Luther Oaks

601 Lutz Road · Bloomington, IL · 61704 · 3096645940

19 certified beds Non profit - Corporation Part of a CCRC

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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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.

67% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 94
Staffing 20% 79
Federal penalties 15% 100
Trend 10% 27
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day4.013.48 min · 4.1 strong
RN hours / resident-day1.280.55–0.75
Weekend hours / resident-day3.74≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)none

Inspection citations (21 in the current record)

  • Potential for harm · D November 5, 2025 · found via complaint

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

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · E November 5, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2024

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

    Corrected September 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 1, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected September 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2024

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected September 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2024

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected September 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 15, 2024 · Quality of Life and Care

  • Potential for harm · D August 1, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 15, 2024 · Quality of Life and Care

  • Potential for harm · D August 1, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected September 15, 2024 · Pharmacy Service

  • Potential for harm · F August 1, 2024

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected September 15, 2024 · Nutrition and Dietary

  • Potential for harm · D August 1, 2024

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected September 15, 2024 · Nutrition and Dietary

  • Potential for harm · F August 1, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 15, 2024 · Nutrition and Dietary

  • Potential for harm · F August 1, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 15, 2024 · Infection Control

  • Potential for harm · D August 1, 2024

    Implement a program that monitors antibiotic use.

    Corrected September 15, 2024 · Infection Control

  • Potential for harm · D February 17, 2024 · found via complaint

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

    Corrected February 21, 2024 · Quality of Life and Care

  • Actual harm · G January 29, 2024 · found via complaint

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

    Corrected February 21, 2024 · Quality of Life and Care

  • Potential for harm · D January 29, 2024 · 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 February 21, 2024 · Resident Rights

  • Potential for harm · E August 2, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected September 11, 2023 · Infection Control

  • Potential for harm · D June 22, 2022

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected July 7, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D June 22, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 7, 2022 · Quality of Life and Care

  • Potential for harm · F June 22, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 7, 2022 · Nutrition and Dietary

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 146184 · certified since October 1, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.