Nursing HomeInspections

Fond du Lac Lutheran Home

Nursing home in Fond du Lac, WI

Medicare & Medicaid certified3★ overall (CMS)

Call (920) 921-9520Send a messageMap ↗
Thanks, we got your message.

We send it to Fond du Lac Lutheran Home if we can reach them by email, and we have no way to update you at a phone number. To be sure, call them: (920) 921-9520.

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
50
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

CMS certification number 525655. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Sep 4, 2025. CMS lists 42 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 24, 2023 to May 14, 2026): 14 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 14, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 4, 2025Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 4, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 4, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 27, 2025Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
Administration · complaint inspection		C
Potential for minimal harm, widespread
Mar 27, 2025Honor 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 27, 2025Ensure 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 27, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Dec 19, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 24, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 24, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jul 10, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 42. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $9,113 in the last three years.

Mar 27, 2025Fine: $9,113

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.85 hours
Registered nurse (RN) time per resident per day
0.97 hours
Nurse aide time per resident per day
2.42 hours
Total nurse staffing on weekends
3.26 hours
Nursing staff turnover (yearly)
59%
RN turnover (yearly)
55%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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

Harbor Haven Health & Rehabilitation459 E 1st Street · Fond du Lac, WI 54935 · (920) 929-3500 · Government-owned3 health citations in 3 inspection cycles · last standard inspection Jun 30, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
Edenbrook of Fond Du Lac265 S National Ave · Fond du Lac, WI 54935 · (920) 922-7342 · For-profit14 health citations in 3 inspection cycles · last standard inspection Jun 11, 2025 · $9,113 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)
St Francis Home33 Everett St · Fond du Lac, WI 54935 · (920) 923-7980 · Nonprofit26 health citations in 3 inspection cycles · last standard inspection Apr 1, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)
Avina of Fond du Lac115 E Arndt St · Fond du Lac, WI 54935 · (920) 923-7040 · For-profit32 health citations in 3 inspection cycles · last standard inspection Jul 17, 2025 · $7,446 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Avina on Division517 E Division St · Fond du Lac, WI 54935 · (920) 921-6800 · For-profit33 health citations in 3 inspection cycles · last standard inspection Aug 5, 2026 · $58,210 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 6 in Fond du Lac →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error