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 June 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  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 June 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  3. 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 June 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  4. 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).

  5. 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).

  6. 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 June 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  7. 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 June 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  10. 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 June 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 17, 2025).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

  21. 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 July 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2021).

  22. 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 July 20, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 31, 2021).

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.