All citations for St Luke Lutheran Community-Portage Lakes

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 Luke Lutheran Community-Portage Lakes

Last standard health inspection on record

November 27, 2024

Showing 1 to 25 of 55 citations

Harm to a resident
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Isolated (one or a few residents). CMS level G.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 30, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 25, 2024).
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 November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
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 November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
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 November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
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 November 27, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Widespread (many residents). CMS level F.
Health citation F-0919, Environmental Deficiencies. Inspection of September 30, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 25, 2024).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
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 June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
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 June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Widespread (many residents). CMS level F.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
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 June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
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 June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
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 June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 27, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2022).
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 August 1, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2019).
No harm, with potential for more than minimal harm
Establish an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0001, Emergency Preparedness Deficiencies. Inspection of August 1, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2019).
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Widespread (many residents). CMS level F.
Fire safety citation K-0161, Construction Deficiencies. Inspection of August 1, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2019).
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 August 1, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2019).

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.