All citations for Lutheran Living Senior Campus

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 Living Senior Campus

Last standard health inspection on record

February 13, 2026

Showing 1 to 25 of 27 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 31, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

  2. Immediate jeopardy to resident health or safety

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 5, 2023. Found during a standard inspection and a complaint inspection.

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

  3. Immediate jeopardy to resident health or safety

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

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

  4. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 5, 2023. Found during a standard inspection and a complaint inspection.

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

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

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

  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 October 5, 2023. Found during a standard inspection.

    A waiver was granted (October 30, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 5, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 5, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 5, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  10. 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 October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2023).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

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

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 5, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  13. 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 October 5, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  15. 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 October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of October 5, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 5, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  21. 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 October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

  22. 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 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 2023).

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

    Employ staff that are licensed, certified, or registered in accordance with state laws.

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

    Health citation F-0839, Administration Deficiencies. Inspection of October 5, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 13, 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.