Lutheran Village at Wolfcreek
Strong Medicare quality ratings; families often praise engaging community events and activities. Still worth an in-person visit.
based on 29 Google reviews
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What this means for your family
While some families report positive experiences with community activities and hospice care, the recurring reports of neglect, dehydration, and poor dementia management are deeply concerning. If you consider this facility, conduct an unannounced visit during evening or weekend hours to observe staffing levels and response times firsthand.
Google Reviews
Google Reviews
29 reviews on Google“Reviews for Lutheran Village at Wolfcreek are highly polarized, with some families praising the compassionate staff and community events, while others report severe neglect and communication failures. Critical concerns frequently involve poor care for residents with dementia, including reports of dehydration, unhygienic conditions, and slow response times to call lights. Families considering this facility should be aware of the significant inconsistency in care quality reported across different units.”
Quality Themes
Tap a score for detailsStrengths
- Engaging community events and activities
- Compassionate nursing staff in some units
- Clean and well-maintained building exterior
- Supportive hospice care coordination
Concerns
- Neglect and poor hygiene for dementia residents (mentioned by 4 reviewers)
- Slow response times to call lights and patient needs (mentioned by 3 reviewers)
- Dehydration and lack of monitoring for residents (mentioned by 3 reviewers)
- Inadequate communication with families regarding care (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 31 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard great things about your community events; could you tell us more about the types of activities planned for residents each week?
- 2How does the nursing team ensure that call lights are answered promptly, especially during busy shift changes?
- 3What specific protocols are in place to ensure residents stay hydrated and well-monitored throughout the day?
- 4Can you describe your process for communicating daily care updates or changes in condition to family members?
- 5What steps does the staff take to maintain high standards of hygiene and personal care, particularly for residents in the memory care unit?
- 6How is medication management handled to ensure accuracy and safety for every resident?
Personalized based on this facility's data
Key Review Excerpts
“My ex-husband is 52 years old and has been in this place for over two years, over the last year his room has been filthy there is food left on the floor, he has thrown up all over his room and he has been left laying around in it for four days”
“The staff showed true compassion and care for not just my aunt but our entire family. I loved attending the community events with my children.”
“Every time I am here I find my Mother soaked thru her diaper,pants,and bedding.Patients are asking me for help,call lights don't get answered,and have found patients left in urine and poop”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
5
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Lutheran Village at Wolfcreek has recurring issues across multiple areas, with families filing six complaint reports about medication management, daily living assistance, and infection control. The facility shows persistent problems with medication safety, quality of care, and safety systems across four surveys from 2019-2025. While all deficiencies have correction dates, the repeated nature of issues in medication management and resident care suggests ongoing challenges families should investigate further during visits.
Sep 8, 2025Routine13
Smoke Deficiencies
Provide properly protected cooking facilities.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 13, 2023Routine14
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 13, 2023Complaint4
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 12, 2019Routine7
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Ownership & Operations
Who Operates This Facility
Lutheran Village at Wolfcreek
for profit
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
29 reviews from families & visitors
Official Website
Visit genacrosslutheranservices.org
Medicare data downloads
Original nursing home datasets
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