Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SURREY PLACE ST LUKES HOSPITAL SKILLED NURSING

CHESTERFIELD, MO · 130 certified beds · Last Life Safety survey August 1, 2024

CMS Certification Number 265414 · first certified January 1990

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within MO

9 citations — more than 19% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (October 2025 to April 2026), and past the point by which nine in ten MO facilities have been surveyed. This facility’s last Life Safety survey was August 2024. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0923 Have enough outside ventilation via a window or mechanical ventilation, or both.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility9MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-0822022-1262024-08
Citations at each Life Safety survey
Survey dateCitations
August 22, 20191
December 21, 20222
August 1, 20246

Most-cited tags

Most-cited tags at this facility
K-02111K-09301K-02811K-05211K-03721K-03211K-03511K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-08-01
K-0930Ensure proper storage of liquid oxygen.12019-08-22
K-0281Install proper backup exit lighting.12024-08-01
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-08-01
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-12-21
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-08-01
K-0351Install an approved automatic sprinkler system.12024-08-01
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12022-12-21

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 1, 2024 — 6 citations

Citations issued on August 1, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 23, 2024)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (September 6, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 6, 2024)
K-0351Install an approved automatic sprinkler system.Waiver has been granted
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 2, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted

December 21, 2022 — 2 citations

Citations issued on December 21, 2022
TagWhat the surveyor checksStatus
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (January 11, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 10, 2023)

August 22, 2019 — 1 citation

Citations issued on August 22, 2019
TagWhat the surveyor checksStatus
K-0930Ensure proper storage of liquid oxygen.Deficient, Provider has date of correction (August 22, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.