All citations for Lutheran Senior Services at Breeze Park

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 Senior Services at Breeze Park

Last standard health inspection on record

April 2, 2026

Showing 1 to 13 of 13 citations

No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
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 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Pattern (more than a few residents). CMS level E.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Pattern (more than a few residents). CMS level E.
Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0222, Egress Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
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 April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Isolated (one or a few residents). CMS level D.
Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0131, Construction Deficiencies. Inspection of April 2, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 15, 2026).

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.