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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 43% | 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
| Date | Type | Amount / length |
|---|---|---|
| August 7, 2025 | Fine | $92,203 |
| July 31, 2024 | Fine | $134,971 |
| July 31, 2024 | Payment Denial | 46 days |
| October 5, 2023 | Fine | $26,712 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
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.