Fond Du Lac Lutheran Home
244 N Macy St · Fond Du Lac, WI · 54935 · 9209219520
85 certified beds Non profit - Corporation Chain: Illuminus
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.36 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 1 · $9,113 |
Inspection citations (44 in the current record)
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Immediate jeopardy · J March 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 22, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025 · found via complaint
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.
Corrected April 22, 2025 · Resident Rights
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Potential for harm · D March 27, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 22, 2025 · Nursing and Physician Services
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No harm found · C March 27, 2025 · found via complaint
Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
Corrected April 22, 2025 · Administration
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Potential for harm · D December 19, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 24, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 17, 2024 · Quality of Life and Care
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Potential for harm · D September 24, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected October 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 10, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 6, 2024 · Resident Rights
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Potential for harm · D July 10, 2024
Give the resident's representative the ability to exercise the resident's rights.
Corrected August 6, 2024 · Resident Rights
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Potential for harm · D July 10, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected August 6, 2024 · Resident Rights
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Potential for harm · D July 10, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 10, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 10, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 6, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 6, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D July 10, 2024
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected August 6, 2024 · Quality of Life and Care
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Potential for harm · D July 10, 2024
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.
Corrected August 6, 2024 · Quality of Life and Care
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Potential for harm · E July 10, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 6, 2024 · Nursing and Physician Services
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Potential for harm · D July 10, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 6, 2024 · Pharmacy Service
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Potential for harm · D July 10, 2024
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.
Corrected August 6, 2024 · Pharmacy Service
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Potential for harm · D July 10, 2024
Provide and implement an infection prevention and control program.
Corrected August 6, 2024 · Infection Control
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Potential for harm · D April 10, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 9, 2024 · Quality of Life and Care
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Potential for harm · D April 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 9, 2024 · Quality of Life and Care
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Potential for harm · D April 10, 2024 · found via complaint
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.
Corrected May 9, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 27, 2025 | Fine | $9,113 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525655 · certified since January 1, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.