Luther Manor Retirement & Nursing Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 40 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 13 most serious are shown; the remaining 15 are one tap away and print in full.

• Actual harm · Gcited before2025-10-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to provide oversight and prevent injury for two residents (Resident #1 and Resident #44) in a sample of 23 residents. Resident #1 was dependent on staff for transfers. When his/her electronic bed did not function properly, staff manually transferred the resident and caused a laceration to the resident's leg, which required emergency medical care, including sutures, antibiotic use to prevent infection, pain management medication, wound care and wound clinic appointments. Resident #44 had a history of falls and wandering and staff failed to provide oversight, resulting in an elopement that resulted in a fall with injury. The facility census was 55. The administrator was notified of a past noncompliance on 11/06/25, for Resident #44 which occurred on 08/28/25. The facility inserviced staff on wander guards and door alarms. This noncompliance was corrected on 08/29/25. Additionally, past noncompliance occurred for Resident #1 on 09/22/25. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2025-07-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to document and implement fall interventions to prevent falls for one resident (Resident #1), in a review of five sampled residents. On 07/06/25, staff failed to implement all interventions to prevent falls, including wedge cushions, while the resident was in bed. The resident rolled out of bed which resulted in a fracture of the tibia (a break of the larger of the two bones in the lower leg). The facility census was 55.Review of the facility's Fall Policy, dated 11/14/18, showed the following:-Purpose was to prevent a fall from occurring by identifying conditions and risk factors that typically lead to a fall. Protect the resident from injury in the event a fall does occur, and to provide care to a resident who has fallen by performing assessments, documentation, and early intervention;-Complete comprehensive care plan by day 20 (following admission) using information from Care Area Assessments along with resident and family discussion of interventions if necessary. More individualized risk mitigation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-05-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — the official record, unedited, may be distressing

  Deficiency Text Not Available

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-10-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, staff failed to store, prepare, and serve food in a safe and sanitary manner. Staff failed to ensure the temperature of a refrigerator used to store resident food was maintained at or below 45 degrees Fahrenheit (F) and the freezer was maintained at or below 0 degrees F. Staff failed to ensure food was discarded when it showed signs of deterioration. Staff did not practice proper handwashing, glove hygiene or hair restraint usage when preparing and serving food in the kitchen. Staff failed to ensure the facility's ice machine was clean and sanitary. The facility census was 55. The facility did not provide policies for food storage, dietary handwashing/gloving, hair restraints, ice machine cleaning, or storing resident food items. 1. Record review of the September 2025 Refrigerator/Freezer Temperature Log for the Family Room refrigerator located on the 300 hall, showed the following: -9/1/25: 49 degrees F (refrigerator) /23 degrees F (freezer); -9/2/25: 50 degrees F / 32 degrees F; -9/3/25: 49 degrees F / 26 degrees F; -9/4/25: 48…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-10-02 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to utilize Enhanced Barrier Precautions (EBP - an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDROs) buy using gowns and gloves during high-contact resident care activities) and properly handle dirty linens for two residents (Resident #1 and #6) in a review of 23 sampled residents. Additionally, the facility failed to complete a required Legionella (a type of bacteria found in [NAME] that cased Legionnaires' disease, a severe form of pneumonia, when inhaled in water droplets or mist) program. The facility census was 55. Review of the facility policy, EBP Policy and Procedure, revised 08/05/25, showed the following: -Purpose: To reduce the risk of transmission of MDROs in the facility;-EBP refers to an infection control intervention designed to reduce transmission of targeted MDROs that employs targeted gown and glove use during high contact resident care activities. EBPs are used in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-10-02 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure nurse aides received the required 12 hours of in-service education annually. The facility census was 55. The facility was not able to provide a policy regarding required in-service training for Nursing Assistants upon request. Review of the facility assessment, dated 05/01/23, showed the following: -Staff competencies and annual training requirements per regulatory authority and/or facility policy: 1. Abuse, neglect, exploitation and misappropriation;2. Advanced directives;3. Behavioral health;4. Communication;5. Compliance and ethics;6. Cardiopulmonary resuscitation;7. Dementia care management;8. Equipment and assistive device training;9. Infection Control;10. -Other areas identified as areas of weakness during annual performance review/competency evaluation;11. Promoting resident's independence;12. Quality assurance and performance improvement;13. Resident rights including confidentiality of resident information, right to dignity, privacy and property;14. -Safety and emergency procedures;15. Job responsibilities…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-02 · tag F0568 — pattern
  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to maintain individual resident ledgers for two residents (Resident #3 and #34) of two residents the facility held funds for, failed to send quarterly statements to the resident or the resident's representative and failed to distribute the accrued interest in the resident trust fund between the residents' accounts. The facility census was 55. Review of the facility policy, Personal Funds Policy and Procedures, updated 11/11/24, showed the following:-Upon written authorization of a resident, a resident may deposit personal funds for safekeeping with the facility if they so desire. Each resident will have their own personal ledger accounting of all transactions; -Deposit of funds:- Bank interest shall be accrued and credited to each individual account at least quarterly;-A written account shall be provided to each resident, showing receipts in and will be signed by the resident or their representative; -Withdrawal of funds:-A written account shall be provided to each resident, showing disbursements out and will be signed by the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-02 · tag F0578 — failed to honor advance directives / code status — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure staff indicated in the resident's medical record their wishes for Cardiopulmonary Resuscitation (CPR - an emergency life-saving procedure for someone whose breathing or heartbeat has stopped) and documented the residents' choice of code status in such a way to be readily accessible to staff in the event of an emergency. This affected five residents (Resident #1, #18, #19, #60 and #61) in a sample of 23 residents. The facility census was 55. Review of the undated facility policy, Full Code vs. Do Not Resuscitate (DNR) Protocol, showed the following:-Upon finding a resident with an absence of pulse and respirations, the first actions should be to notify a nurse and determine the resident's code status;-The code status was in the Electronic Medical Record (EMR); the policy did not specify where;-If a resident was listed as a Full Code, or no code status or DNR form was on file, a full code would be initiated by direct care staff. 1.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-02 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to complete required background screenings including the criminal background check (CBC) and employee disqualification list (EDL) checks, prior to employment for four of ten newly hired employees (Administrator, Housekeeper M, Registered Nurse (RN) JJ and Activity Assistant KK) who were hired since the last annual survey. The facility policy failed to address the Nurse Aide (NA) registry check as part of employment screening. The facility failed to complete the NA Registry check for five of ten employees (Administrator, Maintenance/Driver DD, Dietary [NAME] EE, Certified Nursing Assistant (CNA) GG and Caregiver II). The facility census was 55. Review of the undated facility policy, Employment Procedures, showed the following: -Prior to employment, the facility is required by state regulation to check the state EDL, run a criminal record check, and file application to the Family Care Safety Registry (FCSR). An applicant will not be placed on the schedule until the criminal record check is returned and approved by the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-02 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide each resident with a palatable meal served at appetizing temperatures. The facility census was 55. 1. During an interview on 09/29/25 at 2:35 P.M., Resident #34 said the following:-He/She normally ate his/her dinner in his/her room;-The meal was cold by the time staff served him/her in his/her room. During an interview on 09/29/25, at 2:09 P.M., Resident #52 said the following:-Some evenings he/she ate in his/her room;-The food was warm, but did not taste good at all. During the resident council meeting on 09/30/25 at 1:10 P.M., several residents in attendance said their food was cold at dinner when served as a room tray. 2. Review of the facility's Resident Diet Orders, printed 9/30/25, showed the following: -Forty-seven residents with a physician-ordered regular diet; -Four residents with a physician-ordered mechanical soft diet. Review of the facility's temperature logs, taken prior to serving the dinner meal on 9/30/25, showed the following: -Regular entree (sloppy joe on a bun): 168 degrees F;…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-02 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility staff failed to implement an effective quality assessment and assurance (QAA) committee to develop and track any identified concerns for resolution. The facility census was 55. Review of the undated facility policy, Quality Assurance Performance Improvement (QAPI) Plan, showed the following: -Purpose statement: The purpose of QAPI is the organization is to take a proactive approach in improving the way the facility cares for and engages with residents, caregivers and other partners. To do this, employees will participate in ongoing QAPI efforts which support the mission of caring and sharing in the resident's home away from home;-The QAPI program encompasses all segments of the facility, including resident/family feedback, individualized resident care plans, information technology, facility assessment and QAPI;-Aspects of service and care are measured against established performance goals;-Key monitors are measured and trended on a regular basis;-The QAPI committee monthly prioritized activities, endorses or re-endorses policies and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-02 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to provide incontinent care consistent with acceptable standards of practice to prevent urinary tract infections (UTI) and failed to follow proper infection control procedures for one sampled resident (Resident #46). The facility census was 55. Review of the undated facility policy, Policy for Performing Catheter Care with Peri Care, showed the following: -Check catheter (flexible tube inserted into the bladder to drain urine) and drainage bag for leaks, kinks, level of bag, color and character of the urine, and make sure bedside drainage bag is attached to the frame of the bed;-Make sure catheter is secure, coiled and draining properly. 1. Review of Resident #46's undated Continuity of Care Document diagnoses included chronic kidney disease (longstanding disease of the kidneys leading to renal (kidney) failure) and benign prostatic hyperplasia without lower urinary tract symptoms/BPH (a condition in which the prostate gland enlarges but does not cause any noticeable problems with urination). Review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-16 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to notify one resident's (Resident #2) physician timely of hip pain following a fall on 05/21/25. The resident complained of hip pain and received pain medication twice on 05/21/25, however, staff did not notify the physician of the resident's pain at the time of the fall until 05/23/25. An x-ray on 05/24/25 showed the resident fractured his/her hip. The facility census was 54. Review of the facility's protocol and procedure regarding nursing assessments, dated July 2012 showed the following: -It was the responsibility of every licensed and registered nurse to perform thorough nursing assessments on residents; -The nurse would notify the physician with any abnormal findings and/or complaints making sure the total assessment was performed and communicated with the physician. 1. Review of Resident #2's undated Continuity of Care Document (CCD) showed his/her diagnoses included hemiplegia (paralysis or inability to move one side of the body) affecting left nondominant side, muscle weakness, need for assistance with personal…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$13,270 in federal fines across 1 penalty.

• $13,270 — penalty dated 2025-10-02

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MO