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 Home during CMS and state inspections, most recent first.
The facility failed to maintain an effective infection prevention and control program during a Norovirus outbreak. A resident on contact precautions was observed with a CNA entering the room wearing only a mask and not the required gown and gloves, while an LPN washed hands for only five seconds after medication passes to two residents. Housekeeping also used an improper bleach mixture and lacked a clear outbreak cleaning procedure, and the DON confirmed the outbreak spread from one unit to another.
A resident with schizophrenia, seizure disorder, anxiety disorder, and severely impaired cognition had a court-ordered guardian, but the record did not contain a required protective placement order. Surveyor review and interviews with the guardian and SW confirmed the resident remained in the facility without protective placement, and the SW could not locate the order or identify training on protective placement requirements.
Failure to Provide ABN Forms When Medicare Coverage Ended: The facility did not provide ABN forms to two residents after their Medicare Part A coverage ended and they remained in the facility. Records showed NOMNC forms were issued, but there was no signed ABN or evidence that the residents or their representatives were informed of the private pay cost. The SW confirmed the ABNs were not provided and was unfamiliar with the form.
A resident with dementia and moderately impaired cognition was not protected from verbal abuse by an activated POAHC. Staff were aware of prior yelling and threatening comments toward the resident, including statements such as "I hope you choke" and other aggressive language, but the facility did not complete a full investigation or take steps to prevent further abuse. Later, surveyors directly heard the POAHC yelling aggressively in the resident’s room, and staff confirmed this behavior had occurred before.
Failure to Report Allegation of Verbal Abuse: A resident with dementia and other chronic conditions had an allegation of verbal abuse involving an activated POAHC who yelled, swore, and made choking comments during care. Staff and the DON were aware of the incident, but the allegation was not reported to the SA.
Failure to thoroughly investigate an allegation of verbal abuse involving a resident with dementia and moderately impaired cognition. Staff reported that the resident’s activated POAHC yelled, swore, and made threatening comments, including saying the resident was going to die and later, “I hope you choke.” The facility’s investigation was limited to two employee witness statements, and the DON and NHA indicated that was the extent of the investigation.
PASRR screening was not completed for a resident with schizophrenia, anxiety disorder, and seizure disorder. The resident had severe cognitive impairment with a BIMS score of 0/10 and a court-ordered guardian, but the medical record contained no PASRR Level I or Level II screen. The SW verified the omission and stated they had not received training on PASRR requirements.
A resident with severe cognitive impairment and multiple medical diagnoses was lowered to the ground during toileting and later showed pain and inability to bear weight. Staff initially documented the wrong side as injured and the provider was first notified about the left foot/ankle, leading to an X-ray of the wrong side. The actual injury was to the right ankle, which was bruised, swollen, and painful, and later imaging showed an acute distal fibular fracture. The DON stated the incorrect side in the original message prolonged treatment and healing.
A resident with COPD, chronic respiratory failure with hypoxia and hypercapnia, OSA, and other respiratory conditions did not receive ordered AVAPS support while sleeping when the device stopped working. Surveyors observed the resident asleep without the AVAPS, the care plan and nursing care card did not identify the NIV device, and the TAR still showed the order as completed even after staff knew the machine was broken. CNA and DON interviews confirmed staff had not promptly arranged repair and that the resident had reported needing the AVAPS whenever sleeping.
Two residents had medications in their rooms without the required physician orders or clear approval for bedside storage/self-administration. Surveyors observed eye drops, vitamins, Biofreeze, Cepacol spray, and nystatin products in the rooms, while MARs and care plans did not support all of the medications being present or self-administered. One resident’s prior assessment said they were forgetful and unable to self-administer, and the DON confirmed residents should not keep meds in the room without the proper order and assessment.
A facility failed to notify a resident's POAHC of an abuse allegation involving an LPN pushing the resident back into their wheelchair. Despite the facility's policy requiring notification, the POAHC was not informed due to a decision made by the NHA, as there was no injury. The resident had severe cognitive impairment, emphasizing the importance of notifying their representative.
The facility did not implement its policies to prevent abuse, neglect, and theft by failing to conduct a timely caregiver background check for an LPN. Despite hiring the LPN, the necessary background checks were not completed, and the Nursing Home Administrator was unable to provide the required documents when requested by the surveyor.
A facility failed to ensure a thorough investigation and proper education following an abuse allegation. A CNA reported that an LPN pushed a resident with severe cognitive impairment back into their wheelchair. Although the incident was reported to the State Agency, the LPN returned to work without receiving the required abuse education, as confirmed by the absence of their name on the education sign-in sheets.
The facility failed to maintain sanitary conditions in the walk-in freezer, where extensive frost and ice buildup were observed on various surfaces. The issue, persisting for several months, was attributed to condensation from the freezer door being left open too long. Despite manual ice removal efforts and maintenance reports, the problem remained unresolved.
The facility failed to provide proper transfer notifications to three residents, their representatives, and the Ombudsman. Residents with cognitive impairments were transferred to the hospital without receiving written notices, reasons for transfer, or contact information for the Ombudsman. The Social Services staff did not follow the facility's procedures, resulting in a lack of communication and documentation.
A resident with Alzheimer's and COPD was transferred to the hospital twice without receiving the required bed hold notification. The facility's policy mandates that residents be informed of their right to hold a bed upon discharge, but this was not followed. The Social Services Director confirmed the oversight, and the Nursing Home Administrator acknowledged the failure to provide notifications.
A resident's Quarterly MDS assessment was completed but not submitted to CMS within the required 14-day timeframe, resulting in a 55-day delay. The Nursing Home Administrator acknowledged the delay, citing a communication breakdown as the cause.
Infection Control Failures During Norovirus Outbreak
Penalty
Summary
The facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection during a Norovirus outbreak affecting multiple residents. The facility’s policies stated that standard precautions and transmission-based precautions were to be used as appropriate, that hand hygiene was required after resident contact and before moving from dirty to clean tasks, and that soap and water were required for Norovirus. The infection control policy also stated that residents with communicable disease were to be placed on isolation precautions as recommended by CDC guidelines. R53 had diagnoses including type 2 diabetes, an indwelling catheter, and renal disease, and the MDS showed intact cognition with a BIMS score of 15. R53 was on contact precautions for Norovirus, and the door sign directed staff to don a gown, gloves, and a mask before entering and to complete hand hygiene and remove PPE before exiting. During observation, CNA-D entered R53’s room wearing only a mask, obtained items, touched surfaces, emptied a basin, and removed items from the room without the other required PPE. CNA-D then sanitized hands after exiting and stated the appropriate PPE and precautions should have been used but were not because CNA-D was in a rush. The DON confirmed the D wing was in a Norovirus outbreak, that the outbreak later spread to the B wing, and that staff should follow the facility’s PPE procedures for residents on TBP. The survey also found hand hygiene was not performed appropriately during medication administration. After administering medications to two residents, LPN-K washed hands with soap and water for only five seconds each time, rather than the facility’s required handwashing technique. LPN-K confirmed the hands were not washed for the recommended 20 seconds, and the DON stated that during a suspected Norovirus outbreak staff should use soap and water. In addition, housekeeping practices were not consistent with the facility’s cleaning and disinfection policy. HK-G cleaned a resident room on the D wing using a mop bucket containing one capful of bleach and cold water, used a pre-mixed Virex solution for a smaller bucket, and stated there was no specific cleaning order or policy to follow. HK-G also stated the bleach water was only changed if it became cloudy. The housekeeping supervisor was unaware of a policy or procedure for disinfecting during a gastrointestinal outbreak, and the facility’s routine cleaning and disinfection policy did not contain outbreak-specific directions or product instructions.
Failure to Ensure Protective Placement for a Resident with a Guardian
Penalty
Summary
The facility did not ensure that a resident with a legal guardian was protectively placed. The resident had diagnoses including schizophrenia, seizure disorder, and anxiety disorder, and the MDS assessment showed a BIMS score of 0 out of 15, indicating severely impaired cognition. The resident’s medical record included an order for guardianship of person and estate, but it did not contain a court-ordered protective placement order. Surveyor review of the record and interviews confirmed the resident had been under court-ordered guardianship since 2022 and remained in the facility without a protective placement order. The guardian stated they were not aware that protective placement was required and reported that the MCO case worker had told them it was not needed. The guardian also stated the facility had not informed them that a protective placement order was needed. The social worker could not locate a protective placement order, had not completed an audit for missing resident documentation, and stated they had not received training on protective placement requirements.
Failure to Provide ABN Forms When Medicare Coverage Ended
Penalty
Summary
The facility did not ensure that 2 sampled residents, R2 and R22, were provided a Skilled Nursing Facility Advanced Beneficiary Notice (ABN) form when their Medicare Part A benefits ended and they remained in the facility. The CMS-10055 ABN form is used to inform a beneficiary about potential financial responsibility for care that may not be covered by Medicare, and the facility’s policy dated March 2025 states that an ABN shall be issued prior to furnishing non-covered care when services are being terminated and the beneficiary wants to continue receiving care. For R2, the medical record showed Medicare Part A services ended with a last covered day of 10/10/25, and the facility issued a Notice of Medicare Non-coverage (NOMNC) form with a signature date of 10/8/25. R2 remained in the facility, but there was no ABN form provided to R2 or the representative and no evidence that they were aware of the private pay cost. For R22, Medicare Part A services ended with a last covered day of 11/25/25, and the facility issued a NOMNC form with a signature date of 11/20/25. R22 also remained in the facility, but there was no ABN form provided to R22 or the representative and no evidence that they were aware of the private pay cost. The SW-C confirmed no ABN forms were provided and stated SW-C was not familiar with the form, although SW-C verbally informed both residents of the per day cost to remain in the facility.
Failure to Protect Resident from Verbal Abuse by POAHC
Penalty
Summary
The facility did not ensure one resident was free from abuse when verbal abuse by the resident’s activated POAHC was known to staff but not fully investigated and not followed by measures to protect the resident from further abuse. The resident had diagnoses including Alzheimer’s disease, dementia, diabetes mellitus type 2, and depression, and the most recent MDS showed a BIMS score of 8 out of 15, indicating moderately impaired cognition. The resident also had an activated POAHC-M. On one occasion, staff heard the POAHC-M yell at the resident and say, "I hope you choke," and another statement indicated the POAHC-M became angry when the resident refused repositioning with a pillow because it caused more pain, then yelled and swore loudly and said the resident was going to die. The facility obtained two witness statements related to that incident, but the investigation did not go further. The DON stated the incident was a long time ago and that the NHA decided what was investigated. A second incident occurred later when surveyors heard the POAHC-M yelling in the resident’s room in a loud and aggressive tone, including statements such as, "I'm going to leave. I'm going to walk out" and "Get ... from there or I'm going to beat your head in!" Staff acknowledged the POAHC-M was loud and aggressive and that this behavior had been seen before, but the facility had not begun an investigation at the time of the event. The SW stated the resident’s reaction suggested the resident may be used to the POAHC-M yelling, and the DON confirmed the facility had not started an investigation when the surveyor asked about the incident.
Failure to Report Allegation of Verbal Abuse
Penalty
Summary
The facility did not ensure an allegation of verbal abuse was reported to the State Agency for one resident. On 10/16/25, the facility was informed by the resident’s activated Power of Attorney for Healthcare of an incident involving loud yelling and abusive comments directed toward the resident. The resident had diagnoses including Alzheimer’s disease, dementia, diabetes mellitus type 2, and depression, and the most recent MDS showed a BIMS score of 8 out of 15, indicating moderately impaired cognition. Record review and staff interviews showed that staff were repositioning the resident to set up a new air mattress when the POAHC became angry about the use of a pillow and yelled and swore at the resident, saying the resident was going to die. Staff also reported hearing the POAHC say, after the resident coughed, “I hope you choke.” The NHA was informed of the incident during morning report, and later received employee statements describing the comments, but the allegation of abuse was not reported to the SA.
Failure to Thoroughly Investigate Allegation of Verbal Abuse
Penalty
Summary
The facility did not ensure an allegation of verbal abuse involving a resident and the resident’s activated POAHC was thoroughly investigated after staff became aware of the incident. The resident had diagnoses including Alzheimer’s disease, dementia, diabetes mellitus type 2, and depression, and the most recent MDS showed a BIMS score of 8 out of 15, indicating moderately impaired cognition. The allegation involved the POAHC becoming loud in the resident’s room while staff were repositioning the resident to set up a new air mattress, yelling and swearing at the resident, saying the resident was going to die, and later making a comment, “I hope you choke,” after the resident coughed. Surveyor review and staff interviews showed the facility’s investigation was limited to two employee witness statements. One CNA statement described the POAHC’s yelling and comments toward the resident, and another staff statement documented hearing the choking comment. The DON stated the facility did an investigation a couple weeks after the incident and that NHA-A decided what was investigated. NHA-A stated the choking comment was not known until the witness statements were provided and verified that the statements were the extent of the facility’s investigation.
PASRR Screening Not Completed for Resident With Schizophrenia
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not provided for 1 resident, R8, out of 24 sampled residents. Based on staff interview and record review, the facility did not contact the state mental health authority to pursue PASRR Level I or Level II screening for R8, who had a diagnosis of schizophrenia. The facility’s policy stated that individuals with a mental disorder or intellectual disability are to be screened in accordance with state Medicaid rules and that only individuals determined appropriate for admission by the state authority will be admitted. R8 was admitted to the facility with diagnoses including schizophrenia, seizure disorder, and anxiety disorder. The resident’s MDS assessment dated 12/2/25 showed a BIMS score of 0 out of 10, indicating severe cognitive impairment, and the resident had a court-ordered guardian for healthcare and financial decisions. On 12/8/25, the surveyor reviewed the medical record and found no PASRR Level I or Level II screen. On 12/9/25, the SW-C verified that no PASRR Level I or Level II screens had been completed for R8 and stated that SW-C started at the facility in June 2025 and had not received training on PASRR requirements.
Incorrect Documentation and Delayed Treatment After Fall Injury
Penalty
Summary
The facility did not provide care and treatment in accordance with professional standards of practice for a resident with severe cognitive impairment, including Alzheimer's disease, dementia, pneumonia, sepsis, long-term anticoagulant use, and weakness. After the resident was lowered to the ground while being taken to the bathroom, staff initially documented no apparent injury and notified the physician. Later that day, staff documented that the resident was unable to bear weight on the left foot/ankle, reported pain, refused to walk, and had difficulty transferring, although no bruising or swelling was noted at that time. The resident's record showed that the provider was first informed of a left-sided injury and an X-ray was obtained for the left foot and left tibia/fibula. The record later showed that staff clarified the resident actually needed imaging of the right ankle because the right ankle was bruised, swollen, and painful. The provider then ordered a right tibia/fibula and ankle X-ray, which showed an acute distal fibular fracture. The DON stated the original message to the provider identified the wrong foot, which prolonged the resident's treatment and healing.
Failure to Provide Ordered AVAPS Respiratory Support
Penalty
Summary
Safe and appropriate respiratory care was not provided for one resident, R41, who had diagnoses including COPD, chronic respiratory failure with hypoxia and hypercapnia, moderate persistent asthma, acute on chronic diastolic CHF, morbid obesity with alveolar hypoventilation, dependence on supplemental oxygen, and obstructive sleep apnea. R41 had a physician order for AVAPS to be worn daily when napping and sleeping, and R41 told the surveyor that the machine was not applied the prior night, that staff did not know how to use it, and that water had been placed in the wrong location. R41 stated the machine no longer worked because of staff error and said R41 had almost died in the past from high carbon dioxide and must wear the AVAPS while sleeping. Surveyors observed R41 asleep without the AVAPS machine and reviewed records showing the care plan and nursing care card did not identify the NIV device or respiratory care needs. The TAR documented AVAPS use for all shifts in December to date, including shifts after the machine reportedly stopped working. CNA-F stated the machine did not work and that the company needed to be called for repair, but this had not been done. DON-B stated staff should have called for repair as soon as they knew the device was not working, that the TAR initials indicated the order was followed even though the machine was broken, and that AVAPS use should have been included in the care plan and nursing care card.
Unordered Medications Found at Bedside Without Self-Administration Approval
Penalty
Summary
The facility did not ensure the accurate and safe administration of medication for two residents. Surveyors observed medications in the rooms of both residents that were not supported by the residents’ records, and neither resident had documentation showing they were approved to self-administer all of the medications found at the bedside. The facility’s self-administration policy required an interdisciplinary assessment, physician orders identifying which medications could be kept at the bedside, transcription to the MAR, and ongoing monitoring. For one resident, surveyors observed Refresh Tears eye drops and vitamin C pills on a stand near the door and visible from the hallway. The resident stated the medications belonged to them and later said the items had been there a long time and came from home, with the spouse often bringing them. The resident’s MAR did not contain orders for the medications, the care plan did not indicate bedside medication or self-administration, and a prior self-administration assessment stated the resident was forgetful and not able to self-administer medication. For the second resident, surveyors observed Biofreeze gel, Cepacol throat spray, nystatin cream, nystatin powder, and One A Day vitamins in the room, with some items lacking pharmacy labels. The resident stated staff gave the medications and that staff assisted with mobility and transfers. The MAR did not contain an order for Cepacol throat spray, the care plan did not indicate approval for self-administration or bedside medications, and the self-administration assessment indicated the resident could self-administer medication. The DON stated residents should not have medication in the room without a physician’s order and self-administration assessment, and confirmed the two residents were not able to self-administer medication.
Failure to Notify POAHC of Abuse Allegation
Penalty
Summary
The facility failed to notify the Power of Attorney for Healthcare (POAHC) of an allegation of abuse involving a resident with severe cognitive impairment. On August 30, 2024, a Certified Nursing Assistant (CNA) reported that a Licensed Practical Nurse (LPN) pushed the resident back into their wheelchair when the resident attempted to stand up. Despite the facility's policies requiring notification of the resident's representative about such allegations, the POAHC was not informed. The resident, who had a Brief Interview for Mental Status (BIMS) score indicating severe cognitive impairment, was not able to advocate for themselves, making the notification of their POAHC crucial. The surveyor's investigation revealed that the facility's Director of Nursing (DON) and Nursing Home Administrator (NHA) confirmed the lack of notification to the POAHC. The DON indicated that notification was determined on a case-by-case basis by the NHA, and since there was no injury, the POAHC was not informed. This oversight was confirmed during interviews with both the POAHC and the NHA, highlighting a failure to adhere to the facility's own policies regarding abuse investigations and communication with resident representatives.
Failure to Conduct Timely Background Check for LPN
Penalty
Summary
The facility failed to implement its policies and procedures to prevent abuse, neglect, and theft, specifically in conducting a thorough and timely caregiver background check for a contracted Licensed Practical Nurse (LPN). The facility's policy, reviewed in September 2024, mandates that no individual prohibited from a long-term care facility due to failure to report a crime against a resident should be employed. Despite this, the facility hired an LPN on October 27, 2023, without completing the necessary background checks. When the surveyor requested the background check information on October 30, 2024, the Nursing Home Administrator (NHA) was unable to provide it, as the Human Resources department, responsible for these checks, had left for the day. The NHA promised to send the information via email the next day, but as of October 31, 2024, the surveyor had not received the required documents, including the Background Information Disclosure (BID) form, Department of Justice (DOJ) criminal background check letter, or Integrated Background Information System (IBIS) letter for the LPN.
Failure to Ensure Abuse Education for LPN After Allegation
Penalty
Summary
The facility failed to ensure a thorough investigation of an alleged abuse incident involving a resident with severe cognitive impairment. On August 30, 2024, a Certified Nursing Assistant (CNA) reported that a Licensed Practical Nurse (LPN) pushed a resident back into their wheelchair when the resident attempted to stand. The resident, who had been diagnosed with Alzheimer's disease, anxiety, and bipolar disorder, had a Brief Interview for Mental Status (BIMS) score indicating severe cognitive impairment. The facility's investigation included interviews and written statements from the CNA and LPN, and the incident was reported to the State Agency within the appropriate timeframe. However, the facility did not ensure that the LPN received abuse education before returning to work on September 13, 2024, as required by the facility's policies. The Director of Nursing confirmed that the LPN's name and signature were absent from the education sign-in sheets, indicating that the LPN had not received the necessary training. This oversight was contrary to the facility's policy, which mandates that employees accused of abuse be suspended until the investigation is reviewed and any required training is completed.
Unsanitary Food Storage Conditions in Walk-In Freezer
Penalty
Summary
The facility failed to ensure that food was stored in a sanitary manner, as observed during a survey. The walk-in freezer was found to have extensive frost and significant ice buildup on the ceiling, motor/fan units, shelves, walls, and floor. The ice on the floor was over 1.5 inches high in some areas, creating a slippery surface. The ice appeared to result from condensation and dripping water, which was acknowledged by the Kitchen Supervisor (KS-D) and Maintenance Staff (MS-G) as an ongoing issue. The frost near the freezer door was attributed to the door being left open, and a new gasket was ordered to address this specific problem. Interviews with the Kitchen Supervisor, Certified Dietary Manager (CDM-F), and Regional Manager (RM-E) revealed that the ice buildup had been a persistent issue for several months. CDM-F had been manually removing ice every few days, and the problem had been reported to maintenance staff multiple times. Despite these efforts, the ice buildup continued, and the freezer's malfunctioning was noted since May 2024. Maintenance Staff (MS-G) confirmed that the ice buildup was due to the freezer door being left open too long, causing condensation. Signs were posted to remind staff to turn off the freezer when loading or unloading to prevent further ice accumulation.
Failure to Provide Proper Transfer Notifications
Penalty
Summary
The facility failed to provide proper notification of transfer to three residents, their representatives, and the State Long-Term Care Ombudsman as required by federal and state regulations. Residents R31, R30, and R32 were transferred to the hospital on various dates without receiving written notices of transfer, reasons for transfer, location of transfer, appeal rights, or contact information for the Ombudsman. The facility's policy, which mandates that the Social Services Director ensures written notification is provided prior to transfers, was not followed. This resulted in a lack of communication and documentation regarding the transfers. Resident R31, with severe cognitive impairment, was transferred twice due to complications related to COPD and other health issues, yet no written notifications were provided. Resident R30, with moderately impaired cognition and an activated Power of Attorney, was transferred for dehydration without proper notification. Similarly, Resident R32, also with moderately impaired cognition and an activated POA, was transferred for evaluation of tachycardia and other symptoms without receiving the required notices. The Social Services staff responsible for these notifications failed to adhere to the facility's procedures, leading to the deficiency.
Failure to Provide Bed Hold Notification
Penalty
Summary
The facility failed to provide a resident, identified as R31, with written information regarding the duration of the bed hold policy, the reserve bed payment policy, and the right to return to the facility upon transfer to a hospital. This deficiency was identified during a review of R31's medical records and staff interviews. R31, who had diagnoses including Alzheimer's dementia and chronic obstructive pulmonary disease (COPD) with associated chronic respiratory failure, was transferred to the hospital on two occasions. Despite the facility's policy requiring notification, neither R31 nor their representative received a bed hold notification for these transfers. The facility's policy, as outlined in their Bed Hold document dated April 2018, mandates that upon discharge, residents should be notified of their right to hold a bed. The charge nurse is responsible for completing the bed hold agreement and ensuring copies are distributed appropriately. However, during the survey, it was revealed that the Social Services Director did not provide the required written notifications to the resident or their representative, confirming that the facility's policy was not followed. This oversight was acknowledged by the Nursing Home Administrator, who confirmed that notifications were not provided for R31's hospital transfers.
Delayed Transmission of MDS Assessment
Penalty
Summary
The facility failed to ensure the timely transmission of a Resident Assessment Information (RAI)/Minimum Data Set (MDS) assessment for a resident, identified as R34, among 14 sampled residents. R34's Quarterly MDS assessment was completed on June 13, 2024, but was not electronically submitted to the Centers for Medicare and Medicaid Services' (CMS') Quality Improvement and Evaluation System (QIES) until August 21, 2024. This submission was 55 days late, missing the required 14-day timeframe for transmission as outlined in the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, Version 1.18.1, dated October 2023. The surveyor reviewed R34's medical record on August 20, 2024, and found that the Quarterly MDS assessment was due for submission by June 27, 2024. However, it had not been transmitted by that date. Upon requesting a final validation report, it was confirmed that the assessment was only transmitted on August 21, 2024, at 8:17 AM. During an interview, the Nursing Home Administrator (NHA) acknowledged the delay and attributed it to a communication breakdown, despite being aware of the 14-day submission requirement.
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What surveyors actually found near you
We read the 56 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
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Nursing homes near Marinette
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Menominee Health Services | 3.2 mi | ★★★★★ | 3 | 0 |
| Rennes Health And Rehab Center-east | 5.8 mi | ★★★★★ | 3 | 0 |
| Rennes Health And Rehab Center-west | 7.2 mi | ★★★★★ | 3 | 0 |
| Oconto Health And Rehab Center | 18.2 mi | ★★★★★ | 22 | 0 |
| Sturgeon Bay Health Services | 20.3 mi | ★★★★★ | 8 | 0 |
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