Pleasant View Luther Home
505 College Avenue · Ottawa, IL · 61350 · 8154341130
90 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Federal penalties on record: $38,711 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
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.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
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: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.90 | 0.55–0.75 |
| Weekend hours / resident-day | 3.47 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 3 · $87,819 |
Inspection citations (41 in the current record)
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Potential for harm · D November 15, 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
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Potential for harm · D November 15, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 5, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
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Actual harm · G May 8, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 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 May 23, 2025 · Resident Rights
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Potential for harm · D May 8, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · D May 8, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D February 28, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 24, 2025 · Quality of Life and Care
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Potential for harm · D February 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 24, 2025 · Quality of Life and Care
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Potential for harm · D February 28, 2025
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 March 24, 2025 · Pharmacy Service
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Potential for harm · F February 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2025 · Nutrition and Dietary
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Potential for harm · D February 28, 2025 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected March 24, 2025 · Nursing and Physician Services
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Potential for harm · E February 28, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 2, 2025 · Nursing and Physician Services
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Potential for harm · D February 28, 2025 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected March 24, 2025 · Administration
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No harm found · C February 28, 2025
The resident has the right to receive notices in a format and a language he or she understands.
Corrected March 10, 2025 · Resident Rights
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No harm found · C February 28, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected March 10, 2025 · Resident Rights
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No harm found · C February 28, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 24, 2025 · Resident Rights
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No harm found · C February 28, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 24, 2025 · Resident Rights
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Immediate jeopardy · J December 20, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 20, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 20, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 8, 2024 · Quality of Life and Care
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Potential for harm · D April 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G January 31, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 16, 2024 · Quality of Life and Care
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Potential for harm · D January 31, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected February 16, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 20, 2024 | Fine | $38,711 |
| June 20, 2024 | Fine | $21,450 |
| January 11, 2024 | Fine | $27,658 |
| January 11, 2024 | Payment Denial | 10 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145801 · certified since September 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.