Fond du Lac Lutheran Home
Fond du Lac Lutheran Home is a 85-bed nursing home in Fond du Lac, Wisconsin. CMS has certified it for Medicare and Medicaid since 2000-01-01. It averages 54.9 residents a day.
What harm was found in the violations cited at Fond du Lac Lutheran Home?
CMS lists 43 health-inspection deficiencies for Fond du Lac Lutheran Home since 2023-05-24, 33 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-14.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-14 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| 2025-09-04 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-09-04 | F0553, F0880 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Provide and implement an infection prevention and control program. | D |
| 2025-03-27 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-03-27 | F0584, F0947 | 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 nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2025-03-27 | F0846 | Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | C |
| 2024-12-19 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2024-09-24 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-09-24 | F0610 | Respond appropriately to all alleged violations. | D |
| 2024-07-10 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-07-10 | F0550, F0551, F0554, F0600, F0609, F0656, F0677, F0689, F0690, F0691, F0700, F0755, F0761, F0880 | 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 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. | D |
| 2024-04-10 | F0684, F0689, F0726 | 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. | D |
| 2023-11-27 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-11-27 | F0585, F0684 | 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-08-03 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-05-24 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2023-05-24 | F0554, F0585, F0609, F0610, F0677, F0684, F0686, F0689, F0883 | 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Why was Fond du Lac Lutheran Home fined?
| Date | Type | Amount |
|---|---|---|
| 2025-03-27 | Fine | $9,113 |
How is Fond du Lac Lutheran Home staffed relative to the WI average?
| Measure | This facility | WI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.57165 | 4.21234 |
| Total nursing staff turnover (%) | 59.3 | 46.9 |
| Average number of residents per day | 54.9 | 54.8 |
Who owns Fond du Lac Lutheran Home, and what chain is it in?
Fond du Lac Lutheran Home is registered with CMS as Non profit - Corporation, operates under the legal business name FOND DU LAC LUTHERAN HOME, INC. and belongs to the ILLUMINUS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | LUTHERAN HOMES AND HEALTH SERVICES, INC. | since 09/19/2000 |
| CORPORATE DIRECTOR | MARKS, JULIE, SCHLEIF, TERRY, SUHS, KIM | since 01/01/2015 |
| CORPORATE OFFICER | MARKS, JULIE, MAUTHE, MATTHEW | since 08/01/2016 |
| OPERATIONAL/MANAGERIAL CONTROL | ILLUMINUS INC, LUTHERAN HOMES AND HEALTH SERVICES, INC., KAYMEN, STANLEY, MARKS, JULIE, MAUTHE, MATTHEW, WEBER, LISA | since 01/01/2014 |
| ADP OF THE SNF | ILLUMINUS INC, KAYMEN, STANLEY, MARKS, JULIE, MAUTHE, MATTHEW, WEBER, LISA | since 01/01/2014 |
Were you or a family member harmed at Fond du Lac Lutheran Home?