Fond Du Lac Lutheran Home

Inspection history (44)

• 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 · 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 · 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

• 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

• 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 · 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 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 F0755

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 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 F0550

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her 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 F0600

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 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 F0691

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0691 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. 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 F0677

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. 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 F0700

  Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. 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 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

Total fines on file: $9,113

Staffing

Latest: 3.77 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: Lutheran Homes And Health Services, INC.

   parent · PAC 9537641535