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.

Back to Good Shepherd Lutheran Community

Last standard health inspection on record

May 26, 2026

Showing 26 to 50 of 54 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

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

    Meet requirements for the use and maintenance of medical gas equipment.

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

    Fire safety citation K-0922, 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).

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

    Have enough outside ventilation via a window or mechanical ventilation, or both.

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

    Health citation F-0923, 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).

  8. 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 May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

  9. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, 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).

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

    Meet requirements for the use and maintenance of medical gas equipment.

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

    Fire safety citation K-0922, 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).

  12. 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).

  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 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).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  15. 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 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).

  16. 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 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).

  17. 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 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).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of March 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2026).

  19. 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 March 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2026).

  20. 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 March 3, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2026).

  21. 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 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).

  22. 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 May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation 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).

  24. 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.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2025).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning 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).

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.