Facility profile · CCN 395636
Manor At St Luke Village,the
38 federal citations on record , and 1 federal enforcement actions totaling $0.
Record summary
Federal record · Q1 202638
Total citations
38
Last 3 years
0
Actual harm+
1
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
38 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 8, 2026 | F803 | Ensure 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. | F | Complaint |
| Jan 8, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jan 8, 2026 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Jan 8, 2026 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Jan 8, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 8, 2026 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Jan 8, 2026 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard |
| Jan 8, 2026 | 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 |
| Jan 8, 2026 | F567 | Honor the resident's right to manage his or her financial affairs. | D | Standard |
| Jan 8, 2026 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Jun 26, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 28, 2025 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard |
| Mar 28, 2025 | 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. | E | Standard |
| Mar 28, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 28, 2025 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard |
| Mar 28, 2025 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Jan 28, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| May 31, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| May 31, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 31, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| May 31, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| May 31, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard |
| May 31, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| May 31, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| May 31, 2024 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| May 31, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| May 31, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| May 31, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| May 31, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard |
| May 31, 2024 | F559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard |
| Nov 16, 2023 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Complaint |
| Nov 16, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Nov 16, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Complaint |
| Apr 28, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 28, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint |
| Apr 28, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 28, 2023 | 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. | D | Complaint |
| Apr 28, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 0 civil money penalties totaling $0 and 1 payment-denial actions spanning 23 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 31, 2024 | Payment Denial | — | Aug 31, 2024 · 23 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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