LUTHER OAKS INC
NPI 1639520034
Skilled Nursing Facility in Bloomington, IL

Active since June 27, 2016CLIA 14D2121091 · Waiver
5/5
Overall Rating
601 LUTZ RD, BLOOMINGTON, IL 61704(309) 664-5940(309) 664-5999 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luther Oaks Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUTHER OAKS INC (NPI 1639520034), doing business as Lutheran Senior Living Of Illinois, is a healthcare organization registered as a skilled nursing facility in Bloomington, Illinois and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Roger Paulsberg, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1639520034
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLUTHER OAKS INC
Location Address601 LUTZ RDBloomington, IL 61704-8608
Mailing Address601 Lutz RdBloomington, IL 61704-8608 · (309) 664-5940 · Fax (309) 664-5999
Fax(309) 664-5999
Organization SubpartYesParent: Lutheran Life Ministries
Authorized OfficialRoger PaulsbergPresident/ceo · (847) 368-7300
Enumeration DateJune 27, 2016
NPI 1639520034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
601 LUTZ RD, Bloomington, IL 61704

Other Names 1

Former Legal Business NameLutheran Senior Living Of Illinois

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2121091

Luther Oaks · Bloomington, IL
Active · expires Oct 30, 2026
CLIA Number14D2121091
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorTimothy L. Kmetz
Laboratory Phone(309) 557-8000
Laboratory LocationLuther Oaks601 Lutz Rd, Bloomington, IL 61704
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Luther Oaks (CMS certification number 146184), from CMS Care Compare.

Luther Oaks

Nursing home · Bloomington, IL
5/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number146184
Certified Beds19 beds16 residents per day on average
Medicare & Medicaid Participant SinceOctober 1, 2017
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
59.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.67 · LPN 0.64 · RN 1.32
4.64 hrs per resident per day
Weekend Nurse Staffing
3.99 hrs per resident per day
Physical Therapist Staffing
0.34 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
61.5%
Registered Nurse Turnover
62.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
7
Fines
1 totaling $986.70
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
601 LUTZ RD
BLOOMINGTON, IL 61704
Occupational Therapy Assistant
601 LUTZ RD
BLOOMINGTON, IL 61704
Physical Therapy Assistant
601 LUTZ RD
BLOOMINGTON, IL 61704
Occupational Therapy Assistant
601 LUTZ RD
BLOOMINGTON, IL 61704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luther Oaks Inc's NPI number?

The NPI number for Luther Oaks Inc is 1639520034. It was assigned to this organization in the NPPES registry on June 27, 2016. The provider was formerly known as Lutheran Senior Living Of Illinois.

Where is Luther Oaks Inc located?

Luther Oaks Inc is located at 601 Lutz Rd, Bloomington, IL 61704. The listed phone number is (309) 664-5940.

What is Luther Oaks Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Luther Oaks Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2121091) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Luther Oaks Inc a Medicare-certified nursing home?

Yes. Luther Oaks is a Medicare-certified nursing home with 19 certified beds.

What quality rating does Luther Oaks Inc have?

CMS rates Luther Oaks 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Luther Oaks Inc was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.