Lutheran Nursing Home

Name: Lutheran Nursing Home
Address: 202 SOUTH WEST STREET, Concordia, MO, 64020, US
Telephone: 6604632267

202 South West Street, Concordia, MO 64020 · Lafayette County · 113 certified beds · avg 85 residents/day · certified since Oct 14, 2003

Part of chain: SHAFIQ MALIK (9 facilities, chain avg rating 3.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

$41,886

Fines, last 3 years

3.13

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · 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.

All citations in the current public record (27)

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
Apr 9, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Apr 9, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Apr 9, 2026	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. · from a complaint
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint
Aug 1, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Aug 1, 2025	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, 2025	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Aug 1, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Jul 8, 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
May 6, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Sep 28, 2023	E · Potential for harm, repeated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 28, 2023	D · Potential for harm, one-off	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.
Apr 13, 2022	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.
Apr 13, 2022	F · Potential for harm, facility-wide	The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases.
Apr 13, 2022	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Apr 13, 2022	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 13, 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.
Apr 13, 2022	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 13, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 13, 2022	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Apr 13, 2022	D · Potential for harm, one-off	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 8).

Year	Citations	Worst severity that year
2022	9	F
2023	4	E
2024	2	E
2025	8	E
2026	4	D

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)

1 fine totaling $41,886.

Date	Type	Amount / length
Sep 28, 2023	Fine	$41,886

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.13	3.66	3.95	bottom 27% in Missouri; bottom 18% in the U.S.
Registered Nurse hours	0.31	0.49	0.69	bottom 29% in Missouri; bottom 11% in the U.S.
Weekend total nurse staffing	2.77	3.22	3.50	bottom 30% in Missouri; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.14	0.33	0.48	bottom 11% in Missouri; bottom 4% in the U.S.
Total nursing staff turnover (%)	52.5	56.0	45.8	top 39% in Missouri; bottom 31% in the U.S.
RN turnover (%)	16.7	47.8	42.9	top 8% in Missouri; top 9% 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 3.14, RN 0.32, weekend 2.78. Staffing rating: 2/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Malik, Omer	Individual	Direct Ownership Interest	NOT APPLICABLE	04/01/2023
Malik, Shafiq	Individual	Direct Ownership Interest	NOT APPLICABLE	04/01/2023
Farrell, Kristine	Individual	Operational/Managerial Control	NOT APPLICABLE	06/12/2023
Forvis Mazars, LLP	Organization	ADP of the SNF	NOT APPLICABLE	03/10/2020
Habibullah, Ayaaz	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2025
Malik, Omer	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2023
Malik, Omer	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2023
Malik, Shafiq	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2023
Malik, Shafiq	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What mental health services do you provide on-site, and who delivers them?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"How do you learn about each resident's background and history, and how does that shape their care?"
"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
Meyer Care Center	10.8 mi	Higginsville, MO	★☆☆☆☆	1/5
Apple Ridge Care Center	15.7 mi	Waverly, MO	★☆☆☆☆	2/5
Country Club Rehab and Healthcare Center	17.2 mi	Warrensburg, MO	★☆☆☆☆	2/5
Warrensburg Manor Care Center	17.4 mi	Warrensburg, MO	★★☆☆☆	3/5
Johnson County Care Center	17.9 mi	Warrensburg, MO	★★★☆☆	3/5
Ridge Crest Nursing Center	18.3 mi	Warrensburg, MO	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Concordia →

Facility data as of CMS processing date 2026-08-01. CCN 265765.

The Care File

Visit checklist — Lutheran Nursing Home

202 South West Street, Concordia, MO 64020 · 6604632267

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $41,886

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What mental health services do you provide on-site, and who delivers them?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265765 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)