Federal inspection record · CMS data as of October 1, 2026
Lutheran Senior Services At Meramec Bluffs
50 Meramec Trails Drive, Ballwin, MO · (636) 861-0600
- Certified beds
- 32
- Residents per day
- 22
- Ownership
- Non-Profit
- Chain
- Evertrue
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2007
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Lutheran Senior Services At Meramec Bluffs carries 11 inspection points. That is fewer than 98% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights1D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Inspection history
2024-10-09
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-12-07
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2019-06-21
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 7 h 32 min of nursing staff time a day, 2 h 22 min of it from a registered nurse.
This home
7 h 32 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 28% of nursing staff and 40% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better | 1.8% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.8 pts better | 17.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts worse | 8.3% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.5 pts better | 11.1% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication23.5 pts better | 0.0% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better | 14.3% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 3.6% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts worse | 26.9% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17 pts better | 82.7% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.2 pts worse | 18.6% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine36.1 pts better | 97.5% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.5 pts better | 20.2% | 25.7% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lutheran Senior Services | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| Anderson, David | Corporate Officer · Individual | 0% | 11 facilities |
| Beumer, Brent | Corporate Director · Individual | 0% | 11 facilities |
| Brown, Daniel | Corporate Officer · Individual | 0% | 21 facilities |
| Christell, Roy | Corporate Director · Individual | 0% | 11 facilities |
| Cooper, Valerie | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Cooper, Valerie | Adp Of The SNF · Individual | 0% | 9 facilities |
| Lin, Walter | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Lin, Walter | Adp Of The SNF · Individual | 0% | 4 facilities |
| Marles, Adam | Corporate Director · Individual | 0% | 7 facilities |
| Marles, Adam | Corporate Officer · Individual | 0% | 7 facilities |
| Meadows, Megan | Corporate Director · Individual | 0% | 10 facilities |
| Mueller, Harry | Corporate Director · Individual | 0% | 11 facilities |
| Sneed, Chadwick | Corporate Officer · Individual | 0% | 11 facilities |
| Sombart, Lisa | Corporate Director · Individual | 0% | 10 facilities |
| Sommer, Christopher | Corporate Director · Individual | 0% | 8 facilities |
| Tice, Paul | Corporate Officer · Individual | 0% | 9 facilities |
| Toon, Norman | Corporate Director · Individual | 0% | 8 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Services2F
- F
Have elevators that firefighters can control in the event of a fire.
- E
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Manchester Rehab And Healthcare Center
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 22 min
- Fines
- $197,132
-
Big Bend Woods Healthcare Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h
- Fines
- $85,176
-
Delmar Gardens On The Green
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 23 min
- Fines
- $46,589