Artman Lutheran Home

In the surveyor’s words

From the most serious findings on record at Artman Lutheran Home, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 9, 2021

  Based on the review of clinical records, review of facility documentation and interviews with resident and staff, it was determined that the facility failed to ensure that the appropriate assistive devices were provided during wheelchair transport to one of 27 residents reviewed which resulted in actual harm to the resident who sustained a fractured right ankle as a result (Resident R38). Finding Include: Review of clinical record for Resident R38 revealed that the resident was admitted to the facility on [DATE], with diagnoses including: fractured (broken) femur (thigh bone), [CONDITION(S)] (systemic, progressive [CONDITION(S)] disorder which causes damage to joints), fall, muscle weakness, difficulty walking and unsteadiness on the feet. […]

• No harm, potential for more than minimal, patternF883May 23, 2025

  Based on review of facility provided documentation, review of clinical record, and interview with staff, it was determined that facility did not ensure to provide pneumococcal immunization according to professional standards of practice for one of 73 residents reviewed (Resident R165) Findings include: Review of facility provided policy 'Immunization Policy,' unknown date, indicates that All residents will be offered the Pneumococcal vaccine per Centers for Disease Control and Prevention (CDC) recommendations (age/timing of previous vaccine). According to CDC Epidemiology and Prevention of Vaccine-Preventable Diseases, revised on April 22, 2024, indicates that The key to preventing serious adverse reactions after vaccination is effective screening. […]

• No harm, potential for more than minimal, patternF883Aug 23, 2024

  Based on review of clinical record, review facility policy, and interview with staff, it was determined that the facility failed to ensure the residents were provided with education regarding the benefits and potential side effects of influenza immunization for two of two residents reviewed (Resident R29 and Resident R14). Findings: Review facility policy on Influenza and Pneumococcal Vaccination revealed that under section Policy, it is the policy of [NAME] that each resident is to be protected against the influenza virus. Influenza vaccine will be offered for each resident annually. Under section Purpose to control a potential outbreak and prevent residents, visitors, and employees from being infected by the influenza virus. Under section procedure #1. […]

• No harm, potential for more than minimal, isolatedF610May 11, 2026

  Based on staff interviews and the review of facility documentation, it was determined that the facility failed to ensure a complete and through investigation for resident who sustained a fractured hip (Resident R37) for 1 out of 14 residents reviewed. (Resident R37) Findings include: Review of an incident dated March 14, 2026, submitted to the State Survey Agency reported that the resident's nurse aide found the resident sitting on the toilet in the bathroom located in (his/her) room, with (his/her) companion on the 7:00 a.m. through the 3:00 p.m. nursing shift. The reportable incident stated that the resident's companion reported that the resident fell off the toilet and she (the companion, Employee E8) picked the resident up and put him back on the toilet. […]

• No harm, potential for more than minimal, isolatedF684May 11, 2026

  Based on observations and the review of clinical records it was determined that the facility failed to acknowledge a physician recommendation regarding a resident's positioning during meal times for 1 out of 14 residents reviewed (Resident R37).Findings include: Review of the April 2026 physician orders for Resident R37 included the following diagnoses of dementia (a general term for loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life); arthritis (the swelling and tenderness of one or more joints); macular degeneration (age related eye condition in which individuals cannot see things directly in front of them); difficulty walking; contracture of left hand, and fracture of unspecified part of neck of left femur and… […]