Grace Lutheran Communities - River Pines

Inspection findings

1. May 21, 2026 Health · 3 findings
   • Not serious Scope/severity D

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Jun 12, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jun 12, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected May 21, 2026 · CMS fire safety

2. Feb 26, 2025 Health · 8 findings
   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Mar 14, 2025 · CMS health inspection

   • 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 Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0801 Nutrition and Dietary Deficiencies

     Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

     Corrected Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 14, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Feb 26, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 26, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Feb 26, 2025 · CMS fire safety

3. Jan 4, 2024 Fire Safety · 2 findings
   • Not serious Scope/severity E

     K0232 Egress Deficiencies

     Have corridors or aisles that are unobstructed and are at least 8 feet in width.

     Corrected Jan 16, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jan 16, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• BERG, MATTHEW — operational/managerial control, NOT APPLICABLE, since 01/01/2016
• BERG, MATTHEW — adp of the snf, NOT APPLICABLE, since 07/01/2016
• BOHL, AMY — operational/managerial control, NOT APPLICABLE, since 10/27/2023
• BOYES, ALAN — corporate director, NOT APPLICABLE, since 05/01/2023
• COHEN, JENNIFER — adp of the snf, NOT APPLICABLE, since 08/29/2025
• COHEN, JENNIFER — operational/managerial control, NOT APPLICABLE, since 07/13/2016
• DUHR, AMY — adp of the snf, NOT APPLICABLE, since 01/17/2020
• DUHR, AMY — corporate officer, NOT APPLICABLE, since 01/17/2020
• DUHR, AMY — operational/managerial control, NOT APPLICABLE, since 01/17/2020
• DZIEKAN, DENNIS — operational/managerial control, NOT APPLICABLE, since 03/15/2017
• FELTON, CONNIE — corporate director, NOT APPLICABLE, since 05/01/2025
• GROTHE, ARTHUR — corporate director, NOT APPLICABLE, since 05/01/2023
• LARSON, JAMIE — corporate officer, NOT APPLICABLE, since 05/09/2022
• LARSON, JAMIE — operational/managerial control, NOT APPLICABLE, since 05/29/2022
• LARSON, JAMIE — adp of the snf, NOT APPLICABLE, since 05/29/2022
• LOKKEN, PAUL — corporate director, NOT APPLICABLE, since 05/01/2017
• MILLER, CORY — operational/managerial control, NOT APPLICABLE, since 04/29/2019
• PALMER, CARLI — operational/managerial control, NOT APPLICABLE, since 09/25/2014
• PELTIER, SUZETTE — corporate director, NOT APPLICABLE, since 05/01/2022
• PHILLIPS, MICHAEL — operational/managerial control, NOT APPLICABLE, since 10/25/2022
• PHILLIPS, MICHAEL — adp of the snf, NOT APPLICABLE, since 10/25/2022
• REID, DALE — corporate director, NOT APPLICABLE, since 05/01/2021
• SCHWELLENBACH, DOROTHY — corporate director, NOT APPLICABLE, since 05/01/2025
• SHAFER, KAYLA — operational/managerial control, NOT APPLICABLE, since 09/19/2013
• ZIEHR, KEN — corporate director, NOT APPLICABLE, since 05/01/2015