All citations for Good Shepherd Lutheran Home

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 12, 2026

Showing 1 to 15 of 15 citations

  1. 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 March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2025).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

  3. 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 March 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2025).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

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

  5. 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 January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    A waiver was granted.

  7. 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 January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2026).

  9. 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 February 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 6, 2025).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 29, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 29, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 9, 2024).

  15. No harm, with potential for minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Widespread (many residents). CMS level C.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of May 12, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2026).

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.