01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-09-05 | 7 | 2024-09-05 | 4 |
| Cycle 2 | 2022-06-30 | 12 | 2022-06-30 | 3 |
| Cycle 3 | 2019-07-25 | 22 | 2019-07-25 | 7 |
CMS CCN 3661622026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lutheran Home
1036 South Perry Street · Napoleon, OH 43545 · Henry County
Certified beds27CMS provider file
Recent citation rows55current 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.
02 / CITATION DETAIL
55 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-09-05 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-05 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-05 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-05 · HEALTHF0730Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has plan of correction · 2024-09-302024-09-05 · HEALTHF0803Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-05 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-05 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-09-05 · 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 · 2024-09-302024-09-05 · 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 · 2024-09-302024-09-05 · 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 · 2024-09-302024-09-05 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-09-302024-04-22 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-05-08 · complaint2023-12-18 · 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 · 2024-01-12 · complaint2023-12-18 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2024-01-12 · complaint2023-12-18 · HEALTHF0880Severity D · isolated; 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 · 2024-01-12 · complaint2022-06-30 · HEALTHF0567Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Correction field: Deficient, Provider has date of correction · 2022-08-012022-06-30 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2022-08-012022-06-30 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2022-08-012022-06-30 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2022-08-012022-06-30 · HEALTHF0640Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has plan of correction · 2022-08-012022-06-30 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2022-08-012022-06-30 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2022-08-012022-06-30 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2022-08-012022-06-30 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2022-08-0103 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DUMKE, JAMESIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/24/2001
- MARSHALL, WILLIAMIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 02/01/2015
- SCHALK, LORINDAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2014
- SCHULTE, JEFFERYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/16/2007
- BAUERLE, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/16/2023
- BOWE, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/16/2023
- DEMPSEY, JEFFREYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/16/2023
- MARSHALL, ANITAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/07/2022
- MARSHALL, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2015
- RAHE, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- SCHALK, LORINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- SIEBEN, PAULIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- SYNDER, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- WARNER, MELISSAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/07/2022
- WUNSCHEL, LEEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- MARSHALL, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/01/2015
- SCHALK, LORINDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2014
- WARNER, MELISSAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/07/2022
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 hours3.82per resident day
RN hours0.75per resident day
Weekend nurse hours3.77per resident day
Staff turnover77.2%CMS reported field
06 / LOCAL RECORDS
Open the Napoleon ledger →