Luther Manor
4545 N 92nd St · Milwaukee, WI · 53225 · 4144643880
99 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $103,705 in fines in the last 24 months.
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- 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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$103,705 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.87 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 4.40 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 6 · $170,666 |
Inspection citations (50 in the current record)
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Actual harm · G January 14, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D December 16, 2025
Honor 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.
Corrected January 17, 2026 · Resident Rights
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Potential for harm · D December 16, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected January 17, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 16, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 17, 2026 · Quality of Life and Care
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Potential for harm · D December 16, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected January 17, 2026 · Quality of Life and Care
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Potential for harm · E December 16, 2025
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 January 17, 2026 · Pharmacy Service
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Potential for harm · D July 29, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 13, 2025 · found via complaint
Honor 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.
Corrected May 31, 2025 · Resident Rights
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Potential for harm · D March 26, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 27, 2025 · Pharmacy Service
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Potential for harm · D October 31, 2024 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected November 25, 2024 · Resident Rights
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Potential for harm · D October 31, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 31, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 31, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected December 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 3, 2024 · Quality of Life and Care
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Potential for harm · D October 31, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected November 29, 2024 · Quality of Life and Care
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Immediate jeopardy · J September 10, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected September 20, 2024 · Quality of Life and Care
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Immediate jeopardy · J September 10, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 8, 2024 · Quality of Life and Care
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Potential for harm · D September 10, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · D September 10, 2024
Ensure each resident receives an accurate assessment.
Corrected September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 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 September 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 10, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 10, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 15, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 10, 2024 | Fine | $103,705 |
| September 10, 2024 | Payment Denial | 53 days |
| June 11, 2024 | Fine | $34,468 |
| February 1, 2024 | Fine | $25,454 |
| February 1, 2024 | Payment Denial | 14 days |
| August 14, 2023 | Fine | $2,117 |
| August 7, 2023 | Fine | $1,748 |
| July 17, 2023 | Fine | $3,174 |
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 525588 · certified since May 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.