SAINT LUKE LUTHERAN HOME
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2025-08-04 — IMMEDIATE JEOPARDY (tag F0744, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
2025-08-04 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-01-30 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2019-01-16 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.54
state median 3.20
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.36
registered nurses only
Contract (agency) staff
21%
share of all nursing hours
Nursing staff turnover
82%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $97,793 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-05-12 | Fine | $97,793 |
| 2025-05-12 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-10 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-10 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-10 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-10 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-03-10 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-03-10 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-10 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-10 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-03-10 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-03-10 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-10 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-10 | F0835 | Administration Deficiencies | F | not recorded |
| 2026-03-10 | F0908 | Environmental Deficiencies | E | not recorded |
| 2026-03-10 | F0921 | Environmental Deficiencies | E | not recorded |
| 2026-01-30 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2026-01-30 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-01-05 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-05 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-01-05 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-11-24 | F0559 | Resident Rights Deficiencies | D | not recorded |
| 2025-11-24 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-11-24 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-10-14 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-11 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-09-11 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-11 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-11 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-11 | F0809 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-09-11 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-09-11 | F0908 | Environmental Deficiencies | F | not recorded |
| 2025-08-04 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-04 | F0567 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-04 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-04 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-04 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-04 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-04 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-04 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-04 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-08-04 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-08-04 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-08-04 | F0744 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-08-04 | F0804 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-08-04 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-04 | F0835 | Administration Deficiencies | F | not recorded |
| 2025-08-04 | F0837 | Administration Deficiencies | F | not recorded |
| 2025-08-04 | F0921 | Environmental Deficiencies | F | not recorded |
| 2025-05-12 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | F | not recorded |
| 2025-05-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-12 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-12 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2025-05-12 | F0921 | Environmental Deficiencies | D | not recorded |
| 2025-03-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-30 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-01-30 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-01-30 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-01-30 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-30 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2023-01-30 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2020-02-06 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2020-02-06 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2020-02-06 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2020-02-06 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2020-02-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2020-02-06 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2020-02-06 | F0730 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2020-02-06 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2020-02-06 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2020-02-06 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2020-02-06 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2019-01-16 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2019-01-16 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-01-16 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-01-16 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-01-16 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2019-01-16 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-01-16 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-01-16 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-01-16 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-01-16 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-01-16 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-01-16 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-01-16 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-01-16 | F0880 | Infection Control Deficiencies | F | not recorded |