All citations for Lutheran Community Home

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 Lutheran Community Home

Last standard health inspection on record

December 5, 2025

Showing 1 to 25 of 30 citations

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2026).

  2. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 28, 2026).

  3. 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 December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2026).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 11, 2026).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0300, Egress Deficiencies. Inspection of September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2024).

  6. 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 September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2024).

  7. 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 September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2024).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0300, Egress Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2026).

  10. 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 December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

  11. 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 December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2026).

  12. 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 July 25, 2023. Found during a standard inspection.

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

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 25, 2023. Found during a standard inspection.

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

  14. 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 July 25, 2023. Found during a standard inspection.

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

  15. 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 December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2026).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of October 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 28, 2025).

  21. 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 September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 4, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 8, 2024).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2023).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 25, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2023).

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.