Cycle 1
Health 2025-03-28 · Fire 2025-03-28
2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cape Girardeau, MO
Lutheran Home, The
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2825 Bloomfield Road, Cape Girardeau, MO
(573) 335-0158
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
274
Certified beds
Average residents
169
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-04-11
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 0.46 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
3.08
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.60
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
4.16
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
4.99
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,693
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9890
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.01
Baseline 21.61% · Performance 20.50% · Measure score 2.01 · Achievement 2.01 · Improvement 1.93
Healthcare-associated infections
0
Baseline 6.52% · Performance 7.78% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.98
Baseline 45.12% · Performance 35.13% · Measure score 6.98 · Achievement 6.98 · Improvement 4.43
Adjusted total nurse staffing
5.12
Baseline 5.40 hours · Performance 4.53 hours · Measure score 5.12 · Achievement 5.12 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.89% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 453 · Observed rate 9.71% · Lower 95% interval 9.01% |
| Discharge to community | 64.31% |
50.57%
13.7 pts better
|
Better than the National Rate · Eligible stays 408 · Observed rate 62.25% · Lower 95% interval 58.62% |
| Medicare spending per beneficiary | 0.73 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 99.65% |
95.27%
4.4 pts better
|
Numerator 283 · Denominator 284 |
| Falls with major injury | 0.35% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 284 |
| Discharge self-care score | 79.11% |
53.69%
25.4 pts better
|
Numerator 178 · Denominator 225 |
| Discharge mobility score | 85.33% |
50.94%
34.4 pts better
|
Numerator 192 · Denominator 225 |
| Pressure ulcers or injuries, new or worsened | 2.46% |
2.29%
0.2 pts worse
|
Numerator 7 · Denominator 284 · Adjusted rate 2.49% |
| Healthcare-associated infections requiring hospitalization | 7.78% |
7.12%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 245 · Observed rate 6.94% · Lower 95% interval 4.79% |
| Staff COVID-19 vaccination coverage | 0.23% |
8.2%
8 pts worse
|
Numerator 1 · Denominator 433 |
| Staff flu vaccination coverage | 23.76% |
42%
18.2 pts worse
|
Numerator 101 · Denominator 425 |
| Discharge function score | 85.33% |
56.45%
28.9 pts better
|
Numerator 192 · Denominator 225 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 146 · Denominator 146 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 79 · Denominator 79 |
| Resident COVID-19 vaccinations up to date | 22.58% |
25.2%
2.6 pts worse
|
Numerator 35 · Denominator 155 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.7 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
2.3
1.7 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.8% |
84.8%
11 pts better
|
93.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 98.0% · Q3 96.3% · Q4 94.4% · 4Q avg 95.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% |
90.9%
7.8 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.0% |
4.1%
0.9 pts worse
|
3.3%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.4% · Q3 4.4% · Q4 7.0% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.7% |
14.7%
4 pts better
|
11.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 13.7% · Q3 6.8% · Q4 5.3% · 4Q avg 10.7% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
5.5%
1.8 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 11.1% · Q3 12.0% · Q4 4.1% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% |
25.3%
2.1 pts worse
|
19.6%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 23.1% · Q3 25.9% · Q4 34.3% · 4Q avg 27.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.0% |
25.0%
4 pts better
|
16.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 23.7% · Q3 18.8% · Q4 21.2% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
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 | 7.1% |
20.3%
13.2 pts better
|
16.3%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 8.6% · Q3 5.6% · Q4 12.8% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.1% |
19.8%
9.7 pts better
|
14.9%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 10.2% · Q3 12.0% · Q4 11.5% · 4Q avg 10.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.4%
0.9 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.7% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
2.6%
2.1 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.8% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.2% |
18.1%
6.1 pts worse
|
19.8%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 25.1% · Q3 22.0% · Q4 25.8% · 4Q avg 24.2% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
5.0%
0.9 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.8% · Q3 2.0% · Q4 5.2% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.6% |
66.4%
12.2 pts better
|
81.7%
3.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 85.7% · Q3 71.5% · Q4 63.9% · 4Q avg 78.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.1% |
13.4%
1.3 pts better
|
12.0%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 10.7% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
2.2%
0.5 pts better
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.6% · Q3 1.6% · Q4 0.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.0% |
63.5%
25.5 pts better
|
79.7%
9.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
25.3%
3.6 pts better
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 18.8% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-09 · Fire 2024-02-09
3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-04-21 · Fire 2022-04-21
3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-21
F · Potential for more than minimal harm
2022-04-21
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-06-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-21
D · Potential for more than minimal harm
2025-03-28
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-21
F · Potential for more than minimal harm
2024-02-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-28
D · Potential for more than minimal harm
2024-02-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-02-28
D · Potential for more than minimal harm
2024-02-09
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2024-02-28
D · Potential for more than minimal harm
2022-04-21
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-04-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-04-21
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-06-15
Penalties and ownership
What sits behind the stars
Ownership
Brown, Teresa
Corporate Officer · Individual
Brown, Teresa
W-2 Managing Employee · Individual
Freeze, John
Corporate Director · Individual
Goodman, Cathy
Corporate Director · Individual
Hale, Harold
Corporate Director · Individual
Kasten, Mark
Corporate Director · Individual
Meyr, Rex
Corporate Director · Individual
Meyr, Rex
Corporate Officer · Individual
Payne, Jackie
Corporate Officer · Individual
Payne, Jackie
W-2 Managing Employee · Individual
Schnieder, Steve
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Life Care Center Of Cape Girardeau
Cape Girardeau, MO
1-star overall rating with 1-star inspections with $149,578 in total fines with 22 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Chateau Girardeau
Cape Girardeau, MO
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Ratliff Care Center
Cape Girardeau, MO
3-star overall rating with 4-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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