All citations for Luther Oaks

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 Oaks

Last standard health inspection on record

August 1, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 24 of 24 citations

  1. 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 August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  2. 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 August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 7, 2023).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

  6. 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 August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 30, 2023).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 18, 2023).

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

    Install a two-hour-resistant firewall separation.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2023).

  10. 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 August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2023).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 2, 2023. Found during a standard inspection.

    A waiver was granted (December 6, 2023).

  12. 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 August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2023).

  13. 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 August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 5, 2023).

  14. 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 June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2022).

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

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2022).

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2022).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2022).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2022).

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

    Install a two-hour-resistant firewall separation.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2022).

  20. 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 June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2022).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 19, 2022).

  22. 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 June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 21, 2022).

  23. 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 August 2, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2023).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 22, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2022).

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.