★★★ | 1 | 0 |
| Garden View Care Center At Dougherty Ferry | 2.8 mi | ★★★★★ | 0 | 0 |
| Aegis Health And Rehabilitation | 3.6 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.