All citations for Luther Manor Retirement & Nursing Center

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 Retirement & Nursing Center

Last standard health inspection on record

October 2, 2025

Showing 1 to 25 of 36 citations

  1. 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 October 2, 2025. Found during a standard inspection and a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (September 22, 2025).

  2. 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 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  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 October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Widespread (many residents). CMS level F.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of October 2, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  5. 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 October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Establish policies and procedures for medical documentation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

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

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

  8. 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 October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

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

    Establish methods for sharing information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

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

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2026).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  12. 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 October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  14. 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 October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Meet requirements for the use of electrical equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

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

    Health citation F-0568, Resident Rights Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

  24. 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 October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of October 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2025).

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.