The nursing home failed to protect residents from abuse and neglect by others. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
PLEASANT VIEW LUTHER HOME
OTTAWA, IL · Medicare-certified · 90 beds
Needs attention
Non-profit
4 of 5 overall
PLEASANT VIEW LUTHER HOME (OTTAWA, IL) is rated 4 out of 5 stars overall, with strong quality measures and staffing, but a lower 3-star health inspection score. It has had $60,161 in fines in the last 24 months, a recent federal penalty, and reported nurse staffing of 3.78 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.7798 hrs/resident/day
Quality measures
Last inspection: November 15, 2025Penalties, last 24 months: $60,161recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7798.
Staffing detail
- Registered nurses
- 0.90
- Licensed practical nurses
- 0.34
- Nurse aides
- 2.55
- Weekend nursing
- 3.47
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 44%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.4%Worsening
Residents with a fall causing major injury
0.9%Improving
Residents with pressure ulcers (bedsores)
4.6%Worsening
Residents with a urinary tract infection
1.3%Worsening
Residents who lost too much weight
2.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
5.1%Improving
Residents whose ability to walk got worse
9.1%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
20.9%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
15.1%Steady
Residents with depressive symptoms
5.1%Improving
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
91.7%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: E
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.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $38,711 was recorded.
- PENALTY
A federal fine of $21,450 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $87,819 in total fines · 1 payment denial.
- $38,711
Federal fine
Dec 20, 2024
- $21,450
Federal fine
Jun 20, 2024
- 10 days
Medicare/Medicaid payment denial
Jan 11, 2024
- $27,658
Federal fine
Jan 11, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 67.4 residents on an average day (75% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.