All citations for Columbia Lutheran Home

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 Columbia Lutheran Home

Last standard health inspection on record

March 20, 2025

Showing 1 to 25 of 73 citations

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 March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Provide large enough exits.
Widespread (many residents). CMS level F.
Fire safety citation K-0231, Egress Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
Widespread (many residents). CMS level F.
Fire safety citation K-0271, Egress Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Widespread (many residents). CMS level F.
Fire safety citation K-0281, Egress Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Post nurse staffing information every day.
Widespread (many residents). CMS level F.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2024).
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 February 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2024).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2024).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of February 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 8, 2024).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2022).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2022).
No harm, with potential for more than minimal harm
Develop a communication plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2022).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2022).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Widespread (many residents). CMS level F.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 30, 2022).
No harm, with potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Pattern (more than a few residents). CMS level E.
Health citation F-0585, Resident Rights Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Pattern (more than a few residents). CMS level E.
Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 28, 2025).
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 February 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 9, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 2, 2022).

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.