Lutheran Community at Telford
12 Lutheran Home Drive, Telford, PA 18969
Lutheran Community at Telford is a nursing home in Telford, Pennsylvania. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (215) 723-9819
- Last standard health inspection
- June 17, 2026 (4 months ago)
- Certified beds
- 75
- Residents per day, on average
- 65.9
- Ownership type
- Non profit - Corporation
- Legal business name
- Lutheran Community at Telford
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Pennsylvania average (7 vs 31).
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 October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of October 8, 2026
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of June 24, 2026
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
3 citations
Health inspection on June 17, 2026
CMS lists this as a standard inspection.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on July 30, 2026.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on July 30, 2026.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 30, 2026.
CMS has cited this home for F0689 2 times since 2025.
7 citations
Fire safety inspection on June 17, 2026
CMS lists this as a standard inspection.
Citation K0291. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on August 21, 2026.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on August 21, 2026.
Citation K0345. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on August 21, 2026.
CMS has cited this home for K0345 2 times since 2024.
Citation K0521. Severity E: potential for more than minimal harm, pattern.
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 August 21, 2026.
CMS has cited this home for K0521 2 times since 2025.
Citation K0541. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install properly constructed and protected linen or trash chutes.
CMS lists it as corrected on August 21, 2026.
CMS has cited this home for K0541 2 times since 2024.
Citation K0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on August 21, 2026.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on August 21, 2026.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
1 citation
Health inspection on November 21, 2025
CMS lists this as a complaint inspection.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on December 16, 2025.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
1 citation
Health inspection on July 3, 2025
CMS lists this as a standard inspection.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on August 29, 2025.
CMS has cited this home for F0690 2 times since 2025.
3 citations
Fire safety inspection on July 3, 2025
CMS lists this as a standard inspection.
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 August 8, 2025.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on August 8, 2025.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on August 8, 2025.
1 citation
Health inspection on May 13, 2025
CMS lists this as a complaint inspection.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 2, 2025.
CMS update of September 26, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
1 citation
Health inspection on June 13, 2024
CMS lists this as a standard inspection.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on July 30, 2024.
4 citations
Fire safety inspection on June 13, 2024
CMS lists this as a standard inspection.
Citation K0345. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on August 1, 2024.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 1, 2024.
Citation K0541. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install properly constructed and protected linen or trash chutes.
CMS lists it as corrected on August 1, 2024.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on August 1, 2024.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- GRACE INSPIRED MINISTRIESDirect ownership interest · not applicable · since 01/01/2017
- FRIENDS SERVICES FOR THE AGINGOperational/managerial control · not applicable · since 01/01/2015
- GRACE INSPIRED MINISTRIESOperational/managerial control · not applicable · since 01/01/2017
- LISKER-BLOUNT, LIVIAOperational/managerial control · not applicable · since 05/01/2025
- MCKEE, DANIELOperational/managerial control · not applicable · since 08/23/2005
- SHRAGER, ELLENOperational/managerial control · not applicable · since 09/13/2004
Questions
When was Lutheran Community at Telford last inspected?
CMS lists June 17, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Lutheran Community at Telford have?
CMS lists 7 health citations since June 13, 2024. CMS also calls these deficiencies.
Has Lutheran Community at Telford been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Lutheran Community at Telford?
Its CMS overall star rating is 5 of 5.
Is Lutheran Community at Telford a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.