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 13 of 13 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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 April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Have restrictions on the use of portable space heaters.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0781, 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).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  10. 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 April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  12. 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 April 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of April 4, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 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.