Luther Manor Retirement & Nursing Center
3170 Highway 61 North · Hannibal, MO · 63401 · 5732215533
64 certified beds Non profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- 3 citations involved actual harm to residents.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $13,270 |
Inspection citations (28 in the current record)
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Actual harm · G October 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 22, 2025 · Quality of Life and Care
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Potential for harm · E October 2, 2025
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected December 5, 2025 · Resident Rights
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Potential for harm · E October 2, 2025
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 December 5, 2025 · Resident Rights
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Potential for harm · E October 2, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 2, 2025
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 December 5, 2025 · Quality of Life and Care
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Potential for harm · E October 2, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 5, 2025 · Nutrition and Dietary
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Potential for harm · F October 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 5, 2025 · Nutrition and Dietary
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Potential for harm · E October 2, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected December 5, 2025 · Administration
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Potential for harm · F October 2, 2025
Provide and implement an infection prevention and control program.
Corrected December 5, 2025 · Infection Control
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Potential for harm · F October 2, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 5, 2025 · Nursing and Physician Services
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No harm found · C October 2, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 5, 2025 · Resident Rights
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No harm found · C October 2, 2025 · found via complaint
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.
Corrected December 5, 2025 · Administration
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Actual harm · G July 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2025 · Quality of Life and Care
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Potential for harm · D June 16, 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 July 14, 2025 · Resident Rights
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Actual harm · G May 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 18, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 1, 2023 · Resident Rights
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Potential for harm · E October 18, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 18, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 1, 2023 · Quality of Life and Care
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Potential for harm · D October 18, 2023
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected December 1, 2023 · Quality of Life and Care
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Potential for harm · E October 18, 2023
Ensure that residents are free from significant medication errors.
Corrected December 1, 2023 · Pharmacy Service
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Potential for harm · E October 18, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 1, 2023 · Nutrition and Dietary
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Potential for harm · F October 18, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 1, 2023 · Nutrition and Dietary
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Potential for harm · F October 18, 2023
Provide and implement an infection prevention and control program.
Corrected December 1, 2023 · Infection Control
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Potential for harm · E October 18, 2023
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 December 1, 2023 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 2, 2025 | Fine | $13,270 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265690 · certified since December 11, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.