Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Luther Memorial Home during CMS and state inspections, most recent first.
Improper glove use during tray line food service was observed in the main kitchen. A dietary staff member handled resident menus with gloved hands and then used the same gloves to plate sandwiches onto resident meal plates without changing gloves after touching non-food items and before handling ready-to-eat food. The dietary manager confirmed the lapse.
Incorrect MDS Skin Condition Coding: A resident’s quarterly MDS was coded to show two unstageable pressure ulcers related to slough/eschar and two present on admission, even though the record included an admission skin assessment with no pressure ulcer or injury noted and later skin notes describing toe and heel findings. An administrative nurse confirmed the MDS was coded incorrectly.
Failure to perform hand hygiene after glove removal was observed during care for a resident with a colostomy. A CNA completed colostomy care and later perineal care, removed gloves, and then touched other objects without cleaning hands. An infection control nurse stated staff would be expected to wash hands after removing gloves before touching other objects.
A facility failed to accurately code the MDS for a resident, incorrectly indicating significant weight loss in Section K. The MDSs showed weight loss when the resident did not experience such changes. This error was confirmed by a dietary supervisor.
A facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with a stage two pressure ulcer. Despite the policy requiring gowns and gloves during high-contact care, a CNA did not use PPE while providing care. No EBP signage or PPE was available in the resident's room, contrary to facility policy.
Improper Glove Use During Tray Line Food Service
Penalty
Summary
Food was not served in accordance with professional standards for food service sanitation in the main kitchen. During observation of the tray line, an unidentified dietary staff member handled several resident menus with gloved hands and then used the same gloves to place sandwiches onto resident meal plates. The staff member did not change gloves after touching non-food items and before handling ready-to-eat food. The dietary manager later confirmed that the staff member failed to change gloves after touching the menus and before plating the sandwiches.
Incorrect MDS Skin Condition Coding
Penalty
Summary
The facility failed to ensure accurate coding of Section M (Skin Conditions) on the MDS for one sampled resident. The RAI 3.0 User’s Manual stated that M0300F1 requires the number of unstageable pressure ulcers related to slough and/or eschar, and M0300F2 requires the number of those ulcers first noted at admission or reentry. Review of the resident’s record showed an admission skin assessment on 09/23/25 with no pressure ulcer or injury noted, and a 10/03/25 progress note documenting small purple non-blanchable areas on the tips of both big toes with a bed cradle added. A weekly skin review on 12/19/25 documented that the right great toe had a measurable area that had flaked off and was now dark pink and healed, while the left heel measured smaller at 2 x 1.8 cm and remained closed/unstageable. However, the quarterly MDS dated 12/23/25 coded M0300F1 as 2 and M0300F2 as 2, indicating two unstageable pressure ulcers due to slough and/or eschar and two present on admission. During interview on 12/31/2025, an administrative nurse confirmed that staff coded the resident’s MDS incorrectly.
Failure to Perform Hand Hygiene After Glove Removal
Penalty
Summary
The facility failed to follow infection control standards for one sampled resident during observed care. During colostomy care for Resident #10, a CNA emptied stool from the colostomy bag into a graduate, wiped the bag, emptied the graduate into the toilet, rinsed the graduate with water, wiped the colostomy bag again, removed gloves, and then opened the door and retrieved a new box of gloves without performing hand hygiene. During a separate observation of perineal care for the same resident, the CNA washed the perineal area, removed gloves, and again did not perform hand hygiene before removing the foot cradle from the end of the bed. An infection control nurse stated that staff would be expected to wash hands after removing gloves before touching other objects.
Inaccurate MDS Coding for Resident's Weight Loss
Penalty
Summary
The facility failed to ensure accurate coding of the Minimum Data Set (MDS) for one of the sampled residents. Specifically, in the case of Resident #49, the facility inaccurately coded the MDS in Section K, which pertains to swallowing and nutrition status. The MDSs dated 06/21/24 and 09/21/24 incorrectly indicated that the resident experienced significant weight loss, coded as '2' for weight loss, when in fact, the resident did not experience a 5% weight loss in 30 days or a 10% weight loss in 180 days. This error was confirmed during an interview with a dietary supervisor, who acknowledged the incorrect coding of the MDS for Resident #49.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to its infection prevention and control program, specifically regarding Enhanced Barrier Precautions (EBP) for a resident with a stage two pressure ulcer. The facility's policy required the use of gowns and gloves during high-contact care activities for residents with wounds, such as pressure ulcers. However, during an observation, it was noted that there was no EBP signage or supply cart with personal protective equipment (PPE) available outside or inside the resident's room. A certified nurse aide entered the resident's room without donning the required gown and gloves and proceeded to transfer the resident from a wheelchair to the toilet and perform perineal care. This action was contrary to the facility's policy, which mandates the use of EBP to prevent the spread of infections. An administrative nurse later confirmed that the expectation was for signage to be present, appropriate PPE to be available, and staff to follow the established policy.
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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 Mayville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hatton Prairie Village | 11.3 mi | ★★★★★ | 4 | 0 |
| Sanford Hillsboro Care Center | 13.8 mi | ★★★★★ | 0 | 0 |
| Northwood Deaconess Health Cnt | 20.1 mi | — | 0 | 0 |
| Halstad Living Center | 25.3 mi | ★★★★★ | 6 | 0 |
| Woodside Village | 29.3 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 July 2026) and official state health department websites.