nursing home in Fond Du Lac, WI
Fond Du Lac Lutheran Home
244 N Macy St, Fond Du Lac, WI 54935 · (920) 921-9520
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Fond Du Lac Lutheran Home at a glance
Fond Du Lac Lutheran Home is a 85-bed non-profit nursing home in Fond Du Lac, Wisconsin (Fond Du Lac County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Wisconsin average of 3.
Residents receive about 3.6 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (September 4, 2025) found 4 health citations. The Wisconsin average is 9.5.
Federal regulators fined it 1 time in the past three years, totaling $9,113.
Nursing staff turnover is 59.3% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 85
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Illuminus
- Medicare-certified since
- January 1, 2000
- Resident/family council
- Resident
- County
- Fond Du Lac County
- CMS Certification Number
- 525655
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.6 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.57 hrs | 4.21 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.83 hrs | 0.99 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.29 hrs | 2.58 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.17 hrs | 3.77 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 59.3% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 39.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 71.8 | 100.3 | 80.6 | Better |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $9,113 | $48,150 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 85 | 77 | 107 | |
| Average residents per day | 55 | 55 | 86 | |
| Occupancy | 64.6% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.3% | 3.3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 6.1% | 5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.2% | 15.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 2.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.5% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13.6% | 16.1% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 23.1% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.3% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.2% | 16.9% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.9% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 88.1% | 95% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.1% | 95.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 59.3% | 82.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 73.1% | 86.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 42 health deficiencies and 46 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 14, 2026 Complaint | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected June 3, 2026 |
| September 4, 2025 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected September 24, 2025 |
| September 4, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected September 23, 2025 |
| September 4, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 17, 2025 |
| September 4, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected September 18, 2025 |
| September 4, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected September 22, 2025 |
| September 4, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected September 22, 2025 |
| September 4, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected September 30, 2025 |
| September 4, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected September 23, 2025 |
| September 4, 2025 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | D Potential harm, isolated | Corrected September 23, 2025 |
| September 4, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected November 21, 2025 |
| September 4, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 25, 2025 |
| September 4, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 25, 2025 |
| September 4, 2025 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected October 25, 2025 |
| March 27, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 22, 2025 |
| March 27, 2025 Complaint | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected April 22, 2025 |
| March 27, 2025 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected April 22, 2025 |
| March 27, 2025 Complaint | Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. Administration Deficiencies · Tag F0846 | C No harm, widespread | Corrected April 22, 2025 |
| December 19, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected January 13, 2025 |
| September 24, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected October 17, 2024 |
| September 24, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected October 22, 2024 |
| July 10, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Tag E0013 | F Potential harm, widespread | Corrected September 11, 2024 |
| July 10, 2024 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected August 26, 2024 |
| July 10, 2024 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected August 30, 2024 |
| July 10, 2024 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | E Potential harm, pattern | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Tag K0132 | E Potential harm, pattern | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 24, 2024 |
| July 10, 2024 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | E Potential harm, pattern | Corrected September 20, 2024 |
| July 10, 2024 Fire safety | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0925 | E Potential harm, pattern | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected September 15, 2024 |
| July 10, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 10, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 5, 2024 |
| July 10, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected September 20, 2024 |
| July 10, 2024 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected August 5, 2024 |
| July 10, 2024 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected August 6, 2024 |
| July 10, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | 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 · Tag F0690 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| July 10, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0691 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Tag F0551 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 6, 2024 |
| July 10, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 6, 2024 |
| April 10, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected May 9, 2024 |
| April 10, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 9, 2024 |
| April 10, 2024 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected May 9, 2024 |
| November 27, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 27, 2023 |
| November 27, 2023 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected December 27, 2023 |
| November 27, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 27, 2023 |
| May 24, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 7, 2023 |
| May 24, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected July 7, 2023 |
| May 24, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 7, 2023 |
| May 24, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected July 7, 2023 |
| May 24, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 7, 2023 |
| May 24, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected July 7, 2023 |
| May 24, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected July 7, 2023 |
| May 24, 2023 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | C No harm, widespread | Corrected July 7, 2023 |
| May 24, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | F Potential harm, widespread | Corrected July 7, 2023 |
| May 24, 2023 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected July 7, 2023 |
| May 24, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected July 7, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $9,113 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 27, 2025 | Fine | $9,113 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LUTHERAN HOMES AND HEALTH SERVICES, INC. Organization | 5% or greater direct ownership interest | 100% | 09/19/2000 |
| ILLUMINUS INC Organization | adp of the snf | NOT APPLICABLE | 11/16/2025 |
| KAYMEN, STANLEY Individual | adp of the snf | NOT APPLICABLE | 03/03/2026 |
| MARKS, JULIE Individual | adp of the snf | NOT APPLICABLE | 09/16/2025 |
| MAUTHE, MATTHEW Individual | adp of the snf | NOT APPLICABLE | 08/01/2016 |
| WEBER, LISA Individual | adp of the snf | NOT APPLICABLE | 01/01/2014 |
| MARKS, JULIE Individual | corporate director | NOT APPLICABLE | 09/16/2025 |
| SCHLEIF, TERRY Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| SUHS, KIM Individual | corporate director | NOT APPLICABLE | 01/01/2015 |
| MARKS, JULIE Individual | corporate officer | NOT APPLICABLE | 09/16/2025 |
| MAUTHE, MATTHEW Individual | corporate officer | NOT APPLICABLE | 08/01/2016 |
| ILLUMINUS INC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2016 |
| KAYMEN, STANLEY Individual | operational/managerial control | NOT APPLICABLE | 01/13/2023 |
| LUTHERAN HOMES AND HEALTH SERVICES, INC. Organization | operational/managerial control | NOT APPLICABLE | 02/09/2005 |
| MARKS, JULIE Individual | operational/managerial control | NOT APPLICABLE | 09/16/2025 |
| MAUTHE, MATTHEW Individual | operational/managerial control | NOT APPLICABLE | 08/01/2016 |
| WEBER, LISA Individual | operational/managerial control | NOT APPLICABLE | 01/01/2014 |
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Frequently asked questions
What is Fond Du Lac Lutheran Home's rating?
Fond Du Lac Lutheran Home has 3 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Fond Du Lac Lutheran Home receive?
Its most recent standard health inspection found 4 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Fond Du Lac Lutheran Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Fond Du Lac Lutheran Home?
It is non profit - corporation and part of Illuminus. The ownership section on this page lists the owners and managers reported to CMS.
Where is Fond Du Lac Lutheran Home and how do I contact it?
Fond Du Lac Lutheran Home is at 244 N Macy St, Fond Du Lac, WI 54935. Phone: (920) 921-9520.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.