Perry Lutheran Home

2323 East Willis Avenue
Perry, IA, 50220
5154655342
CCN: 165606
1
Overall
1
Health
4
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ADAIR, COLECORPORATE DIRECTORNOT APPLICABLE
METZ, ALANCORPORATE DIRECTORNOT APPLICABLE
MCVEY, ANITACORPORATE DIRECTORNOT APPLICABLE
MCCAULLEY, RANDALLCORPORATE DIRECTORNOT APPLICABLE
KOELIN, DEBRACORPORATE DIRECTORNOT APPLICABLE
GROTHE, MICHAELCORPORATE DIRECTORNOT APPLICABLE
PHILLIPS, MAXCORPORATE OFFICERNOT APPLICABLE
CARRICK, ANTOINETTECORPORATE OFFICERNOT APPLICABLE
GANNON, MELISSACORPORATE OFFICERNOT APPLICABLE
GERKEN, MARKCORPORATE OFFICERNOT APPLICABLE
MARTENS, DENNISCORPORATE OFFICERNOT APPLICABLE
PHILLIPS, MAXOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MERRILL, ESTHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KRUSE, KURTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HILSENBECK, GENEENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAERTHER, SARAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GANNON, MELISSAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROTHFUS, JENNIFEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SOHN, STEVENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WHEELDON, RHONDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROEDERER, LISAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2023-11-21Fine$16K
2023-11-21Payment Denial61 days
Health Deficiencies (20)
2026-01-08 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-10-08 · Health
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-03-13 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
2024-11-07 · Health
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-05-16 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
B
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
F600 · 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.
2024-01-24 · Health
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
2023-11-21 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
K
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
K
F600 · 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.
2023-03-23 · Health
E
F688 · 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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.68
3.68
RN Hrs/Resident/Day
0.52
0.54
LPN Hrs/Resident/Day
0.41
0.81
CNA Hrs/Resident/Day
2.75
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01