All citations for Lutheran Home Of Southbury Inc

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 Home Of Southbury Inc

Last standard health inspection on record

June 17, 2025

Showing 1 to 22 of 22 citations

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Provide a written emergency evacuation plan.

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

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

  3. 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 February 5, 2025. Found during a complaint inspection.

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

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 5, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (January 28, 2025).

  5. 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 August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

  6. 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 August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

  8. 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 August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

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

    Establish emergency prep training and testing.

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

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Meet other general requirements.

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

    Fire safety citation K-0200, Egress Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

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

    Fire safety citation K-0225, Egress Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Have an alternate power supply for its alarm system.

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

    Fire safety citation K-0344, Smoke Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

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

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

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

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

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

    Fire safety citation K-0927, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2023).

  22. No harm, with potential for minimal harm

    Observe each nurse aide's job performance and give regular training.

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

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of August 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 10, 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.