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

ST JOHN LUTHERAN HOME

SPRINGFIELD, MN · 65 certified beds · Last Life Safety survey June 3, 2026

CMS Certification Number 245407 · first certified November 1988

Ownership

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

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
12
Inspection & testing records
Of the citations on file

Position within MN

16 citations — more than 70% of the 338 certified nursing homes in MN. Compared within MN 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 6 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was June 2026. Facilities in MN are typically surveyed 11–14 months after the last one (median 13), measured over 613 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.

Physical environment (health survey)

3 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-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

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

This facility16MN median12National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in MN12
Median facility nationally11

Survey history

Citations at each Life Safety survey
42024-0462025-0562026-06
Citations at each Life Safety survey
Survey dateCitations
April 17, 20244
May 14, 20256
June 3, 20266

Most-cited tags

Most-cited tags at this facility
K-03533K-03451K-07611K-07121K-03241K-03461K-09231K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32026-06-03
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-05-14
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12026-06-03
K-0712Have simulated fire drills held at unexpected times.12024-04-17
K-0324Provide properly protected cooking facilities.12025-05-14
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12026-06-03
K-0923Have proper medical gas storage and administration areas.12024-04-17
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-04-17

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1
Services Deficiencies1

Every citation on file

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

June 3, 2026 — 6 citations

Citations issued on June 3, 2026
TagWhat the surveyor checksStatus
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has plan of correction (July 15, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has plan of correction (July 31, 2026)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has plan of correction (July 15, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has plan of correction (July 31, 2026)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has plan of correction (July 31, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has plan of correction (July 31, 2026)

May 14, 2025 — 6 citations

Citations issued on May 14, 2025
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (June 6, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 15, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 6, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 13, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 30, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (June 4, 2025)

April 17, 2024 — 4 citations

Citations issued on April 17, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 7, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 7, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 7, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 7, 2024)

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