Fond Du Lac Lutheran Home

Inspection history (48)

Records from May 2022 to May 2026.

• May 14, 2026 · D

  Citation F0552

  Federal surveyors cited this nursing home on 2026-05-14 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2026-06-03. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-14.GOV

• September 4, 2025 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV

• September 4, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV

• September 4, 2025 · D

  Citation F0553

  Federal surveyors cited this nursing home on 2025-09-04 under CMS tag F0553 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow resident to participate in the development and implementation of his or her person-centered plan of care. The deficiency was recorded as corrected on 2025-10-25. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-04.GOV

• March 27, 2025 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• March 27, 2025 · D

  Citation F0947

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0947 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2025-04-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• March 27, 2025 · J

  Citation F0689

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-04-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• March 27, 2025 · C

  Citation F0846

  Federal surveyors cited this nursing home on 2025-03-27 under CMS tag F0846 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. The deficiency was recorded as corrected on 2025-04-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

• December 19, 2024 · D

  Citation F0607

  Federal surveyors cited this nursing home on 2024-12-19 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2025-01-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-19.GOV

• September 24, 2024 · G

  Citation F0684

  Federal surveyors cited this nursing home on 2024-09-24 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-10-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-24.GOV

• September 24, 2024 · D

  Citation F0610

  Federal surveyors cited this nursing home on 2024-09-24 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-10-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-24.GOV

• July 10, 2024 · E

  Citation F0725

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

• July 10, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

• July 10, 2024 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

• July 10, 2024 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

• July 10, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

• July 10, 2024 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

• July 10, 2024 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

• July 10, 2024 · D

  Citation F0551

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0551 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give the resident's representative the ability to exercise the resident's rights. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

• July 10, 2024 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-08-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

Penalties (1)

Total fines on file: $9,113

• March 27, 2025 · Fine

  Citation FINE-134592

  CMS recorded a civil money penalty of $9,113 against this nursing home on 2025-03-27 (Fine ID: 134592). Source: CMS Care Compare Penalties (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-27.GOV

Staffing

Latest: 3.57 nurse staffing hours per resident per day (2026Q1)

Ownership

Non profit

1. Parent organization: Illuminus INC

   parent · PAC 2163736299

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit - Corporation".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "Non profit - Corporation".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)