Starfile / Wisconsin

FOND DU LAC LUTHERAN HOME

244 N MACY ST, FOND DU LAC, WI 54935 · CCN 525655

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$9,113

Number of fines

1

Number of penalties

1

Payment denials

0

Inspection citations (45)1 immediate jeopardy1 actual harm

1. DF0584Honor 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.2025-03-27 · Health · corrected 2025-04-22

   Potential for more than minimal harm

2. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-27 · Health · corrected 2025-04-22

   Immediate jeopardy

3. CF0846Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.2025-03-27 · Health · corrected 2025-04-22

   Potential for minimal harm

4. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-03-27 · Health · corrected 2025-04-22

   Potential for more than minimal harm

5. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-12-19 · Health · corrected 2025-01-13

   Potential for more than minimal harm

6. DF0610Respond appropriately to all alleged violations.2024-09-24 · Health · corrected 2024-10-22

   Potential for more than minimal harm

7. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-24 · Health · corrected 2024-10-17

   Actual harm

8. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-10 · Health · corrected 2024-08-06

   Potential for more than minimal harm

9. DF0551Give the resident's representative the ability to exercise the resident's rights.2024-07-10 · Health · corrected 2024-08-06

   Potential for more than minimal harm

10. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

11. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

12. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-10 · Health

    Potential for more than minimal harm

17. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

18. DF0700Try 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.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

19. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

20. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

21. DF0761Ensure 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.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

22. DF0880Provide and implement an infection prevention and control program.2024-07-10 · Health · corrected 2024-08-06

    Potential for more than minimal harm

23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-10 · Health · corrected 2024-05-09

    Potential for more than minimal harm

24. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-10 · Health · corrected 2024-05-09

    Potential for more than minimal harm

25. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-10 · Health · corrected 2024-05-09

    Potential for more than minimal harm

26. DF0585Honor 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.2023-11-27 · Health · corrected 2023-12-27

    Potential for more than minimal harm

27. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-27 · Health · corrected 2023-12-27

    Potential for more than minimal harm

28. EF0880Provide and implement an infection prevention and control program.2023-11-27 · Health · corrected 2023-12-27

    Potential for more than minimal harm

29. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-03 · Health · corrected 2023-09-01

    Potential for more than minimal harm

30. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-07-17 · Health · corrected 2023-09-08

    Potential for more than minimal harm

31. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-07-17 · Health · corrected 2023-09-08

    Potential for more than minimal harm

32. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

33. DF0585Honor 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.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

34. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

35. DF0610Respond appropriately to all alleged violations.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

36. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

37. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

38. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

40. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

41. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-24 · Health · corrected 2023-07-07

    Potential for more than minimal harm

42. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-17 · Health · corrected 2023-04-14

    Potential for more than minimal harm

43. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-05-25 · Health · corrected 2022-06-25

    Potential for more than minimal harm

44. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-05-25 · Health · corrected 2022-06-25

    Potential for more than minimal harm

45. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-05-25 · Health · corrected 2022-06-25

    Potential for more than minimal harm

Ownership

Other facilities in FOND DU LAC

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.