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 51 to 67 of 67 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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 February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2020).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2020).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2020).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2020).

  9. 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 February 7, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 13, 2020).

  10. 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 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

    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).

  12. 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).

  13. 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).

  14. 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).

  15. No harm, with potential for minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Widespread (many residents). CMS level C.

    Health citation F-0628, 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).

  16. No harm, with potential for minimal harm

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Widespread (many residents). CMS level C.

    Health citation F-0838, Administration 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).

  17. 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.