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

Inspection record 30% of score 36
Serious harm & abuse 20% 82
Staffing 20% 20
Federal penalties 15% 75
Trend 10% 51
Context 5% 100

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-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $13,270

Inspection citations (28 in the current record)

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · F October 2, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 5, 2025 · Infection Control

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · E October 18, 2023

    Ensure that residents are free from significant medication errors.

    Corrected December 1, 2023 · Pharmacy Service

  • 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

  • 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

  • Potential for harm · F October 18, 2023

    Provide and implement an infection prevention and control program.

    Corrected December 1, 2023 · Infection Control

  • 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

DateTypeAmount / length
October 2, 2025Fine$13,270

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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.