All citations for St John's 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 St John's Lutheran Home

Last standard health inspection on record

July 17, 2025

Showing 1 to 23 of 23 citations

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

  2. 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 August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2024).

  3. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

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

    Health citation F-0800, Nutrition and Dietary Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

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

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

  8. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2024).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0300, Egress Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 17, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 30, 2025).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 15, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

  15. 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 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

  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 August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

  18. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of August 15, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2024).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 15, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 3, 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.