• CMS rates this facility 1/5 stars (below average)
• Has 85 certified beds with an average of 53.5 residents per day (63% occupancy)
• Last health inspection found 19 deficiencies (inspected Jul 10, 2024)
• Has been fined a total of $9,113 across 1 fine(s)
• Total nursing staff: 3.56 hours per resident per day
• Staff turnover rate: 42.9%
Fond Du Lac Lutheran Home is a 1-star Medicare and Medicaid certified nursing home in Fond Du Lac, Wisconsin with 85 certified beds. It has been operating since 2000. The facility scored below average compared to Wisconsin facilities.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Give the resident's representative the ability to exercise the resident's rights.
Allow residents to self-administer drugs if determined clinically appropriate.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Respond appropriately to all alleged violations.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Provide care and assistance to perform activities of daily living for any resident who is unable.
+ 19 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CHWALA, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 29, 2021 |
| MAUTHE, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 1, 2016 |
| SCHLEIF, TERRY | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2016 |
| SUHS, KIM | CORPORATE DIRECTOR | Individual | N/A | Apr 1, 2008 |
| SUHS, KIM | CORPORATE OFFICER | Individual | N/A | Jan 1, 2015 |