All citations for Luther Manor

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

Last standard health inspection on record

December 16, 2025

Showing 1 to 25 of 26 citations

  1. Immediate jeopardy to resident health or safety

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  2. Immediate jeopardy to resident health or safety

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  3. 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 September 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2024).

  4. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.

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

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

  7. 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 July 29, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 21, 2025).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of May 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2025).

  9. 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 March 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 27, 2025).

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 25, 2024).

  11. 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 October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 19, 2024).

  12. 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 October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 25, 2024).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  15. 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 October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 3, 2024).

  17. 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 October 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 3, 2024).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of October 31, 2024. Found during a complaint inspection.

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

  19. 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 September 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 19, 2024).

  20. 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 September 10, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 20, 2024).

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

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of September 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 19, 2024).

  25. 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 September 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.