Nursing homeActive
Lutheran Home
7500 W North Ave, Wauwatosa, WI 532134142586170160 certified beds · 128 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
20
● 1● 18● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-06-10
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-10 | Standard | 190 | CMS-2567 (Care Compare) | — |
| 2025-02-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-14 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2023-10-19 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2022-12-13 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F628
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F697
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 525545-20250610-F880
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-07-10Record 525545-20250610-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-04Record 525545-20250204-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-14Record 525545-20240314-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-14Record 525545-20240314-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-14Record 525545-20240314-F757
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-14Record 525545-20240314-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-14Record 525545-20240314-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-14Record 525545-20240314-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-04-14Record 525545-20240314-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-17Record 525545-20231019-F689
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 525545-20231019-F655
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.99
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day4.28
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.80
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover37%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover24%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.3% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.6% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.0% | 2.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.9% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.7% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 8.7% | 16.9% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bukowy, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cavers, Kathryn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Clausen, Henrik Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pingel, Lindsay Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Swartz Bartlett, Carey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tettenborn, Jayne Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bukowy, Elizabeth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cavers, Kathryn Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cavers, Kathryn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clausen, Henrik Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clausen, Henrik Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Denor, Jim Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Denor, Jim Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ehn, Diane Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Ehn, Diane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ehn, Diane Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hodan, Mike Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hodan, Mike Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kebbekus, Ben Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kebbekus, Ben Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kriete, Lindsey Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kriete, Lindsey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mueller, Gary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mueller, Gary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pedersen, Harriet Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Pedersen, Harriet Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pingel, Lindsay Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pingel, Lindsay Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Raasch, Randy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Raasch, Randy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Reardon, Tim Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Reardon, Tim Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rosenberg, Paul Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rosenberg, Paul Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sandstrom, David Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Sandstrom, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sandstrom, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Seasons Hospice & Palliative Care Of Wisconsin, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Surma, Kristina Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Surma, Kristina Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Surma, Kristina Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Swartz Bartlett, Carey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tettenborn, Jayne Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Triska Wiemer, Katie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Triska Wiemer, Katie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.
No county cost figures on file for Milwaukee.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| St. Anne's Salvatorian Campus Milwaukee | 2.0 mi | 2026-03-26 | 0325 |
| St Camillus Health Center Wauwatosa | 2.3 mi | 2025-07-08 | 0132 |
| Luther Manor Milwaukee | 3.1 mi | 2026-01-14 | 0367 |
| Resolve at West Allis Respiratory and Rehab West Allis | 3.2 mi | 2026-04-29 | 1564 |
| Milwaukee Health and Rehab Milwaukee | 2.9 mi | 2025-12-08 | 1140 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |