About Fond Du Lac Lutheran Home
Fond Du Lac Lutheran Home, located in Fond du Lac, WI, is a non-profit organization that accepts Medicare and Medicaid.
Why Families Choose Fond Du Lac Lutheran Home
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.77 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the ILLUMINUS network. This chain operates 5 facilities.
Chain Performance Overview
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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).
Below Average Staffing
Fond Du Lac Lutheran Home provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 2 |
|
| Quality Measures | 1 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 64 | Jul 10, 2024 |
| Weighted Average | 99 | Combined Score |
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) | 26.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 17.9% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.2% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 2.4% |
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) | 17.5% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.9% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.6% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.6% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 0.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 5.2% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 95.4% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 72.6% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 23.1% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 16.3% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 88.1% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 59.3% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 7.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 21.2% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 7.6% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 4 complaints
- 2024: 5 complaints
- 2025: 5 complaints
- Total: 14 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Apr 22, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. |
| Apr 22, 2025 | Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. |
| Apr 22, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 22, 2025 | 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. |
| Jan 13, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Oct 22, 2024 | Respond appropriately to all alleged violations. |
| Oct 17, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 09, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| May 09, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| May 09, 2024 | 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. |
| Dec 27, 2023 | 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. |
| Dec 27, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Dec 27, 2023 | Provide and implement an infection prevention and control program. |
| Sep 01, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
Nearby Hospitals
MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD)
BEAVER DAM, WI
THEDACARE MEDICAL CENTER - BERLIN INC
BERLIN, WI
SSM HEALTH ST AGNES HOSPITAL-FOND DU LAC
FOND DU LAC, WI
AURORA MEDICAL CTR OSHKOSH
OSHKOSH, WI
WAUPUN MEMORIAL HOSPITAL
WAUPUN, WI
ASCENSION CALUMET HOSPITAL
CHILTON, WI
RIPON MEDICAL CENTER
RIPON, WI
WINNEBAGO MENTAL HEALTH INSTITUTE
WINNEBAGO, WI
FOND DU LAC COUNTY ACUTE PSYCH UNIT
FOND DU LAC, WI
Owner & Operator Information
Business Entity
FOND DU LAC LUTHERAN HOME, INC.
Ownership Structure
- LUTHERAN HOMES AND HEALTH SERVICES INC. Direct: 100%
Management & Direction
- ILLUMINUS INC ADP OF THE SNF
- ILLUMINUS INC OPERATIONAL/MANAGERIAL CONTROL
- STANLEY KAYMEN ADP OF THE SNF
- STANLEY KAYMEN OPERATIONAL/MANAGERIAL CONTROL
- LUTHERAN HOMES AND HEALTH SERVICES INC. OPERATIONAL/MANAGERIAL CONTROL
- JULIE MARKS CORPORATE DIRECTOR
- JULIE MARKS ADP OF THE SNF
- JULIE MARKS OPERATIONAL/MANAGERIAL CONTROL
- JULIE MARKS CORPORATE OFFICER
- MATTHEW MAUTHE CORPORATE OFFICER
- MATTHEW MAUTHE OPERATIONAL/MANAGERIAL CONTROL
- MATTHEW MAUTHE ADP OF THE SNF
- TERRY SCHLEIF CORPORATE DIRECTOR
- KIM SUHS CORPORATE DIRECTOR
- LISA WEBER OPERATIONAL/MANAGERIAL CONTROL
- LISA WEBER ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Harbor Haven Health and Rehabilitation | N/A | 5 |
| Park View Health Center | N/A | 5 |
| Juliette Manor | N/A | 4 |
| Evergreen Health Center | N/A | 4 |
| Bethel Home | N/A | 4 |
| Edenbrook Omro | N/A | 4 |
| Willowdale Health Services | N/A | 4 |
| Whispering Pines Nursing and Rehab, LLC | N/A | 3 |
| Edenbrook of Fond Du Lac | N/A | 3 |
| Complete Care at Christian Home LLC | N/A | 3 |
Related Analysis
Best Nursing Homes in Fond du Lac, WI
Compare Fond Du Lac Lutheran Home 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
- 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
- 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 Fond Du Lac Lutheran Home directly at 9209219520. Their admissions team can help determine coverage and out-of-pocket expenses.
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.