Total health inspections
8
Missouri average 6.6
Last Health inspection on Oct 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Luther Manor Retirement &Amp; Nursing Center
Nursing Home · Missouri, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Luther Manor Retirement &Amp; Nursing Center
Nursing Home · Missouri, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Luther Manor Retirement &Amp; Nursing Center accepts Medicare, Medicaid, and private pay.
Luther Manor Retirement & Nursing Center is a 64-bed skilled nursing facility at 3170 Highway 61 North in Hannibal, Marion County, Missouri, administrated by Ryan Wright and operated as a nonprofit by Luther Manor Association. Established in 1972, it provides skilled nursing and independent living apartments serving Medicare, Medicaid, and private-pay residents with an average length of stay of 164 days and current occupancy of 79.9%.
Total nursing care averages approximately 1.8 hours per resident per day, 53.7% below Missouri’s state benchmark of 3 hours 48 minutes. Payroll accounts for 66.4% of revenue, yet the absolute hours available per resident remain severely deficient.
Functional decline reaches 22.3 (14% worse than state average), and need for increased assistance with daily activities affects 24.3% of residents (23% worse than state). Urinary tract infection rates of 5.2% are dangerously elevated compared to the state average of 2.7%. Long-stay hospitalization rates of 2.95 per 1,000 days are 42% worse than Missouri’s benchmark. Short-stay re-hospitalization reaches 46.3% (83% worse than state average of 25.3%).
Falls with major injury occur in 4.9% of long-stay residents (21% worse than state average).
Financial performance shows the nonprofit operating at substantial loss with a $392.4 thousand annual deficit (profit margin of -8.0%) against $5.0 million revenue.
Eight inspections since February 2020 identified 27 citations including three serious violations. Four complaint investigations between April 2023 and October 2025 documented actual resident harm. April 2023 found the facility discharged a resident with severe dementia without securing physician coverage. The resident suffered a heart attack and aspiration pneumonia hours after discharge and was permanently denied readmission.
May 2023 found failure to report a humeral shaft fracture requiring two surgeries as a mandated injury. June 2025 established staff failed to notify the physician of hip pain following a fall for 48 hours; imaging revealed a hip fracture requiring surgery that likely would have been diagnosed immediately if reported timely. July 2025 found systemic failure to implement documented fall prevention interventions for a high-risk resident, resulting in a tibia fracture when newly hired aides did not use prescribed wedge cushions. October 2025 standard inspection identified serious citations for quality of care and resident rights violations.
Earlier inspections documented environmental violations including freezer temperature failures, unlabeled expired food, contaminated equipment, and inadequate background screening of staff.
The inspection record across six years demonstrates persistent deficiencies in clinical oversight, fall prevention, injury reporting, and quality assurance without evidence of sustained improvement. Multiple complaint investigations documented actual harm to residents combined with severe understaffing create substantial clinical and regulatory risk.
Luther Manor operates with active resident council and on-site nurse aide training in a very walkable location (Walk Score 80).
CMS ratings reflect the challenges: 1/5 overall, 2/5 for health inspection, 1/5 for staffing, and 2/5 for quality measures.
Families should understand the facility’s sustained compliance failures, critical staffing shortages, and documented instances of actual resident harm before considering placement.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Capacity and availability
This home usually has availability
Occupancy rate
79.9%
Rank #101 / 283Occupancy rate — State benchmarkedThis home is ranked 101st out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
164 days
64-bed community Rank #335 / 454Bed count — State benchmarkedThis home is ranked 335th out of 454 homes in Missouri. Shows this facility's certified or reported bed count compared to other Missouri SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation Rank #95 / 200Years in operation — State benchmarkedThis home is ranked 95th out of 200 homes in Missouri. Shows how long this facility has been in operation compared to other Missouri SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score: 80 / 100 Rank #46 / 563Walk Score — State benchmarkedThis home is ranked 46th out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Facility TypeSkilled Nursing Facility
StatusActive
IssuanceMay 1, 2025
ExpirationApril 30, 2027
CountyMarion
License Number053580
Certification TypeMedicare/Medicaid
Luther Manor Retirement &Amp; Nursing Center is legally operated by Luther Manor Association, and administrated by Paul Ewert.
Corporate EntityLUTHER MANOR ASSOCIATION
Owner NameLuther Manor Association
Skilled Nursing Facility
64 units
Total beds
64 units
Rehabilitation Services
Specific ProgramsSkilled Nursing Center
Operating HoursMonday – Friday 8:00 a.m. to 4:00 p.m.
Food DescriptionMeal service is available for a minimal charge, with noon and dinner meals served in the solarium and breakfast in the care center dining room.
Inspection History
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Since 2020 · 6 years of data
0 inspections
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2020 vs. Missouri state average
Overall vs. MO average
0 Worse
No metrics in this bucket.
1 Better
Metrics better than Missouri average:
• Total inspections (100% below)
• Total inspections (100% below)
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
27
Rank #117 / 281Health citations — State benchmarkedThis home is ranked 117th out of 281 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 281 MO SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Missouri average 36.5
Citations per inspection
3.38
Rank #46 / 281Citations per inspection — State benchmarkedThis home is ranked 46th out of 281 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 281 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 27 citations resulted from standard inspections; and 8 of 27 resulted from complaint investigations.
Breakdown of citation severity (last 8 years)
Critical health citations
0
100% better than Missouri averageMissouri average: 0.7
Serious health citations
3
200% worse than Missouri averageMissouri average: 1
Citations history (last 8 years)
Administration minor citation
Oct 02, 2025
Corrected
Nursing Services moderate citation
Oct 02, 2025
Corrected
Quality of Care serious citation
Oct 02, 2025
Corrected
Quality of Care serious citation
Jul 23, 2025
Corrected
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
In line with Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.3
14% worse than Missouri averageMissouri average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
23% worse than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.5%
Percent of long-stay residents whose ability to move independently worsened
19.5%
5% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
27% worse than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
21% worse than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.6%
Percent of long-stay high risk residents with pressure ulcers
1.6%
67% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.2%
Percent of long-stay residents with a urinary tract infection
5.2%
89% worse than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.6%
Percent of long-stay residents who lose too much weight
6.6%
18% worse than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.8%
Percent of long-stay residents who have depressive symptoms
3.8%
70% better than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.0%
Percent of long-stay residents who received an antipsychotic medication
13.0%
41% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
17% better than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.95
Number of hospitalizations per 1,000 long-stay resident days.
2.95
42% worse than Missouri averageMissouri average: 2.08
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.58
33% better than Missouri averageMissouri average: 2.35
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
39% better than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
10% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
52% better than Missouri averageMissouri average: 63.5%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
46.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
46.3%
83% worse than Missouri averageMissouri average: 25.3%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.3%
59% worse than Missouri averageMissouri average: 13.4%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
71.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
71.0%
32% better than Missouri averageMissouri average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
51.8%
Rate of successful return to home or community from a skilled nursing facility.
51.8%
In line with Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
21% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
36% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
43% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
52
Medicare
3
5.8% of residents
Medicaid
24
46.2% of residents
Private pay or other
25
48.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Luther Manor Retirement &Amp; Nursing Center based on CMS SNF Cost Reports.
Occupancy Rate
79.9%
↓ 0.2pp vs 2022
Net Income
-$392.4K
↓ ~$248.3K vs 2022
Total Payroll
$3.3M
↑ ~$377.7K vs 2022
Profit Margin
-8.0%
↓ 5.0pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$5.0M
Operating deficit
-$392.4K
Voluntary non-profit community
Home revenue
$5.0M Rank #201 / 286Revenue — State benchmarkedThis home is ranked 201st out of 286 homes in Missouri. Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$392.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #158 / 286Payroll — State benchmarkedThis home is ranked 158th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #158 / 286Payroll — State benchmarkedThis home is ranked 158th out of 286 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.2M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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Estimated distance in miles from Hannibal's city center to Luther Manor Retirement &Amp; Nursing Center's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Missouri
Luther Manor Retirement &Amp; Nursing Center is located in HANNIBAL, Missouri.
Here are the financial assistance programs available to residents in Missouri.
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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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| Luther Manor Retirement &Amp; Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Frequently Asked Questions about Luther Manor Retirement &Amp; Nursing Center
Who is the owner of Luther Manor Retirement &Amp; Nursing Center?
The legal owner and operator of Luther Manor Retirement &Amp; Nursing Center is Luther Manor Association.
Is Luther Manor Retirement &Amp; Nursing Center in a walkable area?
Luther Manor Retirement &Amp; Nursing Center has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the license number of Luther Manor Retirement &Amp; Nursing Center?
According to MO state health department records, Luther Manor Retirement &Amp; Nursing Center's license number is 053580.
When does Luther Manor Retirement &Amp; Nursing Center's license expire?
According to MO state health department records, Luther Manor Retirement &Amp; Nursing Center's license expires on April 30, 2027.
Who is the administrator of Luther Manor Retirement &Amp; Nursing Center?
Paul Ewert is the administrator of Luther Manor Retirement &Amp; Nursing Center.
How many beds does Luther Manor Retirement &Amp; Nursing Center have?
Luther Manor Retirement &Amp; Nursing Center has 64 beds.
Are there photos of Luther Manor Retirement &Amp; Nursing Center?
Yes — there are 3 photos of Luther Manor Retirement &Amp; Nursing Center in the photo gallery on this page.
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