Luther Manor Retirement & Nursing Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
driver reported it to the nurse, they signed in the medications, then the nurse headed to check on the resident, the pharmacy driver had walked out right before him/her and saw the resident on the ground; -It was probably only 5 - 10 minutes from the time the driver came in to drop off the medication until the time
they went back outside to find the resident on the ground;-The business and main offices are near the front door, but at the time that the incident occurred, all the main office staff were already gone for the day, so the only staff that were around the front were dietary workers and aides that were coming and going, bringing residents into the dining room;-The facility is not a locked facility, so they do not have staff always monitoring the doors. 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
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/02/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Luther Manor Retirement & Nursing Center
3170 Highway 61 North Hannibal, MO 63401
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0838
F 0838 Level of Harm - Potential for minimal harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/02/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Luther Manor Retirement & Nursing Center
3170 Highway 61 North Hannibal, MO 63401
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0947
F 0947 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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.
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Facility ID:
If continuation sheet
LUTHER MANOR RETIREMENT & NURSING CENTER in HANNIBAL, MO inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HANNIBAL, MO, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LUTHER MANOR RETIREMENT & NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.