Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lutheran Home, The during CMS and state inspections, most recent first.
Resident trust petty cash was not properly safeguarded because cash from other sources was commingled with resident funds and the account did not reconcile to the expected $600 balance. An AA reported that families sometimes gave money for visitor meal tickets at the front desk and that cash from the box was also used for change, while the business office only reconciled the account periodically. The Administrator, DON, and ADON stated resident petty cash should be balanced and kept separate from other money.
The facility inaccurately coded two residents' MDS assessments. One resident was marked as receiving hospice services despite no hospice order, hospice election, or care plan documentation, and staff confirmed the resident was not on hospice. Another resident was coded as receiving insulin during the look-back period even though the MAR showed no insulin administration and only documented Ozempic and metformin for DM. Staff interviews confirmed the coding did not match the record.
Failure to administer PRN antihypertensive medication as ordered: A resident with HTN and falls had an order for hydralazine 10 mg PO q8h PRN for SBP >160 mmHg, but staff missed 22 of 68 opportunities when SBP exceeded the ordered parameter. The record had no documentation of a clinical reason for withholding the medication, no documented resident assessment at the time of elevated BP, and no evidence the MD was notified when the PRN was not given.
A resident with PTSD, anxiety, personality disorder, schizophrenia, and major depressive disorder had a trauma history documented in the record, but the care plan did not include individualized PTSD triggers, a preference for female caregivers, or interventions to reduce emotional distress. The resident reported that certain men's cologne, body odor, and visible arm or hand hair triggered PTSD symptoms, yet those details were not reflected in the trauma-informed screening or care plan, and staff interviews confirmed such triggers and interventions should have been included.
Resident Trust Petty Cash Not Reconciled
Penalty
Summary
The facility failed to maintain a system to safeguard resident trust petty cash by commingling money from other sources with resident trust petty cash and by failing to reconcile the resident trust petty cash account. During observation of the resident petty cash box and review of the petty cash log, Administrative Assistant E counted $474.50 in resident trust petty cash, while the log showed receipts totaling $435.38. The available cash and receipts did not reconcile to the expected petty cash balance of $600, resulting in a $309.88 discrepancy. During interview, Administrative Assistant E stated that families sometimes gave money to the front desk for family meal tickets instead of going through the business office, which caused a discrepancy with the resident trust petty cash. He/She also said recent events with more visitors likely caused the cash box balance to be off, and that some cash from the box had been given to the front desk to have on hand to give change to residents when needed. The facility kept $600 on hand in the resident trust petty cash, used a paper log sheet and receipts to track resident money, and the business office reconciled the account periodically and replenished the box. The Administrator, DON, and ADON stated they would expect the resident petty cash to be balanced and not commingled with other sources of money.
Inaccurate MDS Coding for Hospice Status and Insulin Use
Penalty
Summary
The facility failed to ensure MDS assessments accurately reflected residents' clinical status for two sampled residents. One resident was coded on a quarterly MDS as receiving hospice services even though the medical record contained no physician orders, hospice election statement, hospice admission agreement, or other documentation showing hospice enrollment. The resident's POS also had no hospice order, and the care plan did not identify hospice services. During interview, an LPN stated the resident was not receiving hospice because the family had declined it, and an MDS LPN stated hospice coding should be based on physician orders or confirmation of hospice status with nursing staff. The facility also inaccurately coded another resident as receiving one insulin injection during the seven-day MDS look-back period when the MAR showed no insulin administration. That resident had a diagnosis of type 2 DM and orders for metformin and Ozempic, but no insulin order. The MAR documented Ozempic administration during the look-back period and no insulin administration. During interview, an MDS RN stated Ozempic was not insulin and the MAR should be reviewed to determine medications administered during the look-back period. The Administrator and DON stated they would expect the MDS to accurately reflect the resident's medical record current condition.
Failure to Administer PRN Antihypertensive Medication as Ordered
Penalty
Summary
The facility failed to follow physician orders for a resident with hypertension and falls by not administering ordered PRN hydralazine when the resident's systolic blood pressure exceeded the ordered parameter of greater than 160 mmHg. The resident had a physician order for hydralazine 10 mg by mouth every 8 hours PRN for SBP greater than 160 mmHg, along with an order to check blood pressure every 8 hours. Review of the MAR and TAR showed 22 missed opportunities out of 68 when the resident's SBP was above the ordered threshold, including missed doses in May, June, and July 2026. The record contained no documentation supporting a clinical reason for withholding the PRN hydralazine during any of the missed opportunities, no documentation that staff assessed the resident when the SBP exceeded 160 mmHg, and no documentation explaining why the medication was withheld. There was also no documentation that the physician was notified each time the blood pressure exceeded the ordered parameter and the medication was not given, and no documentation that a nurse determined the PRN dose was clinically inappropriate. The resident had severely impaired cognition, limiting the ability to recognize elevated blood pressure symptoms or request the medication.
Failure to Include PTSD Triggers and Care Preferences in Care Plan
Penalty
Summary
The facility failed to develop and implement an individualized, person-centered care plan for a resident with PTSD that addressed the resident’s trauma-related triggers and interventions. The resident had diagnoses including anxiety, personality disorder, disorganized schizophrenia, major depressive disorder, and PTSD, and the record also showed a PASRR screening identifying PTSD and a trauma-informed care screening documenting a history of physical and emotional abuse and the loss of a loved one. Although the resident identified specific PTSD triggers during interview, including certain men's cologne, men's body odor, and visible hair on men's arms or hands, and stated a preference for female caregivers because those triggers caused emotional distress, those triggers and preferences were not identified on the trauma-informed care screening or included in the care plan. The care plan did not identify individualized PTSD triggers, the preference for female caregivers, or interventions to prevent exposure to known psychological triggers and minimize emotional distress. Staff interviews confirmed that PTSD triggers and interventions should be listed on the care plan, but the resident’s plan did not contain that information.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cape Girardeau
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Cape Girardeau | 0.5 mi | ★★★★★ | 1 | 0 |
| Chateau Girardeau | 1 mi | ★★★★★ | 10 | 0 |
| Ratliff Care Center | 2.5 mi | ★★★★★ | 0 | 0 |
| Fountainbleau Lodge | 3.1 mi | ★★★★★ | 0 | 0 |
| Heartland Care And Rehabilitation Center | 3.9 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.