Luther Manor Retirement & Nursing Center
LUTHER MANOR RETIREMENT & NURSING CENTER in HANNIBAL, MO — inspection on October 2, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 10/02/25 at 6:56 P.M., the Director of Nursing (DON) said they began hourly monitoring of the resident after this incident. MO 2603355MO 2603421MO 2624115
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/02/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Luther Manor Retirement & Nursing Center
3170 Highway 61 North Hannibal, MO 63401
SUMMARY STATEMENT OF DEFICIENCIES
Based on interview and record review, the facility failed to update and document a facility-wide assessment to determine what resources were necessary to care for residents competently during both day-to-day operations and emergencies.
The facility census was 55.
Review of the facility's Daily Census Report, dated 09/29/25, showed the facility census was 55.
Review of the facility provided, facility assessment, showed the following:-The updated facility assessment of 10/01/25 only included page one that had the facility contact information and facility licensing information;-The remaining facility assessment for review was from 05/01/23 that listed information relating to residents for that date.
During an interview on 10/01/25 at 3:30 P.M., the administrator said the following:-He had not updated the facility assessment since he had been at the facility as he was taking care of other things that needed attended to first;-Page one was updated on 10/01/25, after the annual survey began, and nothing else had been addressed on the facility assessment.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/02/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Luther Manor Retirement & Nursing Center
3170 Highway 61 North Hannibal, MO 63401
SUMMARY STATEMENT OF DEFICIENCIES
Based on interview and record review, the facility failed to ensure nurse aides received the required 12 hours of in-service education annually.
The facility census was 55.
The facility was not able to provide a policy regarding required in-service training for Nursing Assistants upon request.
Review of the facility assessment, dated 05/01/23, showed the following: -Staff competencies and annual training requirements per regulatory authority and/or facility policy: 1.
Abuse, neglect, exploitation and misappropriation;2.
Advanced directives;3.
Behavioral health;4.
Communication;5.
Compliance and ethics;6.
Cardiopulmonary resuscitation;7.
Dementia care management;8.
Equipment and assistive device training;9.
Infection Control;10. -Other areas identified as areas of weakness during annual performance review/competency evaluation;11.
Promoting resident's independence;12.
Quality assurance and performance improvement;13.
Resident rights including confidentiality of resident information, right to dignity, privacy and property;14. -Safety and emergency procedures;15.
Job responsibilities and lines of authority;16.
Emergency preparedness;17.
Facility policies and procedures;18.
Change in condition.
During an interview on 10/02/25 at 4:05 P.M., the Director of Nursing (DON) said the following: -She and the nurse educator do in-services and education for the Certified Nursing Assistants (CNAs);-The nurse educator provides education during CNA classes;-She does not have documentation of inservices;-She does not track the CNA in-services to ensure they have 12 hours of annual education;-She was aware of the required 12 hours of mandatory training for CNA's, but was not aware of what specific education needed to occur within those twelve hours;-She had not seen a facility assessment indicating what in-service education was identified within that document.
Facility ID: