LUTHER MANOR

Continuing care retirement community · Milwaukee · WI · Non profit - Corporation · 99 certified beds · CCN 525588 · UNITED LUTHERAN PROGRAM FOR THE AGING, INC


LUTHER MANOR operates 99 certified beds in MILWAUKEE, Wisconsin. Its Medicare and Medicaid certification dates to 1996-05-01. It averages 94.7 residents a day.

What harm was found in the violations cited at LUTHER MANOR?

CMS lists 50 health-inspection deficiencies for LUTHER MANOR since 2023-07-27, 43 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 2026-01-14.

Survey dateTagDeficiencySeverity
2026-01-14F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-12-16F0761Ensure 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.E
2025-12-16F0585, F0605, F0689, F0698Honor 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2025-07-29F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-05-13F0585Honor 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.D
2025-03-26F0760Ensure that residents are free from significant medication errors.D
2024-10-31F0552, F0609, F0610, F0644, F0645, F0657, F0660, F0677, F0745Ensure that residents are fully informed and understand their health status, care and treatments. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Plan the resident's discharge to meet the resident's goals and needs. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide medically-related social services to help each resident achieve the highest possible quality of life.D
2024-09-10F0686, F0692Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health.J
2024-09-10F0880Provide and implement an infection prevention and control program.F
2024-09-10F0656, F0755, F0758Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E
2024-09-10F0609, F0610, F0623, F0641, F0657, F0756, F0760, F0947Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2024-06-11F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J
2024-06-11F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-06-11F0609, F0610, F0684Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-02-01F0684, F0686Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-02-01F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-02-01F0609, F0610, F0690Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-07-27F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E
2023-07-27F0609, F0610, F0623, F0625, F0742, F0759Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Ensure medication error rates are not 5 percent or greater.D

Why was LUTHER MANOR fined 3 times?

DateTypeAmount
2024-09-10Fine$103,705
2024-06-11Fine$34,468
2024-02-01Fine$25,454

Has LUTHER MANOR had payment denied by Medicare more than once?

Payment denial startLength in days
2024-10-1153
2024-02-2914

How is LUTHER MANOR staffed?

MeasureThis facilityWI average
Total nurse staffing hours per resident per day4.813644.21234
Total nursing staff turnover (%)55.246.9
Average number of residents per day94.754.8

Who owns LUTHER MANOR?

LUTHER MANOR is registered with CMS as Non profit - Corporation, operates under the legal business name UNITED LUTHERAN PROGRAM FOR THE AGING, INC.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTUNITED LUTHERAN PROGRAM FOR THE AGING, INCsince 01/01/1966
CORPORATE OFFICERCHEDID, STEPHANIE, HANSEN, PATRICK, KEUP, ARTHURsince 02/18/2015
OPERATIONAL/MANAGERIAL CONTROLSELECT REHABILITATION, LLC, SODEXO AMERICA, LLC, UNITED LUTHERAN PROGRAM FOR THE AGING, INC, COOPER, DELILA, GIBBS, KAREN, HANSEN, PATRICK, JUNG, KIMsince 01/24/2025
ADP OF THE SNFSELECT REHABILITATION, LLC, SODEXO AMERICA, LLC, UNITED LUTHERAN PROGRAM FOR THE AGING, INC, CHEDID, STEPHANIE, COOPER, DELILA, GIBBS, KAREN, HANSEN, PATRICK, JUNG, KIM, KEUP, ARTHURsince 01/24/2025

Were you or a family member harmed at LUTHER MANOR?