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

LUTHERAN COMMUNITY HOME

SEYMOUR, IN · 95 certified beds · Last Life Safety survey December 5, 2025

CMS Certification Number 155715 · first certified February 2003

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.

17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within IN

17 citations — more than 57% of the 507 certified nursing homes in IN. Compared within IN 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 9 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 2 months from now. This facility’s last Life Safety survey was December 2025. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 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

3 inspection-and-testing tags have 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.

Physical environment (health survey)

1 physical-environment citation 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 17 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.

How that compares

Citations on file over three years

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

This facility17IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0742024-0992025-12
Citations at each Life Safety survey
Survey dateCitations
July 25, 20234
September 13, 20244
December 5, 20259

Most-cited tags

Most-cited tags at this facility
K-03002K-02912K-03452K-03532K-03511K-09201K-07121K-05211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0300Meet other general requirements that are deficient.22025-12-05
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-12-05
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-12-05
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-12-05
K-0351Install an approved automatic sprinkler system.12025-12-05
K-0920Ensure proper usage of power strips and extension cords.12023-07-25
K-0712Have simulated fire drills held at unexpected times.12025-12-05
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12025-12-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 4
  • Services Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies4
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies2
Construction Deficiencies1

Every citation on file

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

December 5, 2025 — 9 citations

Citations issued on December 5, 2025
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 30, 2026)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (January 9, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 9, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (January 22, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 9, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 28, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 30, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 11, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 30, 2026)

September 13, 2024 — 4 citations

Citations issued on September 13, 2024
TagWhat the surveyor checksStatus
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (October 8, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 8, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 8, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (October 8, 2024)

July 25, 2023 — 4 citations

Citations issued on July 25, 2023
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (August 18, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 18, 2023)
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 (August 18, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (August 18, 2023)

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