Cycle 1
Health 2025-09-30 · Fire 2025-09-30
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Altamont, IL
Lutheran Care Center
5-star overall rating with 4-star inspections with $19,208 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
702 West Cumberland, Altamont, IL
(618) 483-6136
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
43
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1979-01-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.73
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.49
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.22
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.58
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
4.21
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,855
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9886
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.29% · Performance 21.67% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.18% · Performance 9.13% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 34.00% · Performance 24.53% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
3.92
Baseline 3.92 hours · Performance 4.19 hours · Measure score 3.92 · Achievement 3.92 · Improvement 0.99
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.73% |
10.72%
2 pts worse
|
No Different than the National Rate · Eligible stays 92 · Observed rate 15.22% · Lower 95% interval 8.3% |
| Discharge to community | 42.63% |
50.57%
7.9 pts worse
|
No Different than the National Rate · Eligible stays 84 · Observed rate 39.29% · Lower 95% interval 34.42% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 92.86% |
95.27%
2.4 pts worse
|
Numerator 52 · Denominator 56 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 56 |
| Discharge self-care score | 63.27% |
53.69%
9.6 pts better
|
Numerator 31 · Denominator 49 |
| Discharge mobility score | 69.39% |
50.94%
18.5 pts better
|
Numerator 34 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 56 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 9.13% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 10.77% · Lower 95% interval 5.26% |
| Staff COVID-19 vaccination coverage | 1.83% |
8.2%
6.4 pts worse
|
Numerator 2 · Denominator 109 |
| Staff flu vaccination coverage | 12.78% |
42%
29.2 pts worse
|
Numerator 17 · Denominator 133 |
| Discharge function score | 75.51% |
56.45%
19.1 pts better
|
Numerator 37 · Denominator 49 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 35 · Denominator 35 |
| Resident COVID-19 vaccinations up to date | 19.23% |
25.2%
6 pts worse
|
Numerator 5 · Denominator 26 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.9 |
2.0
1.9 pts worse
|
1.9
2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.9 · Observed 3.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.3
0.4 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
89.6%
10.4 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
91.6%
8.4 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% |
3.3%
1.6 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 5.7% · Q3 2.8% · Q4 2.9% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.0% |
50.3%
47.3 pts better
|
11.4%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.9% · Q3 0.0% · Q4 6.9% · 4Q avg 3.0% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
6.5%
1.2 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 6.2% · Q3 3.0% · Q4 3.2% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 43.7% |
18.5%
25.2 pts worse
|
19.6%
24.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.7% · Q2 47.1% · Q3 44.1% · Q4 41.9% · 4Q avg 43.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.8% |
22.8%
12 pts better
|
16.7%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 7.4% · Q3 14.8% · Q4 18.5% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.1% |
17.2%
8.9 pts worse
|
16.3%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.5% |
15.0%
13.5 pts worse
|
14.9%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.0% · Q2 23.3% · Q3 25.0% · Q4 36.7% · 4Q avg 28.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 6.1% |
1.1%
5 pts worse
|
1.0%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 3.7% · Q4 11.6% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.3% |
21.3%
1 pts better
|
19.8%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 14.6% · Q3 27.3% · Q4 22.5% · 4Q avg 20.3% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.2%
0.2 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 11.8% · Q3 6.7% · Q4 0.0% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
68.8%
31.2 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.5% |
14.0%
0.5 pts worse
|
12.0%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 11.9% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
2.3%
2.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.1% |
63.0%
34.1 pts better
|
79.7%
17.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
26.2%
3 pts better
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 16.9% · Expected 17.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-26 · Fire 2024-07-26
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-06-09 · Fire 2023-06-09
3 health deficiencies
Top issue: Environmental (1 deficiency)
7 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-30
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2026-01-09
E · Potential for more than minimal harm
2025-09-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2026-01-09
E · Potential for more than minimal harm
2025-09-30
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-01-09
E · Potential for more than minimal harm
2025-09-30
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-09
F · Potential for more than minimal harm
2024-07-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-05
E · Potential for more than minimal harm
2024-07-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-05
E · Potential for more than minimal harm
2024-07-26
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-03
E · Potential for more than minimal harm
2024-07-26
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-09-03
F · Potential for more than minimal harm
2023-06-09
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-07-13
F · Potential for more than minimal harm
2023-06-09
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-06-30
F · Potential for more than minimal harm
2023-06-09
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-06
F · Potential for more than minimal harm
2023-06-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-29
F · Potential for more than minimal harm
2023-06-09
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-07-21
F · Potential for more than minimal harm
2023-06-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-17
E · Potential for more than minimal harm
2023-06-09
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-07-31
Inspection history
Recent health citations
J · Immediate jeopardy
2025-09-30
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-15
D · Potential for more than minimal harm
2025-09-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-31
B · Minimal harm
2025-09-30
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-10-10
G · Actual harm
2025-03-28
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-17
D · Potential for more than minimal harm
2024-11-15
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-13
D · Potential for more than minimal harm
2024-11-15
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-13
G · Actual harm
2024-07-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-29
E · Potential for more than minimal harm
2024-07-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-29
D · Potential for more than minimal harm
2023-06-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-14
D · Potential for more than minimal harm
2023-06-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-07-14
B · Minimal harm
2023-06-09
F912 · Environmental Deficiencies
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-07-14
Penalties and ownership
What sits behind the stars
$11,190
2025-03-28
Fine
Fine · fine $11,190
Fine
$8,018
2024-07-26
Fine
Fine · fine $8,018
Fine
Ownership
Faith Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
Grace Evangelical Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
Holy Cross Evangelical Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
Holy Cross Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
Immanuel Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
St. James Evangelical Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
St. John Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
St. John's Evangelical Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
St. John's Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
St. John's Lutheran Church Of Shelbyville
5% Or Greater Direct Ownership Interest · Organization
St. Paul Evangelical Lutheran Church Elca
5% Or Greater Direct Ownership Interest · Organization
St. Paul Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
St. Peter's Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
Trinity Evangelical Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
Trinity Lutheran Church Nalc
5% Or Greater Direct Ownership Interest · Organization
Zion Lutheran Church
5% Or Greater Direct Ownership Interest · Organization
Aherin, Diane
Corporate Director · Individual
Asbell, Mariya
Operational/Managerial Control · Individual
Behrns, Dorothy
Corporate Director · Individual
Biggs, Charles
Corporate Director · Individual
Blievernicht, Dennis
Corporate Director · Individual
Bray, Frederick
Corporate Director · Individual
Carruthers, Shelby
Operational/Managerial Control · Individual
Clifton, Joni
Operational/Managerial Control · Individual
Corder, Kathryn
Corporate Director · Individual
Cornett, Alexis
Operational/Managerial Control · Individual
Feldhake, Dawn
Operational/Managerial Control · Individual
Garbe, Vera
Corporate Director · Individual
Givens, Joann
Corporate Director · Individual
Hanfland, Susan
Corporate Director · Individual
Hanson, Deborah
Corporate Director · Individual
Harris, Samantha
Operational/Managerial Control · Individual
Hastings, Jack
Corporate Director · Individual
Heiden, Douglas
Corporate Director · Individual
Heiden, Sandra
Corporate Director · Individual
Herrmann, Krystle
Operational/Managerial Control · Individual
Huntley, Kathryn
Operational/Managerial Control · Individual
Magnus, Twila
Corporate Director · Individual
Milburn-Gehle, Marcia
Operational/Managerial Control · Individual
Miller, Emily
Operational/Managerial Control · Individual
Miller, Emily
Corporate Director · Individual
Miller, Emily
Corporate Officer · Individual
Miller, Kevin
Corporate Officer · Individual
Mulvaney, Ronald
Operational/Managerial Control · Individual
Opilka, John
Operational/Managerial Control · Individual
Opilka, John
Corporate Director · Individual
Reeter, Tamyra
Operational/Managerial Control · Individual
Reynolds, Beth
Corporate Director · Individual
Schroeder, Kimberly
Corporate Director · Individual
Soltwedel, Beverly
Corporate Officer · Individual
Stremming, Jeff
Corporate Officer · Individual
Stremming, Kurt
Corporate Director · Individual
Stuckmeyer, Lea
Corporate Director · Individual
Stuemke, Herb
Corporate Director · Individual
Tappendorf, Dwayne
Corporate Director · Individual
Traub, David
Corporate Director · Individual
Weiss, Phyllis
Corporate Director · Individual
Wetherell, Diane
Corporate Director · Individual
Williams, Robert
Corporate Director · Individual
Wohltman, Norma
Corporate Officer · Individual
Workman, Christine
Operational/Managerial Control · Individual
Wyckoff, Gerald
Corporate Director · Individual
Wyckoff, Kathy
Corporate Director · Individual
Ziegler, Garrett
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
The Haven Of St. Elmo
St Elmo, IL
1-star overall rating with 3-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Effingham Healthcare & Senior Living
Effingham, IL
1-star overall rating with 2-star inspections with $175,159 in total fines with 20 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#3
Lakeland Rehab & Healthcare Center
Effingham, IL
4-star overall rating with 4-star inspections with $70,203 in total fines with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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