LUTHERAN SENIOR SERVICES AT BREEZE PARK has an overall 4-star rating, with 4-star scores for health inspections, staffing, and quality measures. It reports 4.75 nurse hours per resident per day, above the 4.1 federal benchmark, but also had $41,347 in fines in the last 24 months and a recent federal penalty.
Last inspection: December 5, 2024Penalties, last 24 months: $41,347recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7539.
Staffing detail
Registered nurses
0.80
Licensed practical nurses
1.28
Nurse aides
2.67
Weekend nursing
4.34
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
13.6%14.3%Worsening
Residents with a fall causing major injury
7.1%4.8%Improving
Residents with pressure ulcers (bedsores)
4.1%5.4%Worsening
Residents with a urinary tract infection
11.9%2.4%Improving
Residents who lost too much weight
10.7%9.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16%9.1%Improving
Residents whose ability to walk got worse
—29.9%—
Long-stay residents on antianxiety or sleep medication
25%19%Improving
Short-stay residents newly given an antipsychotic
0%4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.5%9.1%Improving
Residents with depressive symptoms
0%6.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%97.6%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%95.7%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2019 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to regularly check beds, mattresses, and bed rails to make sure they were safely attached and safe to use. Cited March 2024 — limited pattern, potential for harm.
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F-Tag 909 — 42 CFR §483.90 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal fine of $41,347 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $41,347 in total fines.
Federal fine
Dec 5, 2024
$41,347
Operator & ownership
Ownership
Non profit - Church related
Chain
Part of EVERTRUE · 5 homes · 4.8 stars avg
Occupancy
45.9 residents on an average day (92% of 50 beds)
Medicare history
Certified for 22 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.