Lakeside Lutheran Home

301 North Lawler Street · Emmetsburg, IA · 50536 · 7128524060

55 certified beds Non profit - Corporation

  • Inspection results have improved across recent cycles.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 67
Serious harm & abuse 20% 94
Staffing 20% 75
Federal penalties 15% 82
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.823.48 min · 4.1 strong
RN hours / resident-day0.700.55–0.75
Weekend hours / resident-day3.51≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)none

Inspection citations (22 in the current record)

  • Potential for harm · D February 26, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 26, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 27, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D May 22, 2025 · found via complaint

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected June 4, 2025 · Resident Rights

  • Potential for harm · D May 22, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected June 4, 2025 · Resident Rights

  • Potential for harm · D May 22, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 4, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 22, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 4, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 22, 2025 · found via complaint

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

    Corrected June 4, 2025 · Quality of Life and Care

  • Actual harm · G January 23, 2025 · found via complaint

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

    Corrected February 4, 2025 · Quality of Life and Care

  • Potential for harm · D January 23, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected February 14, 2025 · Pharmacy Service

  • Potential for harm · D January 23, 2025

    Ensure that residents are free from significant medication errors.

    Corrected February 14, 2025 · Pharmacy Service

  • Potential for harm · F January 23, 2025

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected February 14, 2025 · Administration

  • Potential for harm · D January 23, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 23, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected February 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 23, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 23, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected February 14, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 15, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected February 28, 2024 · Resident Rights

  • Potential for harm · D February 15, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 28, 2024 · Resident Rights

  • Potential for harm · D February 15, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 15, 2024

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

    Corrected February 28, 2024 · Quality of Life and Care

  • Potential for harm · D February 15, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected February 28, 2024 · Pharmacy Service

  • Potential for harm · D February 15, 2024

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected February 28, 2024 · Environmental

  • Potential for harm · D February 15, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected February 28, 2024 · Pharmacy Service

Federal penalties

DateTypeAmount / length
January 23, 2025Payment Denial5 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165492 · certified since November 6, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.