Facility profile · CCN 165484
St Luke Lutheran Nursing Home
25 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $90,076.
Record summary
Federal record · Q1 202625
Total citations
25
Last 3 years
2
Actual harm+
3
Federal penalties
$90,076
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
25 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 4, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 4, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Sep 4, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Sep 4, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard |
| Sep 4, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 4, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 4, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Sep 4, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Aug 22, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 22, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 22, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Aug 22, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Aug 22, 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 |
| Aug 22, 2024 | F578 | Honor 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. | E | Standard |
| Aug 22, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Apr 25, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Apr 25, 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. | E | Complaint |
| Apr 25, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 25, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 17, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Aug 17, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Aug 17, 2023 | 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 |
| Aug 17, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| May 10, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $90,076 and 1 payment-denial actions spanning 21 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 4, 2025 | Fine | $81,679 | — |
| Aug 22, 2024 | Fine | $8,397 | — |
| Aug 22, 2024 | Payment Denial | — | Sep 20, 2024 · 21 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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