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 13 of 13 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of July 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2023).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 17, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2023).

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental 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.