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 14 of 14 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 March 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

  2. 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).

  3. 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).

  4. 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).

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of February 6, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 2, 2026).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, 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).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, 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).

  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 March 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, 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).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, 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).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of March 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

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

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

    Health citation F-0801, 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).

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

    Ensure 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.

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

    Health citation F-0803, 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).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, 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).

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.