All citations for Concordia Lutheran Health and Human Care

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 Concordia Lutheran Health and Human Care

Last standard health inspection on record

August 8, 2025

Showing 1 to 17 of 17 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 August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  3. 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.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

  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 August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

  7. 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 August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

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

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

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

    Health citation F-0575, Resident Rights Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

  10. 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 August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 8, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2025).

  15. No harm, with potential for minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  16. No harm, with potential for minimal harm

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

  17. No harm, with potential for minimal harm

    Have power receptacles that are properly grounded.

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

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.