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Nursing home report

Fond du Lac Lutheran Home

Fond du Lac, WI · Medicare-certified · 85 beds

Needs attention
Non-profitChain member
1 of 5 overall

Fond du Lac Lutheran Home has a 1-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 1 star for quality measures. It reports 3.77 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $9,113 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.765 hrs/resident/day

Quality measures

Last inspection: March 27, 2025Penalties, last 24 months: $9,113recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.765.

Staffing detail

Registered nurses
0.78
Licensed practical nurses
0.46
Nurse aides
2.53
Weekend nursing
3.36

Hours per resident per day.

Total staff turnover: 48%
Registered nurse turnover: 50%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

7.6%Steady

Residents with a fall causing major injury

5.2%Improving

Residents with pressure ulcers (bedsores)

7.6%Improving

Residents with a urinary tract infection

1.6%Improving

Residents who lost too much weight

5.9%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

17.5%Improving

Residents whose ability to walk got worse

23.1%Steady
Show all measures

Long-stay residents on antianxiety or sleep medication

16.3%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

1.6%Worsening

Residents with new or worsening incontinence

21.2%Improving

Residents with depressive symptoms

0.6%Worsening

Long-stay residents given the seasonal flu vaccine

88.1%Steady

Long-stay residents given the pneumonia vaccine

95.4%Worsening

Short-stay residents given the seasonal flu vaccine

59.3%Steady

Short-stay residents given the pneumonia vaccine

72.6%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $9,113 was recorded.

  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $9,113 in total fines.

  • Federal fine

    Mar 27, 2025

    $9,113

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of ILLUMINUS · 5 homes · 1 stars avg
Occupancy
50.9 residents on an average day (60% of 85 beds)
Resident voice
Resident council
Medicare history
Certified for 26 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.