Lutheran Care Center

Penalties

• Sep 30, 2025 — Fine ($17,345)
• Sep 30, 2025 — IDPH fine (Nursing Home Care Act) ($50,000)
• Mar 28, 2025 — Fine ($11,190)
• Mar 28, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Jul 26, 2024 — Fine ($8,018)
• Jul 26, 2024 — IDPH fine (Nursing Home Care Act) ($2,200)

Inspection findings

1. Sep 30, 2025 Health · 8 findings
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 15, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 31, 2025 · CMS health inspection

   • Not serious Scope/severity B

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     Corrected Oct 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Jan 9, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Jan 9, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jan 9, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Jan 9, 2026 · CMS fire safety

   • Serious Scope/severity AA

     Type AA Illinois Nursing Home Care Act violation

     Type AA: proximately caused a resident's death (210 ILCS 45/1-128.5). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), 300.1210c), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

2. Mar 28, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Mar 17, 2025 · CMS health inspection

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

3. Nov 15, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Dec 13, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Dec 13, 2024 · CMS health inspection

4. Jul 26, 2024 Health · 7 findings
   • Serious Scope/severity G

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 5, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Sep 3, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Sep 3, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Sep 5, 2024 · CMS fire safety

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

5. Jun 9, 2023 Fire Safety · 10 findings
   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Jul 13, 2023 · CMS fire safety

   • Not serious Scope/severity F

     E0041 Emergency Preparedness Deficiencies

     Implement emergency and standby power systems.

     Corrected Jun 30, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 14, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jul 14, 2023 · CMS health inspection

   • Not serious Scope/severity B

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     Corrected Jul 14, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0133 Construction Deficiencies

     Install a two-hour-resistant firewall separation.

     Corrected Jul 31, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jul 6, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 29, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0711 Miscellaneous Deficiencies

     Provide a written emergency evacuation plan.

     Corrected Jul 21, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Aug 17, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AHERIN, DIANE — corporate director, NOT APPLICABLE, since 01/25/2021
• ASBELL, MARIYA — operational/managerial control, NOT APPLICABLE, since 08/14/2023
• ASBELL, MARIYA — adp of the snf, NOT APPLICABLE, since 08/14/2023
• BEHRNS, DOROTHY — corporate director, NOT APPLICABLE, since 01/01/2025
• BIGGS, CHARLES — corporate director, NOT APPLICABLE, since 01/01/2026
• BLIEVERNICHT, DENNIS — corporate director, NOT APPLICABLE, since 01/26/2015
• BRAASCH, SUSAN — corporate director, NOT APPLICABLE, since 01/01/2026
• BRAY, FREDERICK — corporate director, NOT APPLICABLE, since 01/01/2025
• CLIFTON, JONI — adp of the snf, NOT APPLICABLE, since 07/01/2024
• CLIFTON, JONI — operational/managerial control, NOT APPLICABLE, since 07/01/2024
• CORDER, KATHRYN — corporate director, NOT APPLICABLE, since 01/01/2025
• CORNETT, ALEXIS — operational/managerial control, NOT APPLICABLE, since 04/29/2025
• CORNETT, ALEXIS — adp of the snf, NOT APPLICABLE, since 04/29/2025
• FELDHAKE, DAWN — operational/managerial control, NOT APPLICABLE, since 08/30/2021
• FELDHAKE, DAWN — adp of the snf, NOT APPLICABLE, since 08/30/2021
• GARBE, VERA — corporate director, NOT APPLICABLE, since 01/26/2015
• GIVENS, JOANN — corporate director, NOT APPLICABLE, since 01/25/2016
• HANFLAND, SUSAN — corporate director, NOT APPLICABLE, since 01/26/2023
• HANSON, DEBORAH — corporate director, NOT APPLICABLE, since 01/27/2020
• HARRIS, SAMANTHA — operational/managerial control, NOT APPLICABLE, since 11/23/2022
• HARRIS, SAMANTHA — adp of the snf, NOT APPLICABLE, since 11/23/2022
• HASTINGS, JACK — corporate director, NOT APPLICABLE, since 01/01/2026
• HEIDEN, DOUGLAS — corporate director, NOT APPLICABLE, since 01/01/2025
• HEIDEN, SANDRA — corporate director, NOT APPLICABLE, since 01/01/2024
• HERRMANN, KRYSTLE — operational/managerial control, NOT APPLICABLE, since 08/30/2012
• HERRMANN, KRYSTLE — adp of the snf, NOT APPLICABLE, since 08/30/2012
• HOFFMEISTER, CHERYL — corporate director, NOT APPLICABLE, since 01/01/2026
• HUNTLEY, KATHRYN — operational/managerial control, NOT APPLICABLE, since 01/11/2016
• HUNTLEY, KATHRYN — adp of the snf, NOT APPLICABLE, since 01/11/2016
• KIRCHHOFF, MIKE — corporate director, NOT APPLICABLE, since 01/01/2026
• MAGNUS, TWILA — corporate director, NOT APPLICABLE, since 01/01/2026
• MILBURN-GEHLE, MARCIA — operational/managerial control, NOT APPLICABLE, since 01/19/2012
• MILBURN-GEHLE, MARCIA — adp of the snf, NOT APPLICABLE, since 01/19/2012
• MILLER, EMILY — corporate director, NOT APPLICABLE, since 04/02/2021
• MILLER, EMILY — adp of the snf, NOT APPLICABLE, since 05/15/2025
• MILLER, EMILY — corporate officer, NOT APPLICABLE, since 04/02/2021
• MILLER, EMILY — operational/managerial control, NOT APPLICABLE, since 04/02/2021
• MULVANEY, RONALD — operational/managerial control, NOT APPLICABLE, since 02/10/2025
• MULVANEY, RONALD — adp of the snf, NOT APPLICABLE, since 02/10/2025
• OPILKA, JOHN — operational/managerial control, NOT APPLICABLE, since 07/30/2001
• OPILKA, JOHN — adp of the snf, NOT APPLICABLE, since 04/25/2025
• OPILKA, JOHN — corporate director, NOT APPLICABLE, since 07/30/2001
• REETER, TAMYRA — operational/managerial control, NOT APPLICABLE, since 05/23/2022
• REETER, TAMYRA — adp of the snf, NOT APPLICABLE, since 05/23/2022
• REYNOLDS, BETH — corporate director, NOT APPLICABLE, since 01/26/2023
• SCHROEDER, KIMBERLY — corporate director, NOT APPLICABLE, since 08/25/2025
• SOLTWEDEL, BEVERLY — corporate director, NOT APPLICABLE, since 01/01/2026
• STREMMING, JEFF — corporate officer, NOT APPLICABLE, since 01/01/2025
• STREMMING, KURT — corporate director, NOT APPLICABLE, since 01/26/2015
• STUCKMEYER, LEA — corporate director, NOT APPLICABLE, since 01/25/2022
• TRAUB, DAVID — corporate director, NOT APPLICABLE, since 01/01/2026
• WETHERELL, DIANE — corporate director, NOT APPLICABLE, since 01/01/2025
• WILLIAMS, ROBERT — corporate director, NOT APPLICABLE, since 01/26/2015
• WOHLTMAN, NORMA — corporate director, NOT APPLICABLE, since 01/01/2026
• WORKMAN, CHRISTINE — operational/managerial control, NOT APPLICABLE, since 04/16/2017
• WYCKOFF, GERALD — corporate director, NOT APPLICABLE, since 01/25/2022
• WYCKOFF, KATHY — corporate director, NOT APPLICABLE, since 01/25/2022
• CLIFTONLARSONALLEN LLP — adp of the snf, NOT APPLICABLE, since 09/30/2013
• FAITH LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980
• GRACE EVANGELICAL LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980
• HOLY CROSS EVANGELICAL LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980
• HOLY CROSS LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 02/20/2012
• IMMANUEL LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 07/23/2012
• ST. JAMES EVANGELICAL LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 04/28/2003
• ST. JOHN LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980
• ST. JOHN'S EVANGELICAL LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 11/28/2011
• ST. JOHN'S LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980
• ST. JOHN'S LUTHERAN CHURCH OF SHELBYVILLE — 5% or greater direct ownership interest, 5%, since 10/01/1980
• ST. PAUL EVANGELICAL LUTHERAN CHURCH ELCA — 5% or greater direct ownership interest, 5%, since 10/01/1980
• ST. PAUL LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980
• ST. PETER'S LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980
• TRINITY EVANGELICAL LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980
• TRINITY LUTHERAN CHURCH NALC — 5% or greater direct ownership interest, 5%, since 10/01/1980
• ZION LUTHERAN CHURCH — 5% or greater direct ownership interest, 5%, since 10/01/1980