Lutheran Senior Services At Meramec Bluffs
Nursing Home Review

• Overall Rating
• Health Inspection
• Quality Management
• Staffing
• Nurse Staffing

• None Number of Fines
• None Total Ammount of Fines in Dollars
• None Total Penalties
• None Substantiated Complaints
• 2 Facility Reported Incidents
• None Payment Denials

Quality Measure	Facility Score	Missouri Average	National Average
Percentage of high risk long-stay residents with pressure ulcers	3.8%	5.8%	5.8%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	90.5%	93.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100%	94.6%	94.5%
Percentage of long-stay residents experiencing one or more falls with major injury	7.5%	4%	3.3%
Percentage of long-stay residents who have depressive symptoms	7.8%	4.3%	5.5%
Percentage of long-stay residents who lose too much weight	15.6%	6.9%	7.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.1%	27.2%	23.6%
Percentage of long-stay residents who received an antipsychotic medication	11.9%	19.5%	17.4%
Percentage of long-stay residents who self-report moderate to severe pain	0%	9.2%	8.5%
Percentage of long-stay residents who were physically restrained	0%	0.4%	0.8%
Percentage of long-stay residents whose ability to move independently worsened	15.6%	15.4%	18.2%
Percentage of long-stay residents whose need for help with daily activities has increased	13.5%	14.9%	15.4%
Percentage of long-stay residents with a catheter inserted and left in their bladder	0%	3%	3.1%
Percentage of long-stay residents with a urinary tract infection	17.2%	5.2%	4.9%
Percentage of low risk long-stay residents who lose control of their bowels or bladder	0%	33.2%	46.3%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.2%	76.2%	81.1%
Percentage of short-stay residents who made improvements in function	68%	66.9%	63.5%
Percentage of short-stay residents who newly received an antipsychotic medication	0.5%	2.3%	2.2%
Percentage of short-stay residents who self-report moderate to severe pain	23.6%	18.1%	17.1%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.3%	76.5%	80.3%
Percentage of short-stay residents with pressure ulcers that are new or worsened	0%	1.6%	1.3%

Source: Data.Medicare.gov

Survey Date	Survey Type	Scope	Severity	Deficiency
Jun 30, 2015	Fire Safety	Pattern	L2	Record of quarterly fire drills for each shift under varying conditions.
Jun 30, 2015	Health	Pattern	L2	Ensure services provided by the nursing facility meet professional standards of quality.
Jun 30, 2015	Health	Isolated	L2	Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Jun 30, 2015	Health	Pattern	L2	Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
Jun 30, 2015	Health	Pattern	L2	Store, cook, and serve food in a safe and clean way.
Jun 30, 2015	Health	Isolated	L2	Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Jun 30, 2015	Health	Pattern	L2	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jun 30, 2015	Health	Pattern	L1	1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
Jul 24, 2014	Health	Isolated	L3	Provide necessary care and services to maintain or improve the highest well being of each resident .
Mar 21, 2014	Health	Pattern	L2	Ensure services provided by the nursing facility meet professional standards of quality.

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Name	Owner Type	Role	Ownership Percentage
BAUM, CARLA	Individual	DIRECTOR	NOT APPLICABLE
BAUM, CARLA	Individual	MANAGING EMPLOYEE	NOT APPLICABLE
BODENDIECK, LEE	Individual	DIRECTOR	NOT APPLICABLE
CHEHVAL, MICHAEL J	Individual	DIRECTOR	NOT APPLICABLE
DANKENBRING, JAMES	Individual	DIRECTOR	NOT APPLICABLE
DUNAJCIK, KARL	Individual	DIRECTOR	NOT APPLICABLE
EISSLER, MARYANN	Individual	MANAGING EMPLOYEE	NOT APPLICABLE
GUNDERMANN, VERNON	Individual	DIRECTOR	NOT APPLICABLE
KOTOVSKY, JOHN	Individual	DIRECTOR	NOT APPLICABLE
KOTOVSKY, JOHN	Individual	MANAGING EMPLOYEE	NOT APPLICABLE
KRAEMER, JANET	Individual	DIRECTOR	NOT APPLICABLE
KREIENKAMP, DALE	Individual	DIRECTOR	NOT APPLICABLE
KREIENKAMP, DALE	Individual	MANAGING EMPLOYEE	NOT APPLICABLE
LUTHERAN SENIOR SERVICES	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	NO PERCENTAGE PROVIDED
MERILA, NANCY	Individual	DIRECTOR	NOT APPLICABLE
MOSLEY, FRANKLIN P.	Individual	DIRECTOR	NOT APPLICABLE
NAUSS, ROBERT	Individual	DIRECTOR	NOT APPLICABLE
OGIER, PAUL	Individual	MANAGING EMPLOYEE	NOT APPLICABLE
RASO, MICHAEL	Individual	MANAGING EMPLOYEE	NOT APPLICABLE
RASO, MICHAEL	Individual	OFFICER	NOT APPLICABLE
ROBINSON-RAINEY, CARLA	Individual	DIRECTOR	NOT APPLICABLE
ROTH, WILLIAM	Individual	DIRECTOR	NOT APPLICABLE
SCHOEDEL, MARK	Individual	DIRECTOR	NOT APPLICABLE
SCHOEDEL, MARK	Individual	MANAGING EMPLOYEE	NOT APPLICABLE
SIMMONS, WILLIAM	Individual	DIRECTOR	NOT APPLICABLE
VOLK, ROGER H	Individual	DIRECTOR	NOT APPLICABLE
WALDEN, HENRY	Individual	DIRECTOR	NOT APPLICABLE
WENDT, ALVIN	Individual	DIRECTOR	NOT APPLICABLE

Source: Data.Medicare.gov