All citations for Lutheran Nursing 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 Nursing Home

Last standard health inspection on record

August 1, 2025

Showing 1 to 23 of 23 citations

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Report COVID19 data to residents and families.

    Widespread (many residents). CMS level F.

    Health citation F-0885, Infection Control Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Establish an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0343, Smoke Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  7. 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 April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  8. 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 April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  9. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  10. 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 April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  11. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of May 6, 2024. Found during a complaint inspection.

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

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  15. 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 April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  16. 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 8, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (June 25, 2024).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  18. 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 April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  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 April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Provide or obtain dental services for each resident.

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

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Ensure staff are vaccinated for COVID-19

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

    Health citation F-0888, Infection Control Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 2022).

  23. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 13, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 28, 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.