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 16 of 16 citations

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

    Develop a communication plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2026).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2026).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 3, 2026).

  4. 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 February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 3, 2026).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 13, 2025).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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 January 30, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 29, 2025).

  13. 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).

  14. 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).

  15. 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).

  16. 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.