LUTHER MANOR
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-01-14 — 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.
2024-09-10 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-09-10 — IMMEDIATE JEOPARDY (tag F0692, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2024-06-11 — IMMEDIATE JEOPARDY (tag F0686, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-06-11 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-02-01 — 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.
2024-02-01 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
4.21
state median 3.58
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.57
registered nurses only
Contract (agency) staff
15%
share of all nursing hours
Nursing staff turnover
55%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
8 enforcement action(s), totaling $170,666 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-10 | Fine | $103,705 |
| 2024-09-10 | Payment Denial | payment denial |
| 2024-06-11 | Fine | $34,468 |
| 2024-02-01 | Fine | $25,454 |
| 2024-02-01 | Payment Denial | payment denial |
| 2023-08-14 | Fine | $2,117 |
| 2023-08-07 | Fine | $1,748 |
| 2023-07-17 | Fine | $3,174 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-01-14 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-12-16 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-16 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-16 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-16 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-16 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-07-29 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-13 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-26 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-10-31 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-31 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-10-31 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-10-31 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-31 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-31 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-31 | F0660 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-31 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-31 | F0745 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-09-10 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-10 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-10 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-10 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-10 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-09-10 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-09-10 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-09-10 | F0692 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-09-10 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-09-10 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-10 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-09-10 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-10 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2024-09-10 | F0947 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-06-11 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-11 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-06-11 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-11 | F0686 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-06-11 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-01 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-01 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-02-01 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-01 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-01 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-02-01 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-07-27 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-27 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-27 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-27 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-27 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-07-27 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-07-27 | F0759 | Pharmacy Service Deficiencies | D | not recorded |