Lutheran Home at Topton has a 5-star overall rating, with strong quality measures and health inspection scores, but staffing is 3 stars and reported nurse staffing (3.90 hours/resident/day) is below the federal benchmark of 4.1. There were no fines in the last 24 months, though recent inspection citations included treatment/care according to orders, infection prevention and control, and accident hazard supervision.
Last inspection: September 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8996.
Staffing detail
Registered nurses
0.92
Licensed practical nurses
0.70
Nurse aides
2.28
Weekend nursing
3.60
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 61%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.6%Improving
Residents with a fall causing major injury
2.6%Steady
Residents with pressure ulcers (bedsores)
3.7%Improving
Residents with a urinary tract infection
1.4%Improving
Residents who lost too much weight
5.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.6%Improving
Residents whose ability to walk got worse
22%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.3%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
26.9%Improving
Residents with depressive symptoms
0.5%Worsening
Long-stay residents given the seasonal flu vaccine
95.4%Steady
Long-stay residents given the pneumonia vaccine
78.3%Improving
Short-stay residents given the seasonal flu vaccine
44.3%Steady
Short-stay residents given the pneumonia vaccine
55.4%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2025 — isolated incident, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited November 2023 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited November 2023 — isolated incident, potential for harm.
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F-Tag 756 — 42 CFR §483.45(c) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
Non profit - Church related
Occupancy
93 residents on an average day (48% of 194 beds)
Resident voice
Resident council
Medicare history
Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.