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.
Last standard health inspection on record
May 9, 2025
Showing 1 to 19 of 19 citations
No harm, with potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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
The home gave a date the problem would be corrected (June 20, 2025).
No harm, with potential for more than minimal harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
The home gave a date the problem would be corrected (August 30, 2023).
No harm, with potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
The home gave a date the problem would be corrected (August 30, 2023).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (August 30, 2023).
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.
The home gave a date the problem would be corrected (August 30, 2023).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
The home gave a date the problem would be corrected (April 3, 2020).
No harm, with potential for more than minimal harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
The home gave a date the problem would be corrected (April 3, 2020).
No harm, with potential for more than minimal harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
The home gave a date the problem would be corrected (April 3, 2020).
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.