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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
Higher than the Missouri average: 66.6%Luther Manor Retirement &Amp; Nursing Center is legally operated by Luther Manor Association, and administrated by Paul Ewert.
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.
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.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 91 | 35 | This facility has 160% more total deficiencies than a typical Missouri nursing home (91 vs. MO avg 35).↑ 160% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 11.4 | 4.4 | This facility has 159% more deficiencies per year than a typical Missouri nursing home (11.4 vs. MO avg 4.4).↑ 159% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.7 | 5 | This facility has 14% more deficiencies per inspection than a typical Missouri nursing home (5.7 vs. MO avg 5).↑ 14% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 16 | 7 | This facility has 129% more total inspections than a typical Missouri nursing home (16 vs. MO avg 7).↑ 129% worse |
Missouri average 6.6
Last Health inspection on Oct 2025
Missouri average 36.5
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.
100% better than Missouri averageMissouri average: 0.7
200% worse than Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.3%
23% worse than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
19.5%
5% better than Missouri averageMissouri average: 20.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
21% worse than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
1.6%
67% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
5.2%
89% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
6.6%
18% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
3.8%
70% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
13.0%
41% better than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
17% better than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
10% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.95
42% worse than Missouri averageMissouri average: 2.08
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.58
33% better than Missouri averageMissouri average: 2.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
39% better than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
10% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
52% better than Missouri averageMissouri average: 63.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
46.3%
83% worse than Missouri averageMissouri average: 25.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.3%
59% worse than Missouri averageMissouri average: 13.4%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
71.0%
32% better than Missouri averageMissouri average: 53.7%
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.
21% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
43% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
52Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Luther Manor Retirement &Amp; Nursing Center based on CMS SNF Cost Reports.
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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
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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Luther Manor Retirement &Amp; Nursing Center is located in HANNIBAL, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Breeze Park – Lutheran Senior Services |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Weldon Spring | 50
Facility
50
MO AVG
97
Rank
#390 / 454 | - | - | 5.01
Facility
5.01
MO AVG
3.74
Rank
#31 / 276 | -16% | +34% | $41.3k
Facility
$41.3k
MO AVG
$76.9k
Rank
#222 / 283 | 16
Facility
16
MO AVG
36.5
Rank
#55 / 281 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#75 / 281 | 2 | 46 | A+ |
2
Facility
2
MO AVG
45
Rank
#545 / 563 | Holly Stevens | $20.9M
Facility
$20.9M
MO AVG
$8.4M
Rank
#17 / 286 | $12.2M
Facility
$12.2M
MO AVG
$3.3M
Rank
#6 / 286 | 58.6%
Facility
58.6%
MO AVG
45.6%
Rank
#105 / 286 | 265767 | ||||
| Farmington Presbyterian Manor |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Farmington | 90
Facility
90
MO AVG
97
Rank
#227 / 454 |
74.4%
Facility
74.4%
MO AVG
66.6%
Rank
#150 / 428 | +12% | 4.58
Facility
4.58
MO AVG
3.74
Rank
#43 / 276 | +49% | +23% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#167 / 283 | 9
Facility
9
MO AVG
36.5
Rank
#11 / 281 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#11 / 281 | 1 | 70 | A+ |
66
Facility
66
MO AVG
45
Rank
#113 / 563 | Jane Hull | $9.9M
Facility
$9.9M
MO AVG
$8.4M
Rank
#73 / 286 | $6.3M
Facility
$6.3M
MO AVG
$3.3M
Rank
#52 / 286 | 63%
Facility
63%
MO AVG
45.6%
Rank
#74 / 286 | 265583 | ||||
| Armour Oaks Senior Living Community |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Kansas City (Waldo Homes) | 38
Facility
38
MO AVG
97
Rank
#424 / 454 |
100.0%
Facility
100.0%
MO AVG
66.6%
Rank
#1 / 428 | +50% | 3.03
Facility
3.03
MO AVG
3.74
Rank
#230 / 276 | -27% | -19% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 283 | 39
Facility
39
MO AVG
36.5
Rank
#183 / 281 | 6.5
Facility
6.5
MO AVG
5.7
Rank
#200 / 281 | - | 100 | A+ |
73
Facility
73
MO AVG
45
Rank
#70 / 563 | Womens Christian Association Of Kansas City Missouri | $2.9M
Facility
$2.9M
MO AVG
$8.4M
Rank
#264 / 286 | $2.4M
Facility
$2.4M
MO AVG
$3.3M
Rank
#221 / 286 | 81.6%
Facility
81.6%
MO AVG
45.6%
Rank
#13 / 286 | 265802 | ||||
| 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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Hannibal | 64
Facility
64
MO AVG
97
Rank
#333 / 454 |
85.9%
Facility
85.9%
MO AVG
66.6%
Rank
#101 / 428 | +29% | - | - | - | $13.3k
Facility
$13.3k
MO AVG
$76.9k
Rank
#1 / 283 | 27
Facility
27
MO AVG
36.5
Rank
#117 / 281 | 3.4
Facility
3.4
MO AVG
5.7
Rank
#46 / 281 | 3 | 55 | - |
80
Facility
80
MO AVG
45
Rank
#46 / 563 | Luther Manor Association | $5.0M
Facility
$5.0M
MO AVG
$8.4M
Rank
#201 / 286 | $3.3M
Facility
$3.3M
MO AVG
$3.3M
Rank
#158 / 286 | 66.4%
Facility
66.4%
MO AVG
45.6%
Rank
#53 / 286 | 265690 | ||||
| Sunrise of Des Peres |
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).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Peres | 102
Facility
102
MO AVG
97
Rank
#169 / 454 |
72.5%
Facility
72.5%
MO AVG
66.6%
Rank
#166 / 428 | +9% | 3.50
Facility
3.50
MO AVG
3.74
Rank
#168 / 276 | +4% | -6% | $334.9k
Facility
$334.9k
MO AVG
$76.9k
Rank
#277 / 283 | 87
Facility
87
MO AVG
36.5
Rank
#272 / 281 | 7.9
Facility
7.9
MO AVG
5.7
Rank
#243 / 281 | 13 | 74 | A+ |
50
Facility
50
MO AVG
45
Rank
#244 / 563 | Mary Grodeon | $15.6M
Facility
$15.6M
MO AVG
$8.4M
Rank
#32 / 286 | $7.7M
Facility
$7.7M
MO AVG
$3.3M
Rank
#31 / 286 | 49.2%
Facility
49.2%
MO AVG
45.6%
Rank
#186 / 286 | 265834 |
The legal owner and operator of Luther Manor Retirement &Amp; Nursing Center is Luther Manor Association.
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.
According to MO state health department records, Luther Manor Retirement &Amp; Nursing Center's license number is 053580.
According to MO state health department records, Luther Manor Retirement &Amp; Nursing Center's license expires on April 30, 2027.
Luther Manor Retirement &Amp; Nursing Center's occupancy is 86%.
Paul Ewert is the administrator of Luther Manor Retirement &Amp; Nursing Center.
Luther Manor Retirement &Amp; Nursing Center has 64 beds.
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