All citations for Saint Luke Lutheran 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 Saint Luke Lutheran Home

Last standard health inspection on record

March 10, 2026

Showing 1 to 25 of 102 citations

  1. Immediate jeopardy to resident health or safety

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  2. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  3. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

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

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of March 10, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

  5. 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 March 10, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of March 10, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 10, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2026).

  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 10, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 10, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2026).

  10. 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 March 10, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2026).

  11. 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 10, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 2, 2026).

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

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of September 11, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    Widespread (many residents). CMS level F.

    Health citation F-0837, Administration Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  18. 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 May 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Widespread (many residents). CMS level F.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 12, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of January 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

  21. 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 January 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 7, 2023).

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

    Observe each nurse aide's job performance and give regular training.

    Widespread (many residents). CMS level F.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

  25. 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 February 6, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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.