Nursing homes › Wisconsin › Luther Manor
4545 N 92Nd St, Milwaukee, WI 53225 · 4144643880 · 99 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
Total nurse staffing: 4.81 (Wisconsin median: 4.06). RN hours: 0.77. Weekend total: 4.32. Nursing staff turnover: 55%.
All-time on record: 50 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2026-02-16 |
| 2025-12-16 | 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. | E | Health | corrected 2026-01-17 |
| 2025-12-16 | 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. | D | Health | corrected 2026-01-17 |
| 2025-12-16 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Health | corrected 2026-01-17 |
| 2025-12-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-01-17 |
| 2025-12-16 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2026-01-17 |
| 2025-07-29 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-08-21 |
| 2025-05-13 | 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. | D | complaint | corrected 2025-05-31 |
| 2025-03-26 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-04-27 |
| 2024-10-31 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2024-11-25 |
| 2024-10-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-19 |
| 2024-10-31 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-11-20 |
| 2024-10-31 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2024-11-25 |
| 2024-10-31 | PASARR screening for Mental disorders or Intellectual Disabilities | D | complaint | corrected 2024-11-20 |
| 2024-10-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-11-20 |
| 2024-10-31 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2024-12-03 |
| 2024-10-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2024-12-03 |
| 2024-10-31 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | complaint | corrected 2024-11-29 |
| 2024-09-10 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2024-11-08 |
| 2024-09-10 | Provide enough food/fluids to maintain a resident's health. | J | Health | corrected 2024-09-20 |
| 2024-09-10 | Provide and implement an infection prevention and control program. | F | Health | corrected 2024-11-08 |
| 2024-09-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-09-30 |
| 2024-09-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2024-09-15 |
| 2024-09-10 | 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. | E | Health | corrected 2024-09-20 |
| 2024-09-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-11-19 |
| 2024-09-10 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-11-20 |
| 2024-09-10 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-10-11 |
| 2024-09-10 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-09-20 |
| 2024-09-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-11-20 |
| 2024-09-10 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-09-19 |
| 2024-09-10 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2024-10-11 |
| 2024-09-10 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2024-09-15 |
| 2024-06-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | complaint | corrected 2024-07-03 |
| 2024-06-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-07-03 |
| 2024-06-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-07-03 |
| 2024-06-11 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-07-03 |
| 2024-06-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-07-03 |
| 2024-02-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2024-03-14 |
| 2024-02-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-03-14 |
| 2024-02-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2024-03-04 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-10 | Fine | $103,705 |
| 2024-09-10 | Payment Denial | 53 days payment denial |
| 2024-06-11 | Fine | $34,468 |
| 2024-02-01 | Fine | $25,454 |
| 2024-02-01 | Payment Denial | 14 days payment denial |
| 2023-08-14 | Fine | $2,117 |
| 2023-08-07 | Fine | $1,748 |
| 2023-07-17 | Fine | $3,174 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| UNITED LUTHERAN PROGRAM FOR THE AGING, INC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 01/01/1966 |
| CHEDID, STEPHANIE | Corporate Officer | Individual | NOT APPLICABLE | since 02/18/2015 |
| HANSEN, PATRICK | Corporate Officer | Individual | NOT APPLICABLE | since 08/14/2017 |
| KEUP, ARTHUR | Corporate Officer | Individual | NOT APPLICABLE | since 11/13/2017 |
| SELECT REHABILITATION, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/24/2025 |
| SODEXO AMERICA, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/24/2025 |
| UNITED LUTHERAN PROGRAM FOR THE AGING, INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/24/2025 |
| COOPER, DELILA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/15/2024 |
| GIBBS, KAREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/27/2021 |
| HANSEN, PATRICK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/14/2017 |
| JUNG, KIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/09/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525588. Corrections: data@carerecords.org.