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

LUTHERAN HILLSIDE VILLAGE

PEORIA, IL · 107 certified beds · Last Life Safety survey December 13, 2024

CMS Certification Number 145768 · first certified January 1994

Ownership

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

  • Ownership changed December 31, 2022 (change of ownership)to LUTHERAN HOME, THE from LUTHERAN HILLSIDE VILLAGE INC
10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within IL

10 citations — more than 34% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (November 2025 to January 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was December 2024. 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

Emergency preparedness

3 of the 10 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)

5 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 10 Life Safety citations above. The Physical Environment Index

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

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 facility10IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0132023-1132024-12
Citations at each Life Safety survey
Survey dateCitations
January 26, 20234
November 8, 20233
December 13, 20243

Most-cited tags

Most-cited tags at this facility
K-01332E-00152K-09181K-02931K-03531E-00221K-07121K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0133Install a two-hour-resistant firewall separation.22024-12-13
E-0015Address subsistence needs for staff and patients.22024-12-13
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-11-08
K-0293Have properly located and lighted "Exit" signs.12023-11-08
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-01-26
E-0022Establish policies and procedures for sheltering.12023-01-26
K-0712Have simulated fire drills held at unexpected times.12023-01-26
K-0324Provide properly protected cooking facilities.12024-12-13

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 3
  • Construction Deficiencies 2
  • Smoke Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies3
Construction Deficiencies2
Smoke Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

December 13, 2024 — 3 citations

Citations issued on December 13, 2024
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (December 27, 2024)
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (December 17, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 20, 2024)

November 8, 2023 — 3 citations

Citations issued on November 8, 2023
TagWhat the surveyor checksStatus
K-0133Install a two-hour-resistant firewall separation.Deficient, Provider has date of correction (November 7, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (November 15, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 9, 2023)

January 26, 2023 — 4 citations

Citations issued on January 26, 2023
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 13, 2023)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (February 13, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 13, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 15, 2023)

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