All citations for Luther Manor at Hillcrest

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 Luther Manor at Hillcrest

Last standard health inspection on record

February 12, 2026

Showing 1 to 25 of 43 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 February 12, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (March 6, 2026).
Harm to a resident
Ensure that residents are free from significant medication errors.
Isolated (one or a few residents). CMS level G.
Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 23, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 24, 2025).
Harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Isolated (one or a few residents). CMS level G.
Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of September 18, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 2, 2025).
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 February 12, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (March 6, 2026).
No harm, with potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Widespread (many residents). CMS level F.
Health citation F-0865, Administration Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 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 February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 6, 2026).
No harm, with potential for more than minimal harm
Have restrictions on the use of highly flammable decorations.
Widespread (many residents). CMS level F.
Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 6, 2026).
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 February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 13, 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 December 30, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (January 23, 2025).
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 October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 31, 2024).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 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 October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2024).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 3, 2023).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 3, 2023).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 11, 2023).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 3, 2023).
No harm, with potential for more than minimal harm
Install a two-hour-resistant firewall separation.
Widespread (many residents). CMS level F.
Fire safety citation K-0133, Construction Deficiencies. Inspection of September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).
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 September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 28, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).
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 September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).
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 September 25, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 3, 2023).
No harm, with potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 6, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 5, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 17, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 23, 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.