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 23 of 23 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 July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  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 May 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 18, 2025).

  3. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  4. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  5. 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 October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  7. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  8. 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 October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  9. 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 October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  10. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  13. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  15. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  16. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  18. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  19. 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 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of June 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

  21. 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 May 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2025).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

  23. No harm, with potential for 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.

    Widespread (many residents). CMS level C.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of October 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 1, 2023).

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.