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 22 of 22 citations

  1. 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 7, 2024. Found during a standard inspection.

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

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

    Meet other general requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0932, Smoke Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 7, 2024. Found during a standard inspection.

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

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

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

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

    Meet requirements for sections of health care facilities separated by fire resistive construction.

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

    Fire safety citation K-0131, Construction Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

  14. 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 June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

  15. 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 June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 9, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 17, 2022. Found during a standard inspection.

    A waiver was granted.

  21. 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 June 17, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 29, 2022).

  22. 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.