ASPEN POINT HEALTH AND REHABILITATION
2840 WEST CLAY ST, SAINT CHARLES, MO 63301 · CCN 265118
SFF
Ratings
- Overall
- — —
- Health inspection
- — —
- Quality measures
- — —
- Staffing
- — —
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 180
- Avg residents/day
- 54.6
- Phone
- 6369466100
Inspection history vs Missouri & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Missouri avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-14 | 2 | 11.9 | 9.5 | -9.9 better |
| 2 | 2025-02-27 | 17 | 13.0 | 9.8 | +4.0 worse |
| 3 | 2024-08-29 | 76 | 11.0 | 9.3 | +65.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident rights | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.13 | 67.2% |
| RN staffing (reported) | 0.54 | 58.3% |
| Total nurse staffing (adjusted) | 2.62 | — |
Fines & penalties
- Total fines
- $496,745
- Number of fines
- 12
- Number of penalties
- 14
- Payment denials
- 2
Chain
- Chain
- VERTICAL HEALTH SERVICES
- Facilities in chain
- 18
- Chain avg overall
- 1.60 / 5
Inspection citations (95)9 immediate jeopardy15 actual harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-08-14 · Health · corrected 2025-09-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-08-14 · Health · corrected 2025-09-10
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-02-27 · Health · corrected 2025-03-25
Potential for more than minimal harm
- GF0583Keep residents' personal and medical records private and confidential.2025-02-27 · Health · corrected 2025-03-25
Actual harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-27 · Health · corrected 2025-03-25
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-27 · Health · corrected 2025-03-25
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-27 · Health · corrected 2025-03-25
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2025-02-27 · Health · corrected 2025-03-25
Actual harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-02-27 · Health · corrected 2025-03-25
Potential for more than minimal harm
- GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-09 · Health · corrected 2024-12-12
Actual harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-09 · Health · corrected 2024-12-12
Actual harm
- EF0567Honor the resident's right to manage his or her financial affairs.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- GF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-08-29 · Health · corrected 2024-10-12
Actual harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-29 · Health · corrected 2024-10-12
Immediate jeopardy
- JF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-08-29 · Health · corrected 2024-10-12
Immediate jeopardy
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0946Provide training in compliance and ethics.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-08-29 · Health · corrected 2024-10-12
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-05 · Health · corrected 2024-07-30
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-02 · Health · corrected 2024-05-14
Actual harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-04-17 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-17 · Health · corrected 2024-07-30
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-17 · Health · corrected 2024-07-30
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-17 · Health · corrected 2024-07-30
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-17 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-04-17 · Health · corrected 2024-05-14
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-02-23 · Health · corrected 2024-03-25
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-23 · Health · corrected 2024-07-30
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-23 · Health · corrected 2024-07-30
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-23 · Health · corrected 2024-07-30
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-02-23 · Health · corrected 2024-03-25
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-02-23 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-02-23 · Health · corrected 2024-05-14
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-02-23 · Health · corrected 2024-05-14
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-02-23 · Health · corrected 2024-03-25
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-18 · Health · corrected 2024-02-01
Actual harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-12-14 · Health · corrected 2024-01-10
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-12-14 · Health · corrected 2024-01-10
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-14 · Health · corrected 2024-01-10
Actual harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-14 · Health · corrected 2024-01-10
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-12-04 · Health · corrected 2023-11-10
Potential for more than minimal harm
- GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-09 · Health · corrected 2023-12-08
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-09 · Health · corrected 2023-12-08
Actual harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-09 · Health · corrected 2023-12-08
Potential for more than minimal harm
- KF0880Provide and implement an infection prevention and control program.2023-11-09 · Health · corrected 2023-12-08
Immediate jeopardy
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-10-12 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-10-12 · Health · corrected 2023-10-30
Potential for more than minimal harm
- KF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-10-12 · Health · corrected 2023-10-30
Immediate jeopardy
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-12 · Health · corrected 2023-10-30
Immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-12 · Health · corrected 2023-12-08
Immediate jeopardy
- FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-10-12 · Health · corrected 2023-10-30
Potential for more than minimal harm
- FF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-10-12 · Health · corrected 2023-10-16
Potential for more than minimal harm
- EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-10-12 · Health · corrected 2023-10-30
Potential for more than minimal harm
- EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-10-12 · Health · corrected 2023-10-30
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-10-12 · Health · corrected 2023-10-30
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2023-10-12 · Health · corrected 2023-10-30
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-10-12 · Health · corrected 2023-10-30
Potential for more than minimal harm
- GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-15 · Health · corrected 2023-12-08
Actual harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2023-08-15 · Health · corrected 2023-09-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-15 · Health · corrected 2023-09-19
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2023-08-15 · Health · corrected 2023-09-19
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-08-15 · Health · corrected 2023-09-19
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-15 · Health · corrected 2023-09-19
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-15 · Health · corrected 2023-12-08
Actual harm
- GF0692Provide enough food/fluids to maintain a resident's health.2023-08-15 · Health · corrected 2023-09-19
Actual harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-15 · Health · corrected 2024-02-01
Actual harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-15 · Health · corrected 2023-12-08
Potential for more than minimal harm
- KF0880Provide and implement an infection prevention and control program.2023-08-15 · Health · corrected 2023-12-08
Immediate jeopardy
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-05-12 · Health · corrected 2023-06-08
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-12 · Health · corrected 2023-06-08
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-12 · Health · corrected 2023-06-08
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-12 · Health · corrected 2023-06-08
Potential for more than minimal harm
- JF0760Ensure that residents are free from significant medication errors.2023-05-12 · Health · corrected 2023-06-08
Immediate jeopardy
- KF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-05-12 · Health · corrected 2023-06-08
Immediate jeopardy
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-04-17 · Health · corrected 2023-06-08
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-04-17 · Health · corrected 2023-06-08
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-04-17 · Health · corrected 2023-06-08
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2023-03-16 · Health · corrected 2023-04-11
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-16 · Health · corrected 2023-04-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CLAY STREET CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| KEENER, LYNDSI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-29 |
| MAYLACK, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
| MILLER, WILLIAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 |
Other facilities in SAINT CHARLES
| Name | Overall | Beds |
|---|---|---|
| NHC HEALTHCARE, ST CHARLES | ★★★★★ | 120 |
| LUTHERAN SENIOR SERVICES AT BREEZE PARK | ★★★★☆ | 50 |
| LEWIS & CLARK GARDENS | ★☆☆☆☆ | 142 |
| WINDSOR ESTATES OF ST CHARLES | ★☆☆☆☆ | 81 |
| LAUREL MEADOWS WELLNESS & REHABILITATION | ★☆☆☆☆ | 103 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.