All citations for St Luke's Nursing and Rehabilitation

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's Nursing and Rehabilitation

Last standard health inspection on record

May 9, 2025

Showing 1 to 25 of 31 citations

Immediate jeopardy to resident health or safety
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 K.
Fire safety citation K-0222, Egress Deficiencies. Inspection of July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
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 May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
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 July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
No harm, with potential for more than minimal harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Pattern (more than a few residents). CMS level E.
Health citation F-0576, Resident Rights Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Provide activities to meet all resident's needs.
Pattern (more than a few residents). CMS level E.
Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
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 May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
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 May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
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 May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Pattern (more than a few residents). CMS level E.
Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
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 July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
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 July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
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 July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
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 July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pattern (more than a few residents). CMS level E.
Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 11, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2020).
No harm, with potential for more than minimal harm
Have enough outside ventilation via a window or mechanical ventilation, or both.
Pattern (more than a few residents). CMS level E.
Health citation F-0923, Environmental Deficiencies. Inspection of February 11, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2020).
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 February 11, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2020).
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 February 11, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2020).
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 February 11, 2020. Found during a standard inspection.
The home gave a date the problem would be corrected (April 3, 2020).
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 May 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 20, 2025).
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 May 9, 2025. Found during a standard inspection.
Past non-compliance: already corrected by the time of the inspection (November 18, 2024).
No harm, with potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Isolated (one or a few residents). CMS level D.
Health citation F-0623, Resident Rights Deficiencies. Inspection of July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
No harm, with potential for more than minimal harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Isolated (one or a few residents). CMS level D.
Health citation F-0625, Resident Rights Deficiencies. Inspection of July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).
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 July 17, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (August 30, 2023).

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.