Fond du Lac Lutheran Home
Nursing home in Fond du Lac, WI
Medicare & Medicaid certified3★ overall (CMS)
Public-record details
- Address
- 244 N Macy St, Fond du Lac, WI 54935
- Phone
- (920) 921-9520
- Listed under
- Nonprofit
- Medicare CCN
- 525655
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 85
- Average residents per day
- 55
- Ownership
- Nonprofit, corporation
- Legal business name
- Fond Du Lac Lutheran Home, INC.
- Chain
- Illuminus (5 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 1, 2000
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Sep 4, 2025. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 24, 2023 to May 14, 2026): 15 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| May 14, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| Sep 4, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
| Sep 4, 2025 | Provide and implement an infection prevention and control program. | D |
| Sep 4, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Mar 27, 2025 | Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | C |
| Mar 27, 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. | D |
| Mar 27, 2025 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| Mar 27, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| Dec 19, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| Sep 24, 2024 | Respond appropriately to all alleged violations. | D |
| Sep 24, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| Jul 10, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
Fines and payment denials
CMS records 1 fine totalling $9,113 in the last three years.
| Mar 27, 2025 | Fine: $9,113 |
Staffing
- Total nurse staffing per resident per day
- 3.57 hours
- Registered nurse (RN) time per resident per day
- 0.83 hours
- Nurse aide time per resident per day
- 2.29 hours
- Total nurse staffing on weekends
- 3.17 hours
- Nursing staff turnover (yearly)
- 59%
- RN turnover (yearly)
- 40%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
Other nursing homes in Fond du Lac
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