Lakeside Lutheran Home
Emmetsburg, Iowa · CCN 165492
20 surveys since 2010, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 98
- Surveys
- 20
- Harm or worse
- 7
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 55
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Palo Alto · rural
- Medicare-certified since
- 2003
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 5
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 102 not-for-profit facilities with fewer than 66 beds in Iowa.
Last survey on record
Feb 26, 2026
256 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.11 | 3.76 |
| Registered-nurse hours per resident day | 0.76 | — |
| Annual nurse turnover | 37.2% | 40.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G14.5% | H— | I— |
| No harm, potential for more than minimal | D1881.8% | E29.1% | F14.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6102×
Respond appropriately to all alleged violations.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7602×
Ensure that residents are free from significant medication errors.
In the surveyor’s words
From the most serious findings on record at Lakeside Lutheran Home, in the surveyor’s own words.
- Actual harm, isolatedF689Jan 23, 2025
Based on clinical record review, staff interviews, and facility record review, the facility failed to provide adequate fall follow up and pain assessments after a fall for 1 of 1 residents reviewed (Residents #35). The facility reported a total census of 39 residents. Findings include: The Minimum Data Set (MDS) assessment dated [DATE] for Resident #35 documented diagnoses of non-Alzheimer ' s Dementia, non-traumatic brain dysfunction (a complex condition that occurs when the brain is damaged by internal factors, rather than an external force to the head), restlessness and agitation. The MDS showed the Brief Interview for Mental Status (BIMS) score of 3, indicating severe cognition. […]
- Actual harm, isolatedF684Apr 6, 2021
Based on observation, interview and chart review the facility failed to provide adequate nursing assessments and intervention to treat residents experiencing constipation, for 4 of 7 residents reviewed, (Residents #1, #5, #6 and #7). The facility failed to monitor the bowel habits and assess for signs and symptoms of severe impaction which caused one resident to suffer from fecal impaction and eventual death, (Resident #1). The facility reported a census of 37 residents. Findings include: 1) A Minimum Data Set (MDS) dated [DATE], showed Resident #1 had a Brief Interview for Mental Status (BIMS) score of 3 out of 15, indicating severe cognitive deficit. The MDS showed the resident required extensive assistance with the help of two staff for bed mobility, transferring and toileting. […]
- No harm, potential for more than minimal, widespreadF851Jan 23, 2025
Based on personnel time card records and staff interview, the facility failed to electronically submit to the Centers for Medicare and Medicaid Services (CMS) complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other verifiable and auditable data. The facility reported a census of 39 residents. Findings include: The facility Payroll Based Journal (PBJ) Staffing Data Report for fiscal year quarter 4 2024 (July 1 - September 30) showed an area of concern triggered. […]
- No harm, potential for more than minimal, patternF610May 22, 2025
Based on record review and staff interview the facility failed to immediately separate an alleged abuser from all potential victims. The facility reported a census of 34 residents. Finding's include: According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #1 scored 14 on the Brief Interview for Mental Status (BIMS) indicating no cognitive impairment. The resident's diagnoses included anxiety and depression. The Progress Notes dated 4/26/25 at 09:10 a.m. documented Resident #1 accused the bath-aide of being rough and rushing her during shower (she pinched her breast with the gait belt, and jammed the toothbrush in her mouth). On 5/20/25 at 9:30 a.m. […]
- No harm, potential for more than minimal, patternF607Jan 23, 2025
Based on personnel record review, staff interviews and policy review the facility failed to provide appropriate screening prior to employment for 2 of 5 employees reviewed for background checks. The facility did not receive approval for the employee to work after the criminal background check revealed the employees had a past criminal history. The facility reported a census of 39 residents. Findings include: 1. The personnel file for Staff E, (Certified Nursing Assistant) documented a start date of 7/29/24. The Single Contact License and Background Check (SING) dated 7/15/24 indicated a criminal history record was found and required further research. The Iowa Criminal History results revealed Staff E had been charged with operating while intoxicated, 1st offense. […]
Read 26 findings in full →The most serious and the most recent: 26 of 98 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 26, 2026Standard2 findings
- May 22, 2025Complaint5 findings
- Jan 23, 2025Standard and complaint8 findings · 1 harm
- Feb 15, 2024Standard and complaint7 findings
- Jan 26, 2023Standard5 findings
- Oct 18, 2022Complaint2 findings
- Jul 29, 2021Standard5 findings
- Apr 6, 2021Complaint2 findings · 1 harm
Show the 12 earlier surveys
- Sep 26, 2019Standard and complaint15 findings
- Apr 27, 2017Standard and complaint10 findings
- Mar 17, 2016Standard and complaint9 findings · 1 harm
- Oct 22, 2015Complaint1 finding
- Apr 16, 2015Standard and complaint2 findings
- Sep 3, 2014Complaint1 finding · 1 harm
- Feb 26, 2014—2 findings · 1 harm
- Jan 31, 2014Standard and complaint7 findings
- Jan 10, 2013—2 findings
- Dec 30, 2011—3 findings
- Oct 25, 2011—2 findings · 1 harm
- Dec 3, 2010—8 findings · 1 harm
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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