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 29 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 June 11, 2024. Found during a complaint inspection.

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

  2. 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 June 11, 2024. Found during a complaint inspection.

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

  3. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.

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

  4. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.

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

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  7. 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 July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 15, 2023).

  9. 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 February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2024).

  10. 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 July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

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

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

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

    Fire safety citation K-0132, Construction Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  13. 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 July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  14. 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 June 11, 2024. Found during a complaint inspection.

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

  15. 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 June 11, 2024. Found during a complaint inspection.

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

  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 June 11, 2024. Found during a complaint inspection.

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

  17. 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 February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 6, 2024).

  18. 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 February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2024).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 4, 2024).

  20. 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 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  21. 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 July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  22. 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 July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2023).

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

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2023).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

    Health citation F-0742, Quality of Life and Care Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  25. 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 July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

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.