Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 525588

Luther Manor

48 federal citations on record , including 3 at the Immediate Jeopardy level, and 8 federal enforcement actions totaling $170,666.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
48
Total citations
45
Last 3 years
7
Actual harm+
8
Federal penalties
$170,666
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care14 Abuse & Neglect11 Medication & Pharmacy8 Care Planning7 Resident Rights5

Most common F-tags at this facility

F6096 F6105 F6864 F7602 F6232

Citation history

48 on record
SurveyF-TagViolationSeveritySource
Jan 14, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jul 29, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 13, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Mar 26, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Oct 31, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint
Oct 31, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Oct 31, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Oct 31, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Oct 31, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint
Oct 31, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint
Oct 31, 2024F610Respond appropriately to all alleged violations.DComplaint
Oct 31, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 31, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Sep 10, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
Sep 10, 2024F610Respond appropriately to all alleged violations.DComplaint
Sep 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 10, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Sep 10, 2024F880Provide and implement an infection prevention and control program.FStandard
Sep 10, 2024F760Ensure that residents are free from significant medication errors.DStandard
Sep 10, 2024F758Implement 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.EStandard
Sep 10, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Sep 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
Sep 10, 2024F692Provide enough food/fluids to maintain a resident's health.JStandard
Sep 10, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Sep 10, 2024F641Ensure each resident receives an accurate assessment.DStandard
Sep 10, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Jun 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 11, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint
Jun 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 11, 2024F610Respond appropriately to all alleged violations.DComplaint
Jun 11, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 1, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Feb 1, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Feb 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Feb 1, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Feb 1, 2024F610Respond appropriately to all alleged violations.DComplaint
Feb 1, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 27, 2023F758Implement 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.EComplaint
Jul 27, 2023F742Provide 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.DComplaint
Jul 27, 2023F610Respond appropriately to all alleged violations.DComplaint
Jul 27, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jul 27, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
Jul 27, 2023F625Notify 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.DStandard
Jul 27, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Apr 5, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 4, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 4, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard

Federal enforcement history

Federal regulators have imposed 8 enforcement actions against this facility, including 6 civil money penalties totaling $170,666 and 2 payment-denial actions spanning 67 days.

DateTypeFinePayment denial
Sep 10, 2024Payment Denial—Oct 11, 2024 · 53 days
Sep 10, 2024Fine$103,705—
Jun 11, 2024Fine$34,468—
Feb 1, 2024Payment Denial—Feb 29, 2024 · 14 days
Feb 1, 2024Fine$25,454—
Aug 14, 2023Fine$2,117—
Aug 7, 2023Fine$1,748—
Jul 17, 2023Fine$3,174—
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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