Deficiency Index

Lutheran Home for the Aged

Arlington HTS, Illinois · CCN 145739

58 surveys since 2011, 21 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
148
Surveys
58
Harm or worse
21
Immediate jeopardy
4
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file39/58

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
354
Ownership
Non profit - Corporation
Chain
Independent
County
Cook
Medicare-certified since
1992

CMS ratings

Overall
5
Health inspection
4
Staffing
4
Quality measures
5

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 18 not-for-profit facilities with 128 or more beds in Illinois.

Last survey on record

Jan 22, 2026

291 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.563.80
Registered-nurse hours per resident day0.90—
Annual nurse turnover33.2%49.5%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$144,945 across 6 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG821.6%H—I—
No harm, potential for more than minimalD2670.3%E38.1%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 37 of the 148 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F68910×

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

  • F6863×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6452×

    PASARR screening for Mental disorders or Intellectual Disabilities

  • F6902×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF600May 24, 2023

    Based on interview and record review, the facility failed to ensure a demented resident was free from sexual abuse by a staff member for 1 of 4 residents (R1) reviewed for sexual abuse in the sample of 17. This failure resulted in R1 being sexually assaulted. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 5/20/23 when V7 (Certified Nursing Assistant-CNA) found V8 (Housekeeper) in R1's room, forcing his penis into R1's mouth and was touching R1's exposed breast. V1 (Administrator) was notified of the Immediate Jeopardy on 5/23/23 at 3:15 PM. […]

  • Immediate jeopardy, isolatedF684Mar 29, 2021

    Based on interview, and record review, the facility failed to monitor, provide treatment, and evaluate a resident's acute episode of [CONDITION(S)]. This failure resulted in R1 being found unresponsive with a blood glucose level of 33mg/dl. R1 expired as a result of [CONDITION(S)]. This applies to 1 of 3 residents (R1) reviewed for quality of care in the sample of 3. The Immediate Jeopardy began of [DATE] when a resident had an acute episode of [CONDITION(S)] and expired as a result of [CONDITION(S)]. The Immediate Jeopardy was identified on [DATE]. V2 (DON) and V12 (Assistant Administrator) was informed of the Immediate Jeopardy on [DATE]. […]

  • Actual harm, isolatedF689Sep 16, 2025

    Based on interview and record review the facility failed to safely reposition a resident during care. This failure resulted in R1 falling from her bed and sustaining a right patella fracture. This applies to 1 of 4 residents (R1) reviewed for safety in the sample of 6.The findings include:R1's face sheet shows she has diagnoses including Cerebrovascular Accident, hemiplegia of the right side, dysarthria and pain in right leg.R1's active care plan initiated on 5/29/23 she has impaired cognitive and decision making, limited physical mobility, is at risk for falls, and requires staff assistance for turning and bed mobility with instruction cues and hand guidance. A nursing progress note completed for R1 on 8/25/25 at 10:00 PM states, @ 9:15 pm someone calling this writer's name. […]

  • Actual harm, isolatedF689Jul 2, 2025

    Based on interview and record review the facility failed to ensure a resident was safely transferred using a mechanical sit to stand lift for 1 of 3 residents (R1) reviewed for safety in the sample of 3. This failure resulted in R1 being assisted to the ground and sustaining a proximal tibia and fibula fracture of her right leg. The findings include: R1's Nursing Notes dated 6/28/25 shows that at 1:00 PM, the Certified Nursing Assistant said that R1 passed out while providing care to R1 after having an extra large bowel movement while using a sit to stand lift and R1 was assisted to the floor with two person assist. […]

  • Actual harm, isolatedF697Apr 30, 2025

    Based on observation, interview, and record review the facility failed to provide adequate pain control for a resident with a history of cancer and compression fracture. This failure resulted in R1 experiencing increased pain from 4/21/2025 to 4/24/2025. This applies to 1 of 3 (R1) residents reviewed for pain in the sample of 3. The findings include: R1's current Admission Record shows R1 is an [AGE] year-old female resident with a history of lung cancer and compression fracture who was admitted on [DATE]. On 4/30/2025 at 10:00AM, R1 was observed lying in bed resting comfortably and showing a slight grimace with movement. On 4/30/2025 at 10:00AM & 10:18AM, R1 said her pain was 4 out of 10 and a 4 was acceptable. R1 said her pain is more controlled now. […]

Read 37 findings in full →The most serious and the most recent: 37 of 148 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 22, 2026Standard1 finding
  • Dec 1, 2025Complaint2 findings
  • Sep 16, 2025Complaint1 finding · 1 harm
  • Jul 16, 2025Complaint1 finding
  • Jul 2, 2025Complaint1 finding · 1 harm
  • May 14, 2025Complaint1 finding
  • Apr 30, 2025Complaint1 finding · 1 harm
  • Feb 21, 2025Complaint2 findings
Show the 50 earlier surveys
  • Nov 21, 2024Standard10 findings · 1 harm
  • Nov 7, 2024Complaint1 finding · 1 harm
  • Oct 2, 2024Complaint1 finding · 1 harm
  • Aug 28, 2024Complaint1 finding
  • Jun 27, 2024Complaint1 finding
  • Apr 18, 2024Complaint1 finding
  • Apr 16, 2024Complaint1 finding
  • Feb 29, 2024Complaint1 finding · 1 harm
  • Jan 24, 2024Complaint1 finding
  • Dec 20, 2023Standard8 findings
  • Dec 6, 2023Complaint2 findings
  • Oct 10, 2023Complaint1 finding · 1 harm
  • Jun 21, 2023Complaint1 finding
  • May 24, 2023Complaint2 findings · 1 harm
  • Feb 1, 2023Complaint3 findings · 2 harm
  • Jan 25, 2023Standard15 findings · 1 harm
  • Nov 10, 2022Complaint1 finding
  • Oct 24, 2022Complaint1 finding
  • Jul 28, 2022Complaint1 finding
  • Jul 13, 2022Complaint1 finding
  • Apr 7, 2022Standard5 findings
  • Mar 21, 2022Complaint1 finding
  • Jun 9, 2021Standard8 findings
  • Mar 29, 2021Complaint1 finding · 1 harm
  • Mar 9, 2021Complaint1 finding · 1 harm
  • Jan 15, 2021Infection control1 finding
  • Jan 4, 2021Complaint1 finding
  • Aug 27, 2020Complaint1 finding
  • Aug 20, 2020Complaint4 findings
  • Jun 4, 2020Infection control1 finding · 1 harm
  • Jan 15, 2020Standard2 findings
  • Dec 30, 2019Complaint1 finding
  • May 15, 2019Complaint3 findings · 2 harm
  • Apr 11, 2019Complaint2 findings
  • Dec 12, 2018Standard2 findings
  • Mar 1, 2018Standard5 findings
  • Dec 29, 2017Complaint1 finding
  • Jan 12, 2017Standard12 findings
  • Nov 20, 2015Standard1 finding
  • Oct 20, 2015Complaint1 finding
  • Sep 16, 2015Complaint1 finding
  • Dec 12, 2014Standard3 findings
  • Aug 27, 2014Complaint1 finding
  • Jan 29, 2014—7 findings
  • Oct 17, 2013—2 findings · 2 harm
  • May 30, 2013—1 finding · 1 harm
  • Feb 28, 2013—3 findings
  • Oct 9, 2012—1 finding
  • Mar 8, 2012—7 findings · 1 harm
  • Jan 13, 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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