The Vinton Lutheran Home
1301 Second Avenue South · Vinton, IA · 52349 · 3194724751
61 certified beds Non profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
1 immediate-jeopardy citation 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.
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: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 3.52 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
-
Potential for harm · D January 6, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 5, 2026 · Resident Assessment and Care Planning
-
Immediate jeopardy · K October 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 22, 2025 · Quality of Life and Care
-
Potential for harm · D April 10, 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 May 10, 2025 · Pharmacy Service
-
Potential for harm · E April 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 10, 2025 · Nutrition and Dietary
-
Potential for harm · D April 10, 2025
Provide and implement an infection prevention and control program.
Corrected May 10, 2025 · Infection Control
-
Actual harm · G December 4, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 23, 2024 · Quality of Life and Care
-
Potential for harm · D December 4, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 3, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 22, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 22, 2024 · Resident Rights
-
Potential for harm · D April 22, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected May 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D April 22, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 22, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D April 22, 2024
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 22, 2024 · Pharmacy Service
-
Potential for harm · D April 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 22, 2024 · Nutrition and Dietary
-
Potential for harm · D September 13, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 13, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 20, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 14, 2023 · Quality of Life and Care
-
Potential for harm · E January 20, 2023
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected March 14, 2023 · Quality of Life and Care
-
Potential for harm · D January 20, 2023
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 14, 2023 · Pharmacy Service
-
Potential for harm · F January 20, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected March 14, 2023 · Nutrition and Dietary
-
Potential for harm · F January 20, 2023
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 March 14, 2023 · Nutrition and Dietary
-
Potential for harm · F January 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 14, 2023 · Nutrition and Dietary
-
Potential for harm · D January 20, 2023
Provide and implement an infection prevention and control program.
Corrected March 14, 2023 · Infection Control
-
Potential for harm · F January 20, 2023
Report COVID19 data to residents and families.
Corrected March 14, 2023 · Infection Control
-
Potential for harm · F January 20, 2023
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected March 14, 2023 · Environmental
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 165552 · certified since November 5, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.