CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3650202026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Lutheran Home

2116 Dover Center Rd · Westlake, OH 44145 · Cuyahoga County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds40CMS provider file
Recent citation rows44current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12023-08-2472023-08-2414
Cycle 22020-01-1612020-01-163
Cycle 32018-11-2972018-11-2912
02 / CITATION DETAIL

44 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-11-24 · HEALTHF0694Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-12-08 · complaint
2023-08-24 · FIREE0013Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · HEALTHF0604Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · HEALTHF0758Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · HEALTHF0838Severity C · widespread; potential for minimal harm

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · HEALTHF0868Severity C · widespread; potential for minimal harm

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0222Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0223Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0351Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0711Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0741Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0753Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2023-08-24 · FIREK0920Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2023-10-12
2020-01-16 · HEALTHF0880Severity F · widespread; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2020-02-21
2020-01-16 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2020-02-21
2020-01-16 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2020-02-21
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • ANDERSON, TODDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/29/2023
  • BOWERSOX, JAMESIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2020
  • BRUESHABER, LARRYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2020
  • BURGESS, DOUGLASIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2026
  • EAST, SANDRAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2026
  • FOWERBAUGH, ANDREWIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/29/2023
  • HILDAL, ROBYNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/29/2023
  • KAHLE, THOMASIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2020
  • MCQUINN, SCOTTIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2020
  • MOLNAR, DAVEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/29/2023
  • PALMER, MARKIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2026
  • PRESENT, PHILIPIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2026
  • SHORT, MARYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2026
  • THORPE, JOSEPHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2026
  • BOWERSOX, JAMESIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 09/01/2020
  • MCQUINN, SCOTTIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 09/01/2020
  • LIFE ENRICHING COMMUNITIESOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2025
  • LIFE ENRICHING COMMUNITIES FOUNDATIONOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours5.37per resident day
RN hours0.65per resident day
Weekend nurse hours5.08per resident day
Staff turnover51.6%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Westlake ledger →
Brookdale Westlake Village60 beds · CMS overall 5/527 citation rowsCrocker Pointe Health And Rehabilitation96 beds · CMS overall —/50 citation rowsHuntington Woods Care & Rehab Center82 beds · CMS overall 5/522 citation rowsLife Care Center Of Westlake119 beds · CMS overall 2/551 citation rowsRae Ann Suburban95 beds · CMS overall 2/560 citation rowsRae-Ann Westlake130 beds · CMS overall 4/531 citation rows
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.