Luther Oaks
601 Lutz Road, Bloomington, IL 61704 · Mc Lean County · 19 certified beds · avg 17 residents/day · certified since Oct 1, 2017
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 29, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 21, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 5, 2025 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Nov 5, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 1, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Aug 1, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 1, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Aug 1, 2024 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Feb 17, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 29, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 29, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Aug 2, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jun 22, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jun 22, 2022 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 3 | 0 | F |
| 2023 | 1 | 0 | E |
| 2024 | 15 | 1 | G ▲ |
| 2025 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.98 | 2.99 | 3.95 | top 17% in Illinois; top 40% in the U.S. |
| Registered Nurse hours | 1.26 | 0.63 | 0.69 | top 8% in Illinois; top 8% in the U.S. |
| Weekend total nurse staffing | 3.70 | 2.67 | 3.50 | top 14% in Illinois; top 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.92 | 0.56 | 0.48 | top 13% in Illinois; top 8% in the U.S. |
| Total nursing staff turnover (%) | 61.5 | 44.5 | 45.8 | bottom 12% in Illinois; bottom 14% in the U.S. |
| RN turnover (%) | 57.1 | 41.8 | 42.9 | bottom 25% in Illinois; bottom 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.91, RN 1.24, weekend 3.64. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bentley, Meredith | Individual | Corporate Officer | NOT APPLICABLE | 09/14/2020 |
| Bentley, Meredith | Individual | ADP of the SNF | NOT APPLICABLE | 09/14/2020 |
| Black, Terri | Individual | Corporate Director | NOT APPLICABLE | 05/01/2023 |
| Black, Terri | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Lacroix, Amy | Individual | Corporate Officer | NOT APPLICABLE | 10/03/2022 |
| Lacroix, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2022 |
| Lau, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Lau, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Lutheran Life Communities | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2012 |
| Lutheran Life Ministries | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2012 |
| Old National Bank | Organization | ADP of the SNF | NOT APPLICABLE | 12/17/1992 |
| Renetzky, Michael | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2003 |
| Renetzky, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2003 |
| Richter and Associates | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2022 |
| Select Rehabilitation, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Select Rehabilitation, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/04/2025 |
| Thomas Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Thomas Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/14/2025 |
| Wiedman, Peter | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/18/2024 |
| Wiedman, Peter | Individual | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Westminster Village | 3.0 mi | Bloomington, IL | ★★★★☆ | 3/5 | |
| Goldwater Care Bloomington | 3.3 mi | Bloomington, IL | ★☆☆☆☆ | 1/5 | |
| Arcadia Care Bloomington | 3.3 mi | Bloomington, IL | ★☆☆☆☆ | 1/5 | abuse |
| Loft Rehab & Nursing of Normal | 4.5 mi | Normal, IL | ★★☆☆☆ | 1/5 | |
| Arc at Normal | 4.9 mi | Normal, IL | ★☆☆☆☆ | 2/5 | abuse |
| McLean County Nursing Home | 5.5 mi | Normal, IL | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
All facilities in Bloomington →
Facility data as of CMS processing date 2026-08-01. CCN 146184.