Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PLEASANT VIEW LUTHER HOME

OTTAWA, IL · 90 certified beds · Last Life Safety survey January 30, 2026

CMS Certification Number 145801 · first certified September 1994

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within IL

16 citations — more than 54% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was January 2026. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 16 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

This facility16IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32024-0162025-0272026-01
Citations at each Life Safety survey
Survey dateCitations
January 31, 20243
February 28, 20256
January 30, 20267

Most-cited tags

Most-cited tags at this facility
K-07123K-03531K-03451K-03741E-00041E-00131E-00151K-03541
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.32026-01-30
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-01-30
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-01-30
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-01-31
E-0004Develop and maintain an Emergency Preparedness Program (EP).12025-02-28
E-0013Develop Emergency Preparedness policies and procedures.12025-02-28
E-0015Address subsistence needs for staff and patients.12026-01-30
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12026-01-30

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Emergency Preparedness Deficiencies 5
  • Miscellaneous Deficiencies 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Emergency Preparedness Deficiencies5
Miscellaneous Deficiencies3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 30, 2026 — 7 citations

Citations issued on January 30, 2026
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (April 10, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 10, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 10, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 27, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 10, 2026)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 10, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 30, 2026)

February 28, 2025 — 6 citations

Citations issued on February 28, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 27, 2025)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (March 27, 2025)
E-0029Develop a communication plan.Deficient, Provider has date of correction (March 27, 2025)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (March 27, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 27, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 27, 2025)

January 31, 2024 — 3 citations

Citations issued on January 31, 2024
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 16, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (February 16, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 16, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.