Lutheran Care Center
Altamont, Illinois · CCN 145380
20 surveys since 2011, 4 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
- 65
- Surveys
- 20
- Harm or worse
- 4
- Immediate jeopardyall corrected before survey
- 1
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 96
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Effingham · rural
- Medicare-certified since
- 1979
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 31 not-for-profit facilities of 66–99 beds in Illinois.
Last survey on record
Sep 30, 2025
405 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 | 3.51 | 4.49 |
| Registered-nurse hours per resident day | 0.72 | — |
| Annual nurse turnover | 20.5% | 36.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $36,553 across 3 penalties
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 | J19.1% | K— | L— |
| Actual harm | G218.2% | H— | I— |
| No harm, potential for more than minimal | D545.5% | E19.1% | F— |
| No harm, potential for minimal | A— | B218.2% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8802×
Provide and implement an infection prevention and control program.
- F9122×
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Lutheran Care Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Sep 30, 2025
Based on interview and record review the facility failed to safely transfer a resident using a mechanical lift for 1 of 3 residents (R53) reviewed for accidents in a sample if 29.The Immediate Jeopardy began on 9/14/2025 at 7:45AM, when the facility failed to provide a safe transfer using a mechanical lift. The failure resulted in (R53) falling from the mechanical lift and sustaining a head injury leading to R53's death. V1(Administrator), V2 (Director of Nursing/DON), and V14 (Licensed Practical Nurse/ Quality Assurance Nurse/QAC) were notified of the Immediate Jeopardy on 9/26/25 at 10:10AM. […]
- Actual harm, isolatedF689Mar 28, 2025
Based on interview and record review the facility failed to follow implemented fall interventions for one of three (R1) residents reviewed for accidents in a sample of three. This failure resulted in R1 sustaining a fracture of the distal left radius. This past non-compliance occurred between 03/13/25 and 03/17/25. Findings include: R1's Resident Face Sheet documents an admitted [DATE] with diagnoses including: fracture of other parts of pelvis, initial encounter for closed fracture, Crohn's disease of small intestine with intestinal obstruction, sequelae of cerebral infarction, generalized abdominal pain, gastrointestinal hemorrhage, partial intestinal obstruction, pyridoxine deficiency, vitamin D deficiency, major depressive disorder, chronic pain, macular degeneration, and weakness. […]
- Actual harm, isolatedF689Jul 26, 2024
Based on interview, observation, and record review, the facility failed to supervise a confused resident during toileting for 1 of 2 residents (R32) reviewed for falls in the sample of 25. This failure resulted in R32 falling and sustaining skin tears to the right hand and a laceration to the forehead which required 13 sutures to close. The findings include: R32's Face Sheet documented an admitted [DATE] and listed diagnoses including History of Right Femur Fracture with Surgical Repair, Diabetes Type 2, Alzheimer's Disease, Chronic Obstructive Pulmonary Disease (COPD), and Congestive Heart Failure (CHF). R32's Minimum Data Set (MDS) dated [DATE] documented a Brief Interview for Mental Status Score of 8, indicating R32 has moderate deficits in cognition. […]
- No harm, potential for more than minimal, widespreadF880Oct 7, 2021
Based on observation, interview, and record reviews the facility failed to prevent and/ or contain the spread of COVID-19 when the facility failed to establish a COVID-19 care unit to house residents with confirmed COVID-19 infection per the Center for Disease Control (CDC) guidelines and failed to ensure appropriate eye protection was worn by staff per CDC guidelines. These failures have the potential to affect all 48 residents residing at the facility. Findings include: 1. On 10/5/21 at 1:30 PM, V1 (Administrator) said that there are currently 48 residents residing at the facility. […]
- No harm, potential for more than minimal, widespreadF761Apr 23, 2021
Based on interview, observation, and record review the facility failed to properly label medications and discard expired stock medications. The failure has the potential to affect all 56 residents residing in the facility. The findings include: 1. On 4/21/21 at 3:00 PM, there was a bottle with a pharmacy label with R24's name and a prescription for [MEDICATION(S)] 40mg twice a day in a drawer of the North Hall med cart. The prescription label documents the prescription was filled on 10/3/19 and to discard the prescription 10/2/20. 1/2 tab is handwritten on the bottle. The bottle contains whole and half tablets. On 4/21/21, V6 (Registered Nurse) said that R24 does have an order for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]
Read 21 findings in full →The most serious and the most recent: 21 of 65 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 30, 2025Standard and complaint3 findings · 1 harm
- Mar 28, 2025Complaint1 finding · 1 harm
- Nov 15, 2024Complaint2 findings
- Jul 26, 2024Standard2 findings · 1 harm
- Jun 9, 2023Standard3 findings
- Jun 17, 2022Standard3 findings
- Oct 7, 2021Infection control1 finding
- Apr 23, 2021Standard8 findings
Show the 12 earlier surveys
- Jun 12, 2020Infection control1 finding
- Jul 19, 2019Standard4 findings
- Sep 20, 2018Standard5 findings
- Aug 17, 2017Standard2 findings
- Jul 28, 2016Standard4 findings
- Sep 24, 2015Standard6 findings
- Aug 14, 2014Standard5 findings
- Jun 20, 2013—5 findings
- Jan 3, 2013—1 finding · 1 harm
- Jul 12, 2012—3 findings
- Feb 29, 2012—2 findings
- Aug 11, 2011—4 findings
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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