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 36 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

    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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of September 11, 2025. Found during a complaint inspection.

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

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, 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).

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

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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

    Health citation F-0805, 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).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, 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).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 11, 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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 11, 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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 11, 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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of September 11, 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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 11, 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

    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 4, 2025. Found during a complaint inspection.

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

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

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

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

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

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

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

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

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

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 4, 2025. Found during a complaint inspection.

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

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.