Woodside Lutheran Home
1040 Pilgrim Way, Green Bay, WI 54304 · Brown County · (920) 499-1481
118 certified beds, about 85 residents a day · Non profit - Church related · Medicare and Medicaid since 1995
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525557 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 24, 2025, inspectors cited 1 health deficiency (the Wisconsin average is 9.5, the national average 9.2).
None of its 2 health citations since June 2023 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 5.23 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.41 of those hours.
42.5% 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.
006/23
107/24
109/25
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 2 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
1E
0F
Potential for minimal harm
0A
0B
0C
September 24, 2025Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection for 1 resident (R) (R61) of 1 sampled resident. R61 had an indwelling urinary catheter. Enhanced barrier precautions (EBP) were not implemented for R61. In addition, staff provided high-contact resident care without donning the appropriate personal protective equipment (PPE).
July 31, 2024Standard inspection · 1 citation
- E 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.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure medications for 11 Residents (R) (R33, R404, R28, R21, R6, R76, R47, R65, R44, R15 and 26) of 11 residents in 4 of 8 medication carts and 3 of 5 treatment carts were stored, labeled, and/or dated appropriately. In addition, the facility did not ensure alcohol wipes, sterile syringes, and other medical supplies that were stored in 3 of 5 medication rooms were discarded after they expired Medication carts, treatment carts, and medication rooms contained opened, undated, unlabeled, and/or expired stock medication, treatment supplies, and prescribed medication for R33, R404, R28, R21, R6, R76, R47, R65, R44, R15, and R26.
June 28, 2023Standard inspection · 0 citations
Fire safety inspections
19 fire safety citations on file: 12 on September 24, 2025, 6 on July 31, 2024, 1 on June 28, 2023.
Every fire safety citation19 citations
- F Implement emergency and standby power systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install a fire alarm system that can be heard throughout the facility.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Provide a written emergency evacuation plan.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have restrictions on the use of flammable curtains.
- E Have restrictions on the use of highly flammable decorations.
- F Have generator or other power source capable of supplying service within 10 seconds.
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) | 5.23 | 4.21 | 3.86 |
| Registered nurses | 1.41 | 0.99 | 0.69 |
| All nursing staff on weekends | 4.37 | 3.77 | 3.42 |
| Nurse aides | 3.30 | ||
| Licensed practical nurses | 0.51 | ||
| Nursing staff turnover (share who left in a year) | 42.5% | 46.9% | 45.8% |
| Registered nurse turnover | 20.0% | 39.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.37 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 5.57 on weekdays and 4.37 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.37 in April to June 2025 to 5.23 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 | 5.23 | 1.41 | 5.57 | 4.37 | 0.0% | 0 of 90 | 85 |
| Oct to Dec 2025 | 5.46 | 1.56 | 5.81 | 4.54 | 0.0% | 0 of 92 | 82 |
| Jul to Sep 2025 | 5.39 | 1.38 | 5.76 | 4.42 | 0.0% | 0 of 92 | 86 |
| Apr to Jun 2025 | 5.37 | 1.34 | 5.73 | 4.48 | 0.0% | 0 of 91 | 93 |
| 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 | 18.8 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.5 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.9 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.9 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.1 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.3 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 2.3 | 1.8 |
Owners and operators
Legal business name: BAY AREA LUTHERAN HOMES INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bay Area Lutheran Homes Inc | 5% or greater direct ownership interest | Organization | 100% | 11/14/2006 |
| Bmo Bank, N.a. | 5% or greater security interest | Organization | 08/12/2021 | |
| Nicolet National Bank | 5% or greater security interest | Organization | 04/01/2024 | |
| Anderson, Pamela | Corporate director | Individual | 01/01/2022 | |
| Bake, Andrew | Corporate director | Individual | 01/01/2022 | |
| Frazier, Larry | Corporate director | Individual | 01/01/2026 | |
| Matzke, Dean | Corporate director | Individual | 01/01/2026 | |
| May, Susan | Corporate director | Individual | 01/01/2023 | |
| Nelson, Laura | Corporate director | Individual | 01/01/2022 | |
| Pletcher, Kathy | Corporate director | Individual | 01/01/2022 | |
| Raab, Jeri | Corporate director | Individual | 01/01/2023 | |
| Roth, Maximilian | Corporate director | Individual | 01/01/2024 | |
| Schroeder, Norman | Corporate director | Individual | 01/01/2022 | |
| Seymour, Paul | Corporate director | Individual | 01/01/2022 | |
| Vorpagel, Earl | Corporate director | Individual | 01/01/2024 | |
| Atkinson, Jessica | Corporate officer | Individual | 07/01/2023 | |
| Gretzinger, Polly | Corporate officer | Individual | 07/01/2023 | |
| Cliftonlarsonallen LLP | Operational/managerial control | Organization | 01/01/2024 | |
| Greenfield Rehabilitation Agency, Inc | Operational/managerial control | Organization | 06/01/2019 | |
| Healthdirect Institutional Pharmacy Services Inc | Operational/managerial control | Organization | 06/29/2017 | |
| Pinnacle Innovative Healthcare Solutions, LLC | Operational/managerial control | Organization | 01/01/2007 | |
| Wipfli LLP | Operational/managerial control | Organization | 10/20/2013 | |
| Anderson, Pamela | Operational/managerial control | Individual | 10/01/2022 | |
| Atkinson, Jessica | Operational/managerial control | Individual | 07/01/2023 | |
| Bake, Andrew | Operational/managerial control | Individual | 01/01/2022 | |
| Brewer, Katherine | Operational/managerial control | Individual | 06/01/2019 | |
| Cabino, Sarah | Operational/managerial control | Individual | 05/23/2016 | |
| Frazier, Larry | Operational/managerial control | Individual | 01/01/2026 | |
| Gervais, Lisa | Operational/managerial control | Individual | 08/28/2023 | |
| Gretzinger, Polly | Operational/managerial control | Individual | 07/01/2023 | |
| Lim, Anna | Operational/managerial control | Individual | 10/01/2023 | |
| Matzke, Dean | Operational/managerial control | Individual | 01/01/2026 | |
| May, Susan | Operational/managerial control | Individual | 01/01/2023 | |
| Nelson, Laura | Operational/managerial control | Individual | 01/01/2022 | |
| Pletcher, Kathy | Operational/managerial control | Individual | 01/01/2022 | |
| Poole, Michelle | Operational/managerial control | Individual | 06/01/2019 | |
| Raab, Jeri | Operational/managerial control | Individual | 01/01/2023 | |
| Roth, Maximilian | Operational/managerial control | Individual | 01/01/2024 | |
| Schroeder, Norman | Operational/managerial control | Individual | 01/01/2022 | |
| Seymour, Paul | Operational/managerial control | Individual | 01/01/2022 | |
| Veldt, Amy | Operational/managerial control | Individual | 01/01/2007 | |
| Vorpagel, Earl | Operational/managerial control | Individual | 01/01/2024 | |
| Bmo Bank, N.a. | Adp of the SNF | Organization | 04/30/2026 | |
| Cliftonlarsonallen LLP | Adp of the SNF | Organization | 04/30/2026 | |
| Greenfield Rehabilitation Agency, Inc | Adp of the SNF | Organization | 04/30/2026 | |
| Healthdirect Institutional Pharmacy Services Inc | Adp of the SNF | Organization | 04/30/2026 | |
| Nicolet National Bank | Adp of the SNF | Organization | 04/30/2026 | |
| Pinnacle Innovative Healthcare Solutions, LLC | Adp of the SNF | Organization | 04/30/2026 | |
| Wipfli LLP | Adp of the SNF | Organization | 04/30/2026 | |
| Anderson, Pamela | Adp of the SNF | Individual | 01/01/2022 | |
| Atkinson, Jessica | Adp of the SNF | Individual | 07/01/2023 | |
| Bake, Andrew | Adp of the SNF | Individual | 01/01/2022 | |
| Brewer, Katherine | Adp of the SNF | Individual | 06/01/2019 | |
| Cabino, Sarah | Adp of the SNF | Individual | 05/23/2016 | |
| Frazier, Larry | Adp of the SNF | Individual | 01/01/2026 | |
| Gervais, Lisa | Adp of the SNF | Individual | 08/28/2023 | |
| Gretzinger, Polly | Adp of the SNF | Individual | 07/01/2023 | |
| Lim, Anna | Adp of the SNF | Individual | 10/01/2023 | |
| Matzke, Dean | Adp of the SNF | Individual | 01/01/2026 | |
| May, Susan | Adp of the SNF | Individual | 01/01/2023 | |
| Nelson, Laura | Adp of the SNF | Individual | 01/01/2022 | |
| Pletcher, Kathy | Adp of the SNF | Individual | 01/01/2022 | |
| Poole, Michelle | Adp of the SNF | Individual | 06/01/2019 | |
| Raab, Jeri | Adp of the SNF | Individual | 01/01/2023 | |
| Roth, Maximilian | Adp of the SNF | Individual | 01/01/2024 | |
| Schroeder, Norman | Adp of the SNF | Individual | 01/01/2022 | |
| Seymour, Paul | Adp of the SNF | Individual | 01/01/2022 | |
| Veldt, Amy | Adp of the SNF | Individual | 01/01/2007 | |
| Vorpagel, Earl | Adp of the SNF | Individual | 01/01/2024 |
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 1 problem in this area, most recently on September 24, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 31, 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."
Other nursing homes nearby
- Rennes Health and Rehab Center-De Pere De Pere, 2.6 mi · 5 of 5 stars · 12 citations
- Odd Fellow Home Green Bay, 3 mi · 2 of 5 stars · 43 citations
- Green Bay Health Services Green Bay, 3.2 mi · 2 of 5 stars · 29 citations
- Serenity Spring Senior Living at Green Bay Green Bay, 3.4 mi · 5 of 5 stars · 9 citations
- Anna John Resident Centered Care Community Oneida, 4.6 mi · 5 of 5 stars · 9 citations
- Edenbrook of Green Bay Green Bay, 7.4 mi · 3 of 5 stars · 33 citations
- Brown Cty Comm Treatment Ctr-Bayshore Village Green Bay, 8.1 mi · 5 of 5 stars · 9 citations
- Good Shepherd Services Ltd Seymour, 12.5 mi · 4 of 5 stars · 14 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 Woodside Lutheran Home's Medicare star rating?
- CMS rates Woodside Lutheran Home 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Woodside Lutheran Home get at its last inspection?
- 1 health deficiency at the standard inspection on September 24, 2025. The Wisconsin average is 9.5.
- Has Woodside Lutheran Home been fined?
- CMS lists no fines in the last three years.
- Does Woodside Lutheran Home 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 Woodside Lutheran Home?
- CMS lists 69 owners and managers. Legal business name: BAY AREA 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.