Lutheran Living Senior Campus

2421 Lutheran Drive · Muscatine, IA · 52761 · 5632631241

155 certified beds Non profit - Church related Chain: Health Dimensions Group Part of a CCRC

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $227,174 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$227,174 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 28
Serious harm & abuse 20% 0
Staffing 20% 72
Federal penalties 15% 10
Trend 10% 84
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: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.053.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day3.63≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)3 · $253,886

Inspection citations (43 in the current record)

  • Potential for harm · D February 13, 2026

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected March 18, 2026 · Resident Rights

  • Potential for harm · D February 13, 2026

    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 March 13, 2026 · Resident Rights

  • Potential for harm · D February 13, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 18, 2026 · Infection Control

  • No harm found · C February 13, 2026

    Post nurse staffing information every day.

    Corrected March 1, 2026 · Nursing and Physician Services

  • Immediate jeopardy · J August 7, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected September 2, 2025 · Quality of Life and Care

  • Immediate jeopardy · J August 7, 2025 · found via complaint

    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

    Corrected September 2, 2025 · Quality of Life and Care

  • Potential for harm · D August 7, 2025 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected September 2, 2025 · Resident Rights

  • Potential for harm · D August 7, 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 September 2, 2025 · Resident Rights

  • Potential for harm · D August 7, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 2, 2025 · Quality of Life and Care

  • No harm found · B August 7, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected September 2, 2025 · Resident Rights

  • Potential for harm · D March 6, 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 March 13, 2025 · Resident Rights

  • Potential for harm · D December 12, 2024

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

    Corrected December 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 12, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected December 28, 2024 · Resident Rights

  • Potential for harm · D December 12, 2024

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

    Corrected December 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 12, 2024

    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 December 28, 2024 · Pharmacy Service

  • Potential for harm · E December 12, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected December 28, 2024 · Nutrition and Dietary

  • Immediate jeopardy · J September 30, 2024 · found via complaint

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

    Corrected October 20, 2024 · Quality of Life and Care

  • Potential for harm · D September 30, 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 October 20, 2024 · Resident Rights

  • Potential for harm · E September 30, 2024 · found via complaint

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

    Corrected October 20, 2024 · Quality of Life and Care

  • Potential for harm · E September 30, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 20, 2024 · Quality of Life and Care

  • Immediate jeopardy · J July 31, 2024 · found via complaint

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

    Corrected October 20, 2024 · Quality of Life and Care

  • Immediate jeopardy · J October 5, 2023

    Respond appropriately to all alleged violations.

    Corrected October 30, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 5, 2023 · found via complaint

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Corrected October 30, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · H October 5, 2023 · found via complaint

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

    Corrected October 30, 2023 · Quality of Life and Care

  • Potential for harm · D October 5, 2023

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

    Corrected November 13, 2023 · Freedom from Abuse, Neglect, and Exploitation

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

Federal penalties

DateTypeAmount / length
August 7, 2025Fine$92,203
July 31, 2024Fine$134,971
July 31, 2024Payment Denial46 days
October 5, 2023Fine$26,712

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165432 · certified since January 1, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.