Lutheran Nursing Home

202 South West Street · Concordia, MO · 64020 · 6604632267

113 certified beds For profit - Limited Liability company Chain: Shafiq Malik

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 100
Staffing 20% 59
Federal penalties 15% 67
Trend 10% 42
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: 4 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.743.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day3.33≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)1 · $41,886

Inspection citations (27 in the current record)

  • Potential for harm · D April 9, 2026 · found via complaint

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

    Corrected May 20, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 20, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2026 · found via complaint

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

    Corrected May 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 9, 2026 · found via complaint

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

    Corrected May 20, 2026 · Quality of Life and Care

  • Potential for harm · E August 1, 2025

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

    Corrected September 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 1, 2025

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

    Corrected September 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 1, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected September 15, 2025 · Quality of Life and Care

  • Potential for harm · D August 1, 2025

    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 September 15, 2025 · Quality of Life and Care

  • Potential for harm · D August 1, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected September 15, 2025 · Quality of Life and Care

  • Potential for harm · D August 1, 2025

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Corrected September 15, 2025 · Nursing and Physician Services

  • Potential for harm · D August 1, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected September 15, 2025 · Pharmacy Service

  • Potential for harm · D August 1, 2025

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected September 15, 2025 · Quality of Life and Care

  • Potential for harm · D July 8, 2024 · found via complaint

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

    Corrected June 25, 2024 · Quality of Life and Care

  • Potential for harm · E May 6, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 4, 2024 · Resident Rights

  • Potential for harm · E September 28, 2023

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected November 14, 2023 · Quality of Life and Care

  • Potential for harm · D September 28, 2023

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

    Corrected November 14, 2023 · Quality of Life and Care

  • Potential for harm · D September 28, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 14, 2023 · Pharmacy Service

  • Potential for harm · D September 28, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 14, 2023 · Infection Control

  • Potential for harm · E April 13, 2022

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

    Corrected May 28, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 13, 2022

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

    Corrected May 28, 2022 · Quality of Life and Care

  • Potential for harm · E April 13, 2022

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected May 28, 2022 · Pharmacy Service

  • Potential for harm · D April 13, 2022

    Ensure that residents are free from significant medication errors.

    Corrected May 28, 2022 · Pharmacy Service

  • Potential for harm · D April 13, 2022

    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 May 28, 2022 · Pharmacy Service

  • Potential for harm · D April 13, 2022

    Provide or obtain dental services for each resident.

    Corrected May 28, 2022 · Quality of Life and Care

  • Potential for harm · F April 13, 2022

    Provide and implement an infection prevention and control program.

    Corrected May 28, 2022 · Infection Control

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

Federal penalties

DateTypeAmount / length
September 28, 2023Fine$41,886

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 265765 · certified since October 14, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.