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 24 of 24 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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.

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

    Fire safety citation K-0321, 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).

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

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

    Fire safety citation K-0521, Services 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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous 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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, 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).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, 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).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, 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).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, 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).

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.