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 26 to 43 of 43 citations

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  2. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  3. 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 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

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

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

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

    Fire safety citation K-0111, Construction Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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

    Health citation F-0835, Administration Deficiencies. Inspection of July 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2024).

  6. 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 October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

  7. 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 October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

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

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  14. 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).

  15. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 14, 2024).

  16. No harm, with potential for minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 29, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 11, 2024).

  17. 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).

  18. 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.