Webster Groves, MO

Lutheran Convalescent Home

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

723 South Laclede Station Rd, Webster Groves, MO

(314) 968-5570

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

251

Certified beds

Average residents

104

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Evertrue

Operator or chain grouping

Approved since

1995-01-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.92

Registered nurse staffing

LPN hours / resident day

0.94

Licensed practical nurse staffing

Aide hours / resident day

3.19

Nurse aide staffing

Weekend hours

4.62

Weekend nurse staffing

RN turnover

26%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
2.1
1.1 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
2.3
1.3 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.5%
84.8%
9.7 pts better
93.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.5%
90.9%
2.6 pts better
95.5%
2 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.6%
4.1%
0.5 pts worse
3.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.4%
14.7%
14.3 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 9.8%
5.5%
4.3 pts worse
5.4%
4.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.7%
25.3%
11.6 pts better
19.6%
5.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 14.1%
25.0%
10.9 pts better
16.7%
2.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 16.9%
20.3%
3.4 pts better
16.3%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.2%
19.8%
10.6 pts better
14.9%
5.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
1.4%
0.8 pts better
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.2%
2.6%
0.6 pts worse
1.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.0%
18.1%
3.9 pts worse
19.8%
2.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.6%
5.0%
0.4 pts better
5.1%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 73.2%
66.4%
6.8 pts better
81.7%
8.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 5.5%
13.4%
7.9 pts better
12.0%
6.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.8%
2.2%
0.4 pts better
1.6%
0.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.5%
63.5%
17 pts better
79.7%
0.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.8%
25.3%
2.5 pts better
23.9%
1.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-07 · Fire 2024-11-07

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-08-10 · Fire 2023-08-10

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-09-13 · Fire 2019-09-13

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-11-07

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-12-22

E · Potential for more than minimal harm 2024-11-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-22

E · Potential for more than minimal harm 2024-11-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-22

E · Potential for more than minimal harm 2024-11-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-12-22

E · Potential for more than minimal harm 2024-11-07

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-12-22

E · Potential for more than minimal harm 2023-08-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-15

E · Potential for more than minimal harm 2023-08-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-15

E · Potential for more than minimal harm 2023-08-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-09-15

F · Potential for more than minimal harm 2019-09-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-09-13

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-09-13

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2019-10-25

E · Potential for more than minimal harm 2019-09-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-10-25

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-22

E · Potential for more than minimal harm 2024-11-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-22

E · Potential for more than minimal harm 2024-11-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-22

D · Potential for more than minimal harm 2024-11-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-22

D · Potential for more than minimal harm 2024-11-07

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-12-22

E · Potential for more than minimal harm 2023-08-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-10

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-10

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-09-15

D · Potential for more than minimal harm 2023-08-10

F625 · Resident Rights Deficiencies

Health

Notify 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.

Corrected 2023-09-15

Penalties and ownership

What sits behind the stars

Ownership

Lutheran Senior Services

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 1995-01-02
Anderson, David

Corporate Director · Individual

0% 8 facilities 2019-07-01
Anderson, Garry

Corporate Officer · Individual

0% 1 facilities 2017-02-13
Bantle, Julie

Corporate Director · Individual

0% 3 facilities 2019-07-01
Brown, Daniel

Corporate Director · Individual

0% 12 facilities 2018-04-25
Christell, Roy

Corporate Director · Individual

0% 8 facilities 2017-04-25
Cooper Carcagno, Valerie

W-2 Managing Employee · Individual

0% 6 facilities 2009-05-17
Drollinger, Diane

Corporate Director · Individual

0% 3 facilities 2014-03-24
Dunn, Jeffrey

Corporate Director · Individual

0% 5 facilities 2015-04-28
Komlos, John

Corporate Director · Individual

0% 1 facilities 2013-04-23
Kuhlmann, Frederick

Corporate Director · Individual

0% 3 facilities 2015-04-28
Mueller, Harry

Corporate Director · Individual

0% 8 facilities 2016-04-26
Norwine, Lisa

Corporate Director · Individual

0% 2 facilities 2016-05-31
Sneed, Chadwick

Corporate Director · Individual

0% 8 facilities 2020-07-01
Sneed, Chadwick

Corporate Officer · Individual

0% 8 facilities 2020-07-01
Sneed, Chadwick

W-2 Managing Employee · Individual

0% 8 facilities 2020-07-01
Sombart, Lisa

Corporate Director · Individual

0% 8 facilities 2017-04-25
Strand, Sherri

Corporate Director · Individual

0% 1 facilities 2015-04-28
Tice, Paul

Corporate Director · Individual

0% 8 facilities 2017-04-25
Toon, Norman

Corporate Director · Individual

0% 7 facilities 2019-07-01
Wilson, Angela

W-2 Managing Employee · Individual

0% 1 facilities 2013-11-10

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2-star overall rating with 2-star inspections with $19,133 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
4 / 5
Fines
$19,133
#2

Oak Park Care Center

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3-star overall rating with 4-star inspections with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
4 / 5
Staffing
1 / 5
Fines
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#3

Barnes-Jewish Extended Care

Saint Louis, MO

4-star overall rating with 4-star inspections with 11 recent health deficiencies

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
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