Fond du Lac Lutheran Home
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-03-27 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-24 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
3.01
state median 3.58
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.54
registered nurses only
Contract (agency) staff
25%
share of all nursing hours
Nursing staff turnover
59%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $9,113 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-27 | Fine | $9,113 |
Ownership
Ownership type: Non profit - Corporation. Part of the ILLUMINUS chain.
Other facilities under the same ownership, with their CMS overall ratings:
- St. Anne's Salvatorian Campus (MILWAUKEE, WI) —
- Marquardt Memorial Manor (Watertown, WI) —
- St Elizabeth Nursing Home (Janesville, WI) —
- ST DOMINIC VILLA (HAZEL GREEN, WI) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-14 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-09-04 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2025-09-04 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-09-04 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-03-27 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-27 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-03-27 | F0846 | Administration Deficiencies | C | not recorded |
| 2025-03-27 | F0947 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-12-19 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-24 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-24 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-10 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-10 | F0551 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-10 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-10 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-10 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-07-10 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-10 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-10 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-10 | F0691 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-10 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-10 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-07-10 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-10 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-10 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-04-10 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-10 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-11-27 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2023-11-27 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-27 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-08-03 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-07-17 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2023-07-17 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2023-05-24 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2023-05-24 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2023-05-24 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-05-24 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-05-24 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-24 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-24 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-24 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-24 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-05-24 | F0883 | Infection Control Deficiencies | D | not recorded |