All citations for Carroll Lutheran Village

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Carroll Lutheran Village

Last standard health inspection on record

June 6, 2025

Showing 1 to 12 of 12 citations

  1. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  2. No harm, with potential for more than minimal harm

    Honor 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  3. No harm, with potential for more than minimal harm

    Prepare residents for a safe transfer or discharge from the nursing home.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0624, Resident Rights Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  4. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  5. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  6. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  7. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  8. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  9. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  10. No harm, with potential for more than minimal harm

    Implement 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  11. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Widespread (many residents). CMS level C.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

  12. No harm, with potential for minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Widespread (many residents). CMS level C.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of September 25, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 6, 2018).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.