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Nursing HomeMedicaid Top Rated

Lutheran Home at Topton, the

Strong Medicare quality ratings; families often praise engaging activities and social events. Still worth an in-person visit.

One South Home Avenue, Topton, PA 19562194 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 32 Google reviews

5
4
3
2
1
Lutheran Home at Topton, the Nursing Home in Topton, PA — Street View
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What this means for your family

While the facility offers an engaging environment for memory care, families should be extremely cautious regarding rehabilitation and nursing care. We strongly recommend visiting in person to observe staff-to-resident ratios and asking specifically about their protocol for answering call bells, as multiple families have reported significant delays in basic assistance.

Google Reviews

Google Reviews

32 reviews on Google
The Lutheran Home at Topton receives highly polarized feedback, with some families praising the dedicated staff and active memory care environment, while others report severe neglect and poor communication. Recurring complaints highlight significant issues with understaffing, delayed response times to call bells, and inconsistent cleanliness in resident rooms. Families considering this facility should be aware of the stark contrast between positive experiences in personal care and critical failures in rehabilitation and nursing support.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean3.0Activities9.0Meds3.0Memory8.0Comms3.0Value2.0

Strengths

  • Engaging activities and social events
  • Compassionate memory care staff
  • Helpful admissions and transition team
  • Well-maintained campus grounds

Concerns

  • Slow response times to call bells and requests for assistance (mentioned by 5 reviewers)
  • Poor room cleanliness and hygiene standards (mentioned by 4 reviewers)
  • Inadequate communication between staff and families (mentioned by 4 reviewers)
  • Understaffing leading to neglect of basic needs (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2341.7'19(7)2.01.5'21(2)1.53.0'23(10)3.04.1'25(7)4.0'26(4)

Distribution · 37 analyzed

5
13
4
3
3
2
2
3
1
16

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard great things about your social events and campus grounds; could you tell us more about the types of activities residents participate in weekly?
  • 2How does the nursing team ensure that call bells and requests for assistance are responded to promptly, especially during busy shifts?
  • 3What specific protocols are in place to ensure high standards of room cleanliness and personal hygiene for every resident?
  • 4How do you facilitate regular and clear communication between the nursing staff and family members regarding a resident's daily care?
  • 5Could you walk us through your process for medication management and how you ensure accuracy and safety?
  • 6In the event of a medical emergency after hours, what is the immediate procedure for resident care and family notification?

Personalized based on this facility's data


Key Review Excerpts

My mother has been at the Topton Lutheran Home in the memory care unit since December 2023. She has received wonderful care and treatment since day one. The staff is amazing and so caring with the residents.

Memory care family member · 2025★★★★★

My mother was placed there for rehab. Everyone was nice but actions speak louder than words... My mother called me that night in tears because she had to go to the bathroom & waited for 2 hours until she was in pain.

Rehab patient's family · 2022★★☆☆☆

A elderly person should not have to wait for 50 minutes to wait for someone to take a bowel movement then get attitude when they need to be cleaned up. Care is horrible. 2 aids to 28 elderly patients.

Family member · 2024☆☆☆☆
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.92hrs
OK
Registered nurses for medical care
Total Nursing
3.90hrs
95%
All nurses + aides combined
Staff Turnover
68%
Lower is better (< 30% = good)
RN Turnover
61%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
PA
8.3%
Berks
19.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.3%
Worse than Avg
Here
78.3%
US
93.4%
PA
87.1%
Berks
90.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.9%
Worse than Avg
Here
26.9%
US
19.4%
PA
26.0%
Berks
25.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.0%
Worse than Avg
Here
22.0%
US
15.3%
PA
18.4%
Berks
20.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
15.5%
PA
17.7%
Berks
16.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility15.6%
Mixed vs Avgs
Here
15.6%
US
14.4%
PA
17.5%
Berks
20.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility44.3%
Worse than Avg
Here
44.3%
US
79.8%
PA
68.7%
Berks
67.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility55.4%
Worse than Avg
Here
55.4%
US
81.8%
PA
69.2%
Berks
70.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
PA
1.4%
Berks
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (10.1)
3 complaint-triggered

The Lutheran Home at Topton shows recurring issues across multiple care areas, with families filing at least 4 complaint reports. The facility has persistent problems with fire safety equipment (sprinkler systems cited three times), providing appropriate treatment and care (cited three times), and safety hazard prevention. Additional concerns include medication management, wound care, and resident rights violations. While all deficiencies show correction dates, the pattern of repeated issues in core care areas warrants careful consideration during any visit.

Sep 18, 2025Routine
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 27, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Oct 24, 2024Routine
5
0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0929Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Minimal · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Nov 15, 2023Routine
8
0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0810Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0030Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

0623Minimal · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Aug 21, 2023Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Dec 21, 2022Routine
5
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0345Minimal · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0914Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lutheran Home at Topton, the

Organization Type

nonprofit

Ownership & Management

Owners

Diakon

Owner · Organization

100%

Key personnel

Beumer, BrentOfficer / DirectorChristell, RoyOfficer / DirectorMeadows, MeganOfficer / DirectorMueller, HarryOfficer / DirectorSchroeder-Saulnier, DeborahOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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