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 11 of 11 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, 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).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2022).

  8. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2022).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 3, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2022).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, 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).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, 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).

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.