AMERICAN LUTHERAN HOME-MONDOVI – Nursing Home, MONDOVI, Wisconsin
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
2 substantiated complaints
Last cited survey: 12 March 2025 · 18 health and 36 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
200 MEMORIAL DR
MONDOVI, WI 54755
Phone: (715) 926-4962
Compare to WI average
See how this facility compares to the WI state average among rated nursing homes (352 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | WI average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 5 | 3.09 | 5 |
| Health inspection | 4 | 2.85 | 5 |
| Staffing | 5 | 3.7 | 4 |
| Quality measures | 4 | 3.28 | 5 |
| Certified beds | 35 | 74.5 | — |
| Citations on file (health + fire) | 54 | ~7.3 health* | — |
- ABBOTSFORD HEALTH CARE CENTER — 2★ overall
- ALDEN MEADOW PARK HCC — 2★ overall
- AMERICAN LUTHERAN HOME-MENOMONIE — 5★ overall
- AMETHYST HEALTH OF WAUSAU — 1★ overall
- ASHLAND HEALTH SERVICES — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| GROSSIER, STEPHANY | CORPORATE DIRECTOR | Individual | - | 05/30/2024 |
| CLA | ADP OF THE SNF | Organization | - | 03/18/2025 |
| LISOWSKI, TONYA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 07/12/2016 |
| LISOWSKI, TONYA | ADP OF THE SNF | Individual | - | 07/12/2016 |
| - | ADP OF THE SNF | Individual | - | 01/01/2023 |
| LARSON, LINDA | CORPORATE DIRECTOR | Individual | - | 01/28/2025 |
| TANDE, CHELSEA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 04/26/2022 |
| - | ADP OF THE SNF | Organization | - | 04/01/2025 |
| NICOLET NATIONAL BANK | ADP OF THE SNF | Organization | - | 03/18/2025 |
| REID, ANITA | CORPORATE DIRECTOR | Individual | - | 05/30/2023 |
| LILYQUIST, JENNY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/26/2017 |
| LILYQUIST, JENNY | ADP OF THE SNF | Individual | - | 01/26/2017 |
| - | ADP OF THE SNF | Individual | - | 01/01/2023 |
| RICH, TREVOR | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 12/26/2024 |
| RICH, TREVOR | ADP OF THE SNF | Individual | - | 12/26/2024 |
| DUHR, AMY K | CORPORATE OFFICER | Individual | - | 01/17/2020 |
| DUHR, AMY K | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/17/2020 |
| DUHR, AMY K | ADP OF THE SNF | Individual | - | 01/17/2020 |
| ERICKSON, JOANNE | CORPORATE DIRECTOR | Individual | - | 05/30/2023 |
| LARSON, JAMIE | CORPORATE OFFICER | Individual | - | 08/24/2021 |
| LARSON, JAMIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 08/24/2021 |
| LARSON, JAMIE | ADP OF THE SNF | Individual | - | 08/24/2021 |
| LARSON, DAVID | CORPORATE DIRECTOR | Individual | - | 05/30/2021 |
| LEE, RITA | CORPORATE DIRECTOR | Individual | - | 05/30/2018 |
| GRACE LUTHERAN FOUNDATION, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | - | 01/01/2000 |
| GRACE LUTHERAN FOUNDATION, INC. | ADP OF THE SNF | Organization | - | 03/04/2025 |
| HUNGERFORD, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 06/01/2025 |
| BERG, MATTHEW P | ADP OF THE SNF | Individual | - | 07/01/2016 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
54 citations on file · Latest survey: 12 March 2025 · 18 health · 36 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-03-12 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-03-12 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-03-12 | F758 | D — Minimal harm, isolated | Health | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. |
| 2025-03-12 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-03-12 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2025-03-12 | F656 | D — Minimal harm, isolated | Health | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2024-02-14 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-02-14 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-02-14 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-02-14 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-02-14 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-02-14 | F812 | F — Minimal harm, widespread | Health | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2024-02-14 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2024-02-14 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2024-02-14 | F759 | D — Minimal harm, isolated | Health | Ensure medication error rates are not 5 percent or greater. |
| 2024-02-14 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-02-14 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2024-02-14 | F689 | E — Minimal harm, pattern | Health | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-03-12 | E6 | F — Minimal harm, widespread | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
| 2025-03-12 | K132 | D — Minimal harm, isolated | Fire Safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. |
| 2025-03-12 | K222 | D — Minimal harm, isolated | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2025-03-12 | K331 | E — Minimal harm, pattern | Fire Safety | Construct fire resistant interior walls. |
| 2025-03-12 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-03-12 | K912 | D — Minimal harm, isolated | Fire Safety | Have power receptacles that are properly grounded. |
| 2025-03-12 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-03-12 | E6 | F — Minimal harm, widespread | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
| 2025-03-12 | K132 | D — Minimal harm, isolated | Fire Safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. |
| 2025-03-12 | K222 | D — Minimal harm, isolated | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2025-03-12 | K331 | E — Minimal harm, pattern | Fire Safety | Construct fire resistant interior walls. |
| 2025-03-12 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-03-12 | K912 | D — Minimal harm, isolated | Fire Safety | Have power receptacles that are properly grounded. |
| 2025-03-12 | K920 | D — Minimal harm, isolated | Fire Safety | Ensure proper usage of power strips and extension cords. |
| 2025-03-12 | E6 | F — Minimal harm, widespread | Fire Safety | Conduct risk assessment and an All-Hazards approach. |
| 2025-03-12 | K132 | D — Minimal harm, isolated | Fire Safety | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. |
| 2025-03-12 | K222 | D — Minimal harm, isolated | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2025-03-12 | K331 | E — Minimal harm, pattern | Fire Safety | Construct fire resistant interior walls. |
| 2025-03-12 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-03-12 | K912 | D — Minimal harm, isolated | Fire Safety | Have power receptacles that are properly grounded. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| Quality of Resident Care Rating | 4 |
| Quality of Resident Care Rating (Long Stay) | 4 |
| Quality of Resident Care Rating (Short Stay) | 5 |
| Staffing Rating | 5 |
| RN Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 2.53394 |
| Reported LPN Staffing Hours per Resident per Day | 0.44057 |
| Reported RN Staffing Hours per Resident per Day | 0.92277 |
| Reported Licensed Staffing Hours per Resident per Day | 1.36335 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.76294 |
| Reported Physical Therapist Staffing Hours per Resident per Day | 0.08191 |
| Casemix CNA Staffing Hours per Resident per Day | 2.09994 |
| Casemix LPN Staffing Hours per Resident per Day | 0.69753 |
| Casemix RN Staffing Hours per Resident per Day | 0.2889 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 3.08637 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.49109 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.46545 |
| Adjusted RN Staffing Hours per Resident per Day | 0.97488 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.97541 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-11-06 |
Date of Standard Health Survey (Cycle 2) | 2019-01-17 |
Total Number of Health Deficiencies (Cycle 1) | 7 |
Number of Standard Health Deficiencies (Cycle 1) | 3 |
Number of Complaint Health Deficiencies (Cycle 1) | 4 |
Health Deficiency Score (Cycle 1) | 28 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 28 |
Total Number of Health Deficiencies (Cycle 2) | 1 |
Number of Standard Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 4 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 4 |
Date of Standard Health Survey (Cycle 3) | 2017-12-06 |
Total Number of Health Deficiencies (Cycle 3) | 5 |
Number of Standard Health Deficiencies (Cycle 3) | 4 |
Number of Complaint Health Deficiencies (Cycle 3) | 1 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 20 |
Total Health Score (Cycle 3) | 20 |
Total Weighted Health Survey Score | 14 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Substantiated Complaints | 2 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Resident |
Automatic Sprinkler Systems in All Required Areas | Yes |
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