Overview of Aspen Point Health and Rehabilitation Aspen Point Health and Rehabilitation is a 180-bed skilled nursing facility at 2840 West Clay Street, Saint Charles, Saint Charles County, Missouri, operated by Clay Street Healthcare LLC and administered by Lindsey Keener. The privately owned facility accepts Medicare, Medicaid, and private pay. Currently operating at 39.1% occupancy with 56 residents; well below Missouri’s 66.6% average. The facility serves primarily long-term Medicaid residents, with smaller cohorts in short-term rehabilitation and private pay.
The December 9, 2024 complaint investigation is the critical placement consideration. State surveyors documented substantiated verbal abuse with findings of “Actual Harm.” Residents reported staff used profanity and disrespectful language when responding to care needs, with one resident describing being called a “fucking bitch” and ordered to “shut the fuck up” while speaking to family on the phone. Four residents independently reported similar experiences on evening and night shifts, describing how staff language made them feel worthless, less than human, and upset. Both the facility’s Director of Nursing and Administrator conceded this constituted a dignity and verbal abuse violation.
This is the single most recent and most serious finding in the facility’s record.
Certified nursing aides provide 1 hour 43 minutes per resident daily, 26% below Missouri’s 2 hour 19 minute standard. Registered nurses average 33 minutes daily (18% above state), and licensed practical nurses 52 minutes daily (27% above state). Weekend nursing totals 2 hours 38 minutes per resident daily, 13% below state average. Overall staff-to-resident ratio is 1.41 to 1, performing 18% worse than Missouri’s 1.71 to 1 benchmark.
Payroll consumes 71% of revenue.
Quality outcomes for short-stay rehabilitation residents are dramatically below standard. Short-stay falls resulting in major injury occur at 5.9%; nearly seven times Missouri’s 0.8% average. Only 19.1% of short-stay residents achieve expected functional ability at discharge, compared to 53.7% statewide. Short-stay re-hospitalization rates reach 33.3%, 32% worse than state average.
Long-stay residents show elevated depressive symptoms at 77%, nearly five times the 12.8% state rate.
Regulatory violations cluster heavily in 2023 and 2024. Since March 2023, the facility has received 18 inspections (all complaint investigations or health inspections, with no routine survey conducted).
The April 17, 2024 complaint investigation cited six deficiencies covering housekeeping inadequacy, medication administration failures, insufficient ADL care, pressure ulcer management gaps, understaffing, and improper director of nursing deployment. June 5, 2024 revisits the same ADL deficiency as uncorrected.
Total citations since 2024 reach 127; critical (11), serious (17), moderate (96), minor (3), ranking the facility 261st of 261 Missouri SNFs. Federal penalties total $497,000 across 12 fines (the highest in Missouri), with two payment denials (134 days in August 2023, 73 days in February 2024).
The progression from operational deficiencies (housekeeping, medication, staffing, assessments) in early and mid-2024 to substantiated resident abuse in December 2024 reflects a deteriorating operational environment.
Families should verify corrective measures and staff training protocols following the December 2024 verbal abuse finding before any placement decision.
