The home failed to properly label and securely store medications and biologicals. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Nursing home report
LUTHERAN VILLAGE AT WOLFCREEK
HOLLAND, OH · Medicare-certified · 67 beds
In good standing
For-profit
4 of 5 overall
Lutheran Village at Wolfcreek has an overall 4-star rating, with strong quality measures but weaker staffing at 2 stars and 3.47 reported nurse hours per resident per day versus the 4.1 federal benchmark. Its health inspection rating is 3 stars, there were no fines in the last 24 months, and recent inspection citations included medication storage, respiratory care, and infection prevention issues.
Facility ratings
Health inspections
Staffing
3.4725 hrs/resident/day
Quality measures
Last inspection: September 8, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4725.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 1.11
- Nurse aides
- 1.99
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
3.2%3.2%No change
Residents with a fall causing major injury
6.1%4.4%Improving
Residents with pressure ulcers (bedsores)
3.7%9.3%Worsening
Residents with a urinary tract infection
0%2.3%Worsening
Residents who lost too much weight
7.5%12.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20%12.1%Improving
Residents whose ability to walk got worse
—9.5%—
Long-stay residents on antianxiety or sleep medication
17.1%11.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.8%30.1%Worsening
Residents with depressive symptoms
4.9%7.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
95.9%97.8%Improving
Short-stay residents given the seasonal flu vaccine
—80.2%—
Short-stay residents given the pneumonia vaccine
82.5%73%Worsening
What the inspectors found
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
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 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — 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 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 56.5 residents on an average day (84% of 67 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 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.