Facility profile · CCN 335006
Katherine Luther Residential Hlth Care & Rehab
33 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $80,558.
Record summary
Federal record · Q1 202633
Total citations
13
Last 3 years
4
Actual harm+
2
Federal penalties
$80,558
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
33 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 9, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Aug 7, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Aug 7, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Aug 7, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 7, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 7, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Aug 7, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 7, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 7, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Aug 7, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 7, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| May 24, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint |
| May 24, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Apr 19, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 19, 2022 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Apr 19, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Apr 19, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Apr 19, 2022 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Apr 19, 2022 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Apr 19, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Oct 25, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 25, 2019 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Oct 25, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Oct 25, 2019 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Oct 25, 2019 | F700 | 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. | D | Standard |
| Oct 25, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Oct 25, 2019 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Oct 25, 2019 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Oct 25, 2019 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 25, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 25, 2019 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Oct 25, 2019 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
| Oct 25, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $80,558 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 9, 2025 | Fine | $54,304 | — |
| May 24, 2024 | Fine | $26,254 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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