All citations for Woodside 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 Woodside Lutheran Home

Last standard health inspection on record

September 24, 2025

Showing 1 to 21 of 21 citations

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2025).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2025).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

  4. 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 September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  5. 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 September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2025).

  6. 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 September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 12, 2025).

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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

  8. 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 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 8, 2023).

  9. 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 September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  11. 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 September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2025).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2025).

  14. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2025).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

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

  16. 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 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  18. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2024).

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

    Have restrictions on the use of flammable curtains.

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

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2024).

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

    Have restrictions on the use of highly flammable decorations.

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

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of July 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 21, 2025).

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.