American Lutheran Home-Mondovi
200 Memorial Dr, Mondovi, WI 54755 · Buffalo County · (715) 926-4962
35 certified beds, about 21 residents a day · Non profit - Church related · Medicare and Medicaid since 1985
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525383 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 1 health deficiency (the Wisconsin average is 9.5, the national average 9.2).
None of its 7 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.79 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.10 of those hours.
20.0% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
402/24
203/25
105/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
1E
1F
Potential for minimal harm
0A
0B
0C
May 7, 2026Standard inspection · 1 citation · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility did not utilize enhanced barrier precautions (EBP) for 1 of 2 sampled residents (R9). R9 had a Jackson Pratt (JP) drain placed prior to his admission to the facility on [DATE]. The facility did not implement EBP to reduce the transmission of infections.
March 12, 2025Standard inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview and record review, the facility did not develop and implement a comprehensive care plan for each resident (R) to meet medical, nursing, and psychosocial needs identified for 2 of 12 sampled residents (R3 and R9). R3 did not have a depression care plan developed when R3 was prescribed an antidepressant medication for depressive disorder. R9 did not have a risk of bleeding care plan developed when R9 was prescribed an anticoagulant medication. This is evidenced by: R3 was admitted on [DATE] with diagnoses of polymyalgia, weakness, major depressive disorder, cerebral infarction, and mood affective disorder. Review of the Minimum Data Set (MDS) dated [DATE], a 5 day admission assessment documented R3's brief interview of mental status (BIMS) score of 1, meaning minimal depression severity. [...]
- D 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.
Inspectors wroteBased on record review and interview, the facility did not ensure PRN (as needed) orders for psychotropic drugs are limited to 14 days or have a physician's rationale to extend the medication for an indicated duration for 1 of 4 residents (R) reviewed (R8). R8's PRN Lorazepam (antianxiety medication) does not have a physician's rationale to extend the use of this medication past 14 days with an indicated duration to then evaluate the appropriateness of the medication. This is evidenced by: The facility's policy Psychotropic Medication Policy and Procedure with review date of 11/20/19 read in part, 6. Orders for PRN psychotropic medications will be time limited to 14 days unless the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days. [...]
February 14, 2024Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility did not ensure proper glove use with ready to eat foods and hand hygiene was performed in accordance with professional standards for food service safety, when food was prepared and served to the residents (R). This affected 16 of 18 residents (R10, R9, R73, R16, R15, R3, R11, R12, R72, R13, R5, R14, R7, R2, R18, and R6). This is evidenced by: The facility policy, entitled Dietary Department, states: .Dietary staff practice proper food handling procedures, including but not limited to hand washing .using utensils to reduce hand contact with food, wearing disposable gloves to perform certain food handling tasks . On 02/12/24 at 11:37 AM, Surveyor observed lunch service in the dining room served by Chef I. Surveyor observed Chef I wash hands and put on gloves. [...]
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility did not ensure the resident environment remains as free of accident hazards as is possible to prevent accidents. Water temperatures were recorded above a safe temperature of 110 - 115 degrees for 4 of 4 residents (R2, R10, R11, and R12). This is evidenced by: The facility document, entitled Legionella and other water pathogens monitoring control measures, states: .Weekly water temps taken in three rooms, per wing, per week. Temp (Temperature) range 105-120 degrees . [...]
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review, the facility did not ensure a medication administration error rate of less than 5%. Errors occurred when staff did not follow physician order for administration of nebulizer and removal of lidocaine patch. The two errors from 31 opportunities, yielded a medication error rate of 6.45% affecting 2 of 6 residents (R) (R20 and R73). This is evidenced by: The facility policy titled, Medication and Treatment Orders, states, .Drug and biological orders must be recorded on the Physician's Order sheet in the resident's chart . Drugs.com states the following in relation to Lidocaine Patches: . After you take lidocaine patch off, do not put another one on that area of skin for 12 hours . Example 1 On 02/13/24 at 1:06 PM, Surveyor observed Licensed Practical Nurse (LPN) J administer a nebulizer treatment via handheld nebulizer kit to R20. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews and record reviews, the facility did not maintain an infection prevention and control program according to professional standards of practice when Enhanced Barrier Precautions (EBP) with appropriate Personal Protective Equipment (PPE) was not followed for 1 of 1 resident (R10). This is evidenced by: The facility utilizes the Centers for Disease Control and Prevention (CDC) sign for EBP that states: Everyone must: .wear gloves and a gown for the following high contact resident care activities: dressing, bathing/showering, transferring, changing linens, providing hygiene, changing briefs or assisting with toileting, device care or use: urinary catheter . [...]
Fire safety inspections
14 fire safety citations on file: 4 on May 7, 2026, 7 on March 12, 2025, 3 on February 14, 2024.
Every fire safety citation14 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- F Conduct risk assessment and an All-Hazards approach.
- E Construct fire resistant interior walls.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- D 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.
- D Have power receptacles that are properly grounded.
- D Ensure proper usage of power strips and extension cords.
- F Have simulated fire drills held at unexpected times.
- D Have properly located and lighted "Exit" signs.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.79 | 4.21 | 3.86 |
| Registered nurses | 1.10 | 0.99 | 0.69 |
| All nursing staff on weekends | 3.53 | 3.77 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.32 | ||
| Nursing staff turnover (share who left in a year) | 20.0% | 46.9% | 45.8% |
| Registered nurse turnover | 20.0% | 39.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.04 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.90 on weekdays and 3.53 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.18 in April to June 2025 to 3.79 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.79 | 1.10 | 3.90 | 3.53 | 0.4% | 0 of 90 | 21 |
| Oct to Dec 2025 | 3.76 | 0.92 | 3.85 | 3.54 | 0.7% | 0 of 92 | 21 |
| Jul to Sep 2025 | 4.11 | 1.18 | 4.22 | 3.82 | 0.0% | 0 of 92 | 19 |
| Apr to Jun 2025 | 4.18 | 1.15 | 4.31 | 3.85 | 0.0% | 0 of 91 | 19 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.3 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 14.3 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.0 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 9.5 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.3 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 15.5 | 12.0 |
Owners and operators
Legal business name: AMERICAN LUTHERAN HOMES, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Erickson, Joanne | Corporate director | Individual | 05/30/2023 | |
| Grossier, Stephany | Corporate director | Individual | 05/30/2024 | |
| Larson, David | Corporate director | Individual | 05/30/2021 | |
| Larson, Linda | Corporate director | Individual | 01/28/2025 | |
| Lee, Rita | Corporate director | Individual | 05/30/2018 | |
| Reid, Anita | Corporate director | Individual | 05/30/2023 | |
| Duhr, Amy | Corporate officer | Individual | 01/17/2020 | |
| Larson, Jamie | Corporate officer | Individual | 08/24/2021 | |
| Grace Lutheran Foundation, Inc. | Operational/managerial control | Organization | 01/01/2000 | |
| Duhr, Amy | Operational/managerial control | Individual | 01/17/2020 | |
| Hungerford, Kevin | Operational/managerial control | Individual | 06/01/2025 | |
| Larson, Jamie | Operational/managerial control | Individual | 08/24/2021 | |
| Lilyquist, Jenny | Operational/managerial control | Individual | 01/26/2017 | |
| Lisowski, Tonya | Operational/managerial control | Individual | 07/12/2016 | |
| Rich, Trevor | Operational/managerial control | Individual | 12/26/2024 | |
| Tande, Chelsea | Operational/managerial control | Individual | 04/26/2022 | |
| Grace Lutheran Foundation, Inc. | Adp of the SNF | Organization | 03/04/2025 | |
| Berg, Matthew | Adp of the SNF | Individual | 07/01/2016 | |
| Duhr, Amy | Adp of the SNF | Individual | 01/17/2020 | |
| Larson, Jamie | Adp of the SNF | Individual | 08/24/2021 | |
| Lilyquist, Jenny | Adp of the SNF | Individual | 01/26/2017 | |
| Lisowski, Tonya | Adp of the SNF | Individual | 07/12/2016 | |
| Rich, Trevor | Adp of the SNF | Individual | 12/26/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 12, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 12, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 14, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.53 hours per resident per day, below the Wisconsin average of 3.77.
Other nursing homes nearby
- Dove Healthcare - South Eau Claire Eau Claire, 17.6 mi · 5 of 5 stars · 2 citations
- Grace Lutheran Communities - River Pines Altoona, 19.5 mi · 4 of 5 stars · 7 citations
- Dove Healthcare - West Eau Claire Eau Claire, 19.5 mi · 4 of 5 stars · 21 citations
- Oakwood Health Services Altoona, 19.5 mi · 3 of 5 stars · 24 citations
- Trempealeau Cty HCC Imd Whitehall, 21.9 mi · 5 of 5 stars · 9 citations
- Gundersen St. Elizabeth's Care Center Wabasha, 22.8 mi · 5 of 5 stars · 8 citations
- Dove Healthcare - Osseo Osseo, 23.3 mi · 4 of 5 stars · 9 citations
- Pigeon Falls HCC Pigeon Falls, 24.5 mi · 5 of 5 stars · 7 citations
Wisconsin contacts for a concern about a nursing home
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wisconsin Department of Health Services, Division of Quality Assurance, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wisconsin Board on Aging and Long Term Care, Ombudsman Program, 1-800-815-0015. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wisconsin DHS Provider Search (Survey History), where Wisconsin publishes its own records on licensed homes.
Common questions
- What is American Lutheran Home-Mondovi's Medicare star rating?
- CMS rates American Lutheran Home-Mondovi 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did American Lutheran Home-Mondovi get at its last inspection?
- 1 health deficiency at the standard inspection on May 7, 2026. The Wisconsin average is 9.5.
- Has American Lutheran Home-Mondovi been fined?
- CMS lists no fines in the last three years.
- Does American Lutheran Home-Mondovi accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns American Lutheran Home-Mondovi?
- CMS lists 23 owners and managers. Legal business name: AMERICAN LUTHERAN HOMES, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.