Luther Manor

MILWAUKEE, WI • CMS Certification: 525588

  • Date Updated: May 01, 2026
  • Overall Rating: 1 Stars
  • Address: 4545 N 92ND ST, MILWAUKEE WI 53225
  • Phone: 4144643880

About Luther Manor

Luther Manor, located in MILWAUKEE, WI, is a non-profit organization that accepts Medicare and Medicaid. This facility is part of a continuing care retirement community.

Why Families Choose Luther Manor

  • More Nursing Time: Staff spends 4.87 hours per resident daily (National Avg: 3.87).

Key Performance Indicators

  • CMS Overall Rating 1 Stars
  • Nursing Hours 4.87 hrs
  • Safety Record Clean

Chain Affiliations & Network

According to CMS records, this facility is independently owned and operated.

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Above Average Staffing

Luther Manor provides more care hours than the state average and more than the national average.

Registered Nurses (RN)

0.71 hrs/day
State: 0.98 US: 0.68
Case Mix Adj: 0.69
Quality Adj: 0.69

Licensed Practical Nurses

1.90 hrs/day
State: 1.63 US: 1.54
Case Mix Adj: 0.88
Quality Adj: 1.16

Certified Assistants

2.97 hrs/day
State: 2.57 US: 2.33
Case Mix Adj: 2.38
Quality Adj: 2.89

CMS Quality Ratings

Category Rating Stars
Overall Rating 1
Health Inspection 1
Quality Measures 4
Staffing 4

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 52 Dec 16, 2025
Weighted Average 208 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 19.5%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 3.9%
Number of hospitalizations per 1000 long-stay resident days (QM551) 1.2%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 2.9%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 21.7%
Percentage of long-stay residents who lose too much weight (QM404) 4.7%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 1.2%
Percentage of long-stay residents with a urinary tract infection (QM407) 3.6%
Percentage of long-stay residents who have depressive symptoms (QM408) 2.6%
Percentage of long-stay residents who were physically restrained (QM409) 1.6%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 4.3%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 99.7%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 95.1%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 0.6%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 38.6%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 13.0%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 97.5%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 96.9%
Percentage of long-stay residents with pressure ulcers (QM479) 5.9%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 31.4%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 15.0%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 4 complaints
  • 2024: 23 complaints
  • 2025: 3 complaints
  • 2026: 1 complaint
  • Total: 31 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Feb 16, 2026 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Aug 21, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 31, 2025 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.
Apr 27, 2025 Ensure that residents are free from significant medication errors.
Dec 03, 2024 Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 03, 2024 Plan the resident's discharge to meet the resident's goals and needs.
Nov 29, 2024 Provide medically-related social services to help each resident achieve the highest possible quality of life.
Nov 25, 2024 Ensure that residents are fully informed and understand their health status, care and treatments.
Nov 25, 2024 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nov 20, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nov 20, 2024 Respond appropriately to all alleged violations.
Nov 20, 2024 Respond appropriately to all alleged violations.
Nov 20, 2024 PASARR screening for Mental disorders or Intellectual Disabilities
Nov 19, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 19, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 08, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 03, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jul 03, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 03, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 03, 2024 Respond appropriately to all alleged violations.
Jul 03, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 14, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 14, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Mar 04, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 04, 2024 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Mar 04, 2024 Respond appropriately to all alleged violations.
Feb 06, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 25, 2023 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.
Aug 25, 2023 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Aug 25, 2023 Respond appropriately to all alleged violations.
Aug 25, 2023 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

UNITED LUTHERAN PROGRAM FOR THE AGING, INC

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in MILWAUKEE, WI

Compare Luther Manor to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Luther Manor has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 4.87 hours per resident daily, compared to the national average of 3.87 hours.

Luther Manor is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 99 certified beds.

Luther Manor accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Luther Manor directly at 4144643880. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Luther Manor, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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