Lutheran Life Villages
351 N Allen Chapel Rd, Kendallville, IN 46755
Lutheran Life Villages is a nursing home in Kendallville, Indiana. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionMarch 3, 2026 (8 months ago)
- Health citations since February 27, 20245 (Indiana average 23)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Health inspection on March 3, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on March 17, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 17, 2026.
CMS update of May 28, 2025
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Health inspection on February 18, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on February 26, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on February 27, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on March 8, 2024.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 8, 2024.
Fire safety inspection on February 27, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on May 4, 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on May 4, 2024.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (260) 347-2256
- Last standard health inspection
- March 3, 2026 (8 months ago)
- Certified beds
- 99
- Residents per day, on average
- 84.2
- Ownership type
- Government - County
- Legal business name
- Adams County Memorial Hospital
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Indiana average (5 vs 23).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ADAMS COUNTY MEMORIAL HOSPITALOperational/managerial control · not applicable · since 07/01/2012
- FORVIS MAZARS LLPOperational/managerial control · not applicable · since 06/01/2023
- HEALTHCARE THERAPY SERVICES INCOperational/managerial control · not applicable · since 07/01/2012
- LUTHERAN HOMES, INC.Operational/managerial control · not applicable · since 07/01/2012
- ADAIR, HEIDIOperational/managerial control · not applicable · since 03/01/2020
Show 26 more
- BLEKE, RONOperational/managerial control · not applicable · since 03/01/2022
- BOHNKE, BRYANOperational/managerial control · not applicable · since 03/01/2023
- BORNE-BAUMAN, CANDICEOperational/managerial control · not applicable · since 01/01/2019
- FENSTERMAKER, SADIEOperational/managerial control · not applicable · since 02/28/2017
- FINK, JANEOperational/managerial control · not applicable · since 03/01/2022
- FLUECKIGER, RUSSELLOperational/managerial control · not applicable · since 07/01/2012
- GOTSCH, DEBBIEOperational/managerial control · not applicable · since 03/01/2019
- GROTE, RANDYOperational/managerial control · not applicable · since 03/01/2016
- HANKE, CHRISOperational/managerial control · not applicable · since 03/01/2018
- KIEFER, ALEXANDEROperational/managerial control · not applicable · since 07/01/2015
- LEHMAN, SCOTTOperational/managerial control · not applicable · since 07/14/2020
- LINNEMEIER, CRAIGOperational/managerial control · not applicable · since 03/01/2016
- MACKLIN, LARRYOperational/managerial control · not applicable · since 07/01/2012
- MCINTIRE, DAVIDOperational/managerial control · not applicable · since 01/01/2019
- MESSMANN, GREGOperational/managerial control · not applicable · since 03/01/2021
- NEARY, TRICIAOperational/managerial control · not applicable · since 07/01/2023
- NEHRING, EMILYOperational/managerial control · not applicable · since 03/01/2024
- PARK, ALISONOperational/managerial control · not applicable · since 03/01/2018
- RUSH, KEVINOperational/managerial control · not applicable · since 03/01/2024
- SMITH, SCOTTOperational/managerial control · not applicable · since 01/01/2020
- SPRUNGER, KYLEOperational/managerial control · not applicable · since 01/01/2018
- TESKA, LOWELLOperational/managerial control · not applicable · since 03/01/2020
- TRENT, TOMOperational/managerial control · not applicable · since 03/01/2022
- WALDA, CHRISOperational/managerial control · not applicable · since 03/01/2025
- WARRENER, GERALDOperational/managerial control · not applicable · since 07/01/2012
- WHEELER, DANEOperational/managerial control · not applicable · since 07/01/2012
Questions
When was Lutheran Life Villages last inspected?
CMS lists March 3, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Lutheran Life Villages have?
CMS lists 5 health citations since February 27, 2024. CMS also calls these deficiencies.
Has Lutheran Life Villages been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Lutheran Life Villages?
Its CMS overall star rating is 5 of 5.
Is Lutheran Life Villages a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.