All citations for Good Shepherd Lutheran Community

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.

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Last standard health inspection on record

May 26, 2026

Showing 1 to 25 of 54 citations

Harm to a resident
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 G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 26, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (July 1, 2026).
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 May 26, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (July 1, 2026).
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 May 26, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (July 1, 2026).
No harm, with potential for more than minimal harm
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Widespread (many residents). CMS level F.
Health citation F-0838, Administration Deficiencies. Inspection of May 26, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (July 1, 2026).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of May 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2026).
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 May 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2026).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2026).
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 May 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2026).
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 May 26, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 23, 2026).
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 May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Widespread (many residents). CMS level F.
Health citation F-0921, Environmental Deficiencies. Inspection of May 1, 2025. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
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 May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 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 May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2025).
No harm, with potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Widespread (many residents). CMS level F.
Health citation F-0882, Infection Control Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
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 April 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2024).

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.