Lutheran Home

1036 South Perry Street · Napoleon, OH · 43545 · 4195921688

27 certified beds Non profit - Corporation Part of a CCRC

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

72% 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 59
Serious harm & abuse 20% 100
Staffing 20% 64
Federal penalties 15% 100
Trend 10% 77
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-day3.503.48 min · 4.1 strong
RN hours / resident-day0.720.55–0.75
Weekend hours / resident-day3.43≈ weekday level
Nursing turnover / year72%median 45%
Fines (3-yr window)none

Inspection citations (41 in the current record)

  • Potential for harm · D September 5, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 5, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected September 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 5, 2024

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

    Corrected September 30, 2024 · Quality of Life and Care

  • Potential for harm · F September 5, 2024

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected September 30, 2024 · Nutrition and Dietary

  • Potential for harm · D September 5, 2024

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

    Corrected September 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 5, 2024

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected September 30, 2024 · Infection Control

  • No harm found · C September 5, 2024

    Observe each nurse aide's job performance and give regular training.

    Corrected September 30, 2024 · Nursing and Physician Services

  • Potential for harm · D April 22, 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 May 8, 2024 · Resident Rights

  • Potential for harm · D December 18, 2023 · found via complaint

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

    Corrected January 12, 2024 · Quality of Life and Care

  • Potential for harm · D December 18, 2023 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected January 12, 2024 · Pharmacy Service

  • Potential for harm · D December 18, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 12, 2024 · Infection Control

  • Potential for harm · D June 30, 2022

    Honor the resident's right to manage his or her financial affairs.

    Corrected August 1, 2022 · Resident Rights

  • Potential for harm · D June 30, 2022

    Keep residents' personal and medical records private and confidential.

    Corrected August 1, 2022 · Resident Rights

  • Potential for harm · D June 30, 2022

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

    Corrected August 1, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 30, 2022

    Respond appropriately to all alleged violations.

    Corrected August 1, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 30, 2022

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected August 1, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D June 30, 2022

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

    Corrected August 1, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D June 30, 2022

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 1, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D June 30, 2022

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected August 1, 2022 · Quality of Life and Care

  • Potential for harm · D June 30, 2022

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

    Corrected August 1, 2022 · Quality of Life and Care

  • Potential for harm · F June 30, 2022

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected August 1, 2022 · Administration

  • No harm found · B June 30, 2022

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

    Corrected August 1, 2022 · Resident Assessment and Care Planning

  • No harm found · C June 30, 2022

    Observe each nurse aide's job performance and give regular training.

    Corrected August 1, 2022 · Nursing and Physician Services

  • Potential for harm · D July 25, 2019

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

    Corrected September 13, 2019 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 25, 2019

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

    Corrected September 13, 2019 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 366162 · certified since October 9, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.