All citations for Lutheran Retirement 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 Retirement Home

Last standard health inspection on record

February 26, 2026

Showing 1 to 15 of 15 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2024).

  2. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2024).

  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 August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2024).

  4. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 20, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

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

    Establish methods for sharing information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

  7. 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 March 14, 2024. Found during a standard inspection.

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

  8. 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 March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2024).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2024).

  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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 19, 2024).

  12. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2024).

  13. 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 March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 25, 2024).

  14. 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 March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 28, 2024).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2024).

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.