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

LUTHER MEMORIAL HOME

MAYVILLE, ND · 62 certified beds · Last Life Safety survey December 31, 2025

CMS Certification Number 355040 · first certified June 1978

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.

1
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
0
Inspection & testing records
Of the citations on file

Position within ND

1 citations — more than 24% of the 72 certified nursing homes in ND. Compared within ND 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

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was December 2025. Facilities in ND are typically surveyed 12–14 months after the last one (median 13), measured over 116 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

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 1 Life Safety citation 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 ND, and nationally. Surveyors differ markedly between states, so the ND figure is the meaningful one.

This facility1ND median2National median11
Citations on file over three years, compared
MeasureCitations
This facility1
Median facility in ND2
Median facility nationally11

Survey history

Citations at each Life Safety survey
02023-0912024-1002025-12
Citations at each Life Safety survey
Survey dateCitations
September 27, 20230
October 10, 20241
December 31, 20250

Most-cited tags

Most-cited tags at this facility
K-09141
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12024-10-10

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

October 10, 2024 — 1 citation

Citations issued on October 10, 2024
TagWhat the surveyor checksStatus
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (November 26, 2024)

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