Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145739

Lutheran Home For The Aged

54 federal citations on record , including 1 at the Immediate Jeopardy level, and 7 federal enforcement actions totaling $164,159.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
54
Total citations
39
Last 3 years
10
Actual harm+
7
Federal penalties
$164,159
Total fines
4
Overall ★ rating

Most common violation categories here

Quality of Care30 Resident Rights7 Abuse & Neglect5 Care Planning4 Nutrition & Dietary4

Most common F-tags at this facility

F68911 F6864 F6973 F5503 F6903

Citation history

54 on record
SurveyF-TagViolationSeveritySource
Sep 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 30, 2025F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Feb 21, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 21, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Nov 21, 2024F880Provide and implement an infection prevention and control program.DStandard
Nov 21, 2024F761Ensure 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.EStandard
Nov 21, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Nov 21, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Nov 21, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Nov 21, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Nov 21, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 21, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Nov 21, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Nov 21, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Nov 7, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Oct 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 27, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Apr 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 16, 2024F660Plan the resident's discharge to meet the resident's goals and needs.DComplaint
Feb 29, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 24, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 20, 2023F880Provide and implement an infection prevention and control program.EStandard
Dec 20, 2023F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Dec 20, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Dec 20, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Dec 20, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 20, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Dec 20, 2023F583Keep residents' personal and medical records private and confidential.EStandard
Dec 20, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Dec 6, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Dec 6, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jun 21, 2023F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint
May 24, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FComplaint
May 24, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jan 25, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jan 25, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jan 25, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Jan 25, 2023F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Jan 25, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Jan 25, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Jan 25, 2023F692Provide enough food/fluids to maintain a resident's health.EStandard
Jan 25, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard
Jan 25, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Jan 25, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 25, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 25, 2023F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard
Jan 25, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Jan 25, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 7 enforcement actions against this facility, including 6 civil money penalties totaling $164,159 and 1 payment-denial actions spanning 7 days.

DateTypeFinePayment denial
Apr 30, 2025Fine$48,620—
Nov 7, 2024Fine$40,339—
Oct 2, 2024Fine$13,910—
Feb 29, 2024Fine$14,050—
Oct 10, 2023Fine$13,258—
May 24, 2023Fine$33,982—
May 24, 2023Payment Denial—Jun 22, 2023 · 7 days
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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