Grace Lutheran Communities - River Pines
Strong Medicare quality ratings; families often praise clean and modern facility. Still worth an in-person visit.
based on 10 Google reviews
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What this means for your family
While the facility is praised for its cleanliness and social environment, the recurring reports of medication errors and lack of clinical supervision are serious red flags. If you are considering this facility, demand a meeting with the Director of Nursing to discuss their specific protocols for medication administration and staffing ratios during off-hours.
Google Reviews
Google Reviews
10 reviews on Google“River Pines presents a stark contrast in experiences, with some families praising the facility's cleanliness and social activities, while others report severe concerns regarding clinical oversight and staff responsiveness. Critics highlight significant issues with medication management, lack of professional supervision, and dismissive staff behavior, while positive reviews emphasize a welcoming environment and consistent care for long-term residents.”
Quality Themes
Tap a score for detailsStrengths
- Clean and modern facility
- Active social and religious programming
- Friendly staff interactions for some residents
Concerns
- Inadequate clinical oversight and medication errors (mentioned by 2 reviewers)
- Staff unresponsiveness to basic resident needs (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 11 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1With the facility being a smaller community of 50 residents, how do you ensure consistent communication with families regarding daily updates and care changes?
- 2I noticed you have a very active social and religious program; could you walk me through what a typical week of activities looks like for a new resident?
- 3Given that medication management is such a critical part of care, could you explain the specific protocols and double-check systems you have in place to ensure accuracy?
- 4How does your leadership team approach staff training to ensure that residents receive prompt and attentive responses to their basic daily needs?
- 5I see that you occasionally respond to feedback online; how do you use that family input to improve the quality of care and clinical oversight within the facility?
- 6In the event of a medical concern or emergency, what is the process for notifying family members and coordinating with the resident's primary physician?
Personalized based on this facility's data
Key Review Excerpts
“My mother was at River Pines for 2 1/2 years,,she passed away on Valentine’s Day 😔 She received EXCELLENT care and became a fast favorite! She had her hair done weekly in the beauty shop, daily activities, and most important church every Sunday 😊”
“I've never seen such a disorganized home. Tell workers my Dad needs to go to the bathroom and they walk right out of the room like they didn't hear me. Many things happen like this that I've seen here.”
“Staff working out of their scope of practice with no supervision. No RN on site every time I went to see my aunt. Medications weren’t given correctly”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
1
measures
6
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Grace Lutheran Communities shows a pattern of recurring fire safety issues, with deficiencies in sprinkler system maintenance and fire-resistant construction appearing in both 2022 and 2025 surveys. The most recent 2025 inspection found problems across multiple areas including dietary services, medication management, and corridor safety. While all deficiencies have correction dates indicating the facility addressed these issues, the recurring safety concerns warrant discussion during your visit.
Feb 26, 2025Routine8
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Jan 4, 2024Routine2
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Nov 23, 2022Routine2
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Ownership & Operations
Who Operates This Facility
Grace Lutheran Communities - River Pines
nonprofit
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit graceluthfound.com
Medicare data downloads
Original nursing home datasets
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