Ottawa, IL

Pleasant View Luther Home

4-star overall rating with 3-star inspections with $87,819 in total fines with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

505 College Avenue, Ottawa, IL

(815) 434-1130

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.88

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.34

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.83

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.05

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

3.69

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.68

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.90

CMS adjusted RN staffing hours

Adjusted total hours

4.15

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

47%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,820

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

15.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.13

Baseline 21.83% · Performance 21.53% · Measure score 0.13 · Achievement 0 · Improvement 0.13

Healthcare-associated infections

Baseline 7.81% · Performance 7.70% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

4.12

Baseline 66.67% · Performance 47.37% · Measure score 4.12 · Achievement 3.99 · Improvement 4.12

Adjusted total nurse staffing

1.81

Baseline 3.70 hours · Performance 3.59 hours · Measure score 1.81 · Achievement 1.81 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.45%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 202 · Observed rate 8.91% · Lower 95% interval 7.08%
Discharge to community	62.08%	50.57% 11.5 pts better	Better than the National Rate · Eligible stays 214 · Observed rate 59.81% · Lower 95% interval 55.69%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	56.78%	95.27% 38.5 pts worse	Numerator 67 · Denominator 118
Falls with major injury	0.85%	0.77% 0.1 pts worse	Numerator 1 · Denominator 118
Discharge self-care score	74.23%	53.69% 20.5 pts better	Numerator 72 · Denominator 97
Discharge mobility score	77.32%	50.94% 26.4 pts better	Numerator 75 · Denominator 97
Pressure ulcers or injuries, new or worsened	3.39%	2.29% 1.1 pts worse	Numerator 4 · Denominator 118 · Adjusted rate 3.87%
Healthcare-associated infections requiring hospitalization	7.7%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 130 · Observed rate 6.92% · Lower 95% interval 4.8%
Staff COVID-19 vaccination coverage	3.16%	8.2% 5 pts worse	Numerator 5 · Denominator 158
Staff flu vaccination coverage	46.82%	42% 4.8 pts better	Numerator 81 · Denominator 173
Discharge function score	79.38%	56.45% 22.9 pts better	Numerator 77 · Denominator 97
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 81 · Denominator 81
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	17.31%	25.2% 7.9 pts worse	Numerator 9 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	2.0 0.8 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.8 · Expected 1.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.3 0.1 pts better	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.6 · Expected 1.2 · 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	98.6%	91.6% 7 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	1.6%	3.3% 1.7 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.6% · Q3 1.8% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.9%	50.3% 44.4 pts better	11.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.1% · Q3 2.0% · Q4 6.5% · 4Q avg 5.9%
Percentage of long-stay residents who lose too much weight	1.1%	6.5% 5.4 pts better	5.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 2.3% · Q4 0.0% · 4Q avg 1.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.8%	18.5% 1.3 pts worse	19.6% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 24.5% · Q3 17.8% · Q4 20.0% · 4Q avg 19.8%
Percentage of long-stay residents who received an antipsychotic medication	3.4%	22.8% 19.4 pts better	16.7% 13.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.3% · Q3 2.7% · Q4 0.0% · 4Q avg 3.4% · 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	9.2%	17.2% 8 pts better	16.3% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 7.1% · Q3 9.0% · Q4 9.4% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.5%	15.0% 9.5 pts better	14.9% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.4% · Q3 2.3% · Q4 7.0% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.1% 1.1 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	1.7% 0.9 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 1.8% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.3%	21.3% 4 pts better	19.8% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 15.1% · Q3 16.0% · Q4 14.6% · 4Q avg 17.3%
Percentage of long-stay residents with pressure ulcers	3.7%	5.2% 1.5 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 3.4% · Q3 6.3% · Q4 4.1% · 4Q avg 3.7% · 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	15.7%	14.0% 1.7 pts worse	12.0% 3.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 13.7% · Expected 9.7% · 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	91.7%	63.0% 28.7 pts better	79.7% 12 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.7%	26.2% 4.5 pts better	23.9% 2.2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 16.8% · Expected 18.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-28 · Fire 2025-02-28

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2024-01-31 · Fire 2024-01-31

10 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-11-04 · Fire 2022-11-04

13 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-28

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-28

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-28

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-28

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-28

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-27

F · Potential for more than minimal harm 2025-02-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-27

F · Potential for more than minimal harm 2024-01-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-16

E · Potential for more than minimal harm 2024-01-31

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-02-16

E · Potential for more than minimal harm 2024-01-31

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-02-16

F · Potential for more than minimal harm 2022-11-04

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-12-08

F · Potential for more than minimal harm 2022-11-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-12-09

F · Potential for more than minimal harm 2022-11-04

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2022-12-08

E · Potential for more than minimal harm 2022-11-04

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-12-08

E · Potential for more than minimal harm 2022-11-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-12-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-15

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 2025-12-05

D · Potential for more than minimal harm 2025-11-15

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-10

G · Actual harm 2025-05-08

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 2025-05-23

D · Potential for more than minimal harm 2025-05-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-05-08

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-05-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-23

F · Potential for more than minimal harm 2025-02-28

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 2025-03-25

E · Potential for more than minimal harm 2025-02-28

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-02-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-02-28

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-02-28

F710 · Nursing and Physician Services Deficiencies

Health

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-02-28

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-02-28

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-03-24

C · Minimal harm 2025-02-28

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2025-03-10

C · Minimal harm 2025-02-28

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-03-10

C · Minimal harm 2025-02-28

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-24

C · Minimal harm 2025-02-28

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-03-24

J · Immediate jeopardy 2024-12-20

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 2025-01-16

D · Potential for more than minimal harm 2024-12-20

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-01-16

D · Potential for more than minimal harm 2024-12-20

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 2025-01-16

G · Actual harm 2024-06-20

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 2024-07-08

D · Potential for more than minimal harm 2024-04-17

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 2024-05-09

G · Actual harm 2024-01-31

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-16

D · Potential for more than minimal harm 2024-01-31

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-02-16

D · Potential for more than minimal harm 2024-01-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-16

D · Potential for more than minimal harm 2024-01-31

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2024-02-16

D · Potential for more than minimal harm 2024-01-31

F758 · Pharmacy Service Deficiencies

Health

Corrected 2024-02-16

G · Actual harm 2024-01-11

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 2024-02-01

G · Actual harm 2022-11-04

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 2022-12-08

F · Potential for more than minimal harm 2022-11-04

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 2022-12-08

E · Potential for more than minimal harm 2022-11-04

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-12-08

E · Potential for more than minimal harm 2022-11-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-12-08