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Inspection visit

Health inspection

Lutheran Living Senior CampusCMS #1654326 citations on this visit
6 citations recorded

Citations

6 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0553GeneralS&S Dpotential for harm

    F553 - The right to participate in the development and implementation of his or her

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  • 0580GeneralS&S Dpotential for harm

    F580 - Notification of Changes

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • 0628GeneralS&S Bno actual harm

    F628 - Documentation

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  • 0684GeneralS&S Dpotential for harm

    F684 - Quality of care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0740SeriousS&S Jimmediate jeopardy

    F740 - Behavioral health services

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  • 0741SeriousS&S Jimmediate jeopardy

    F741 - The facility must have sufficient staff who provide direct services to

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

FAQ · About this visit

Common questions about this visit

What happened during the August 7, 2025 survey of Lutheran Living Senior Campus?

This was a inspection survey of Lutheran Living Senior Campus on August 7, 2025. The surveyor cited 6 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Lutheran Living Senior Campus on August 7, 2025?

Yes, 6 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.