Nursing homeActive

Woodside Lutheran Home

1040 Pilgrim Way, Green Bay, WI 543049204991481118 certified beds · 85 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
2
020
Penalties · 3 yrs
none on file
Last survey
2025-09-24
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-09-24Standard010CMS-2567 (Care Compare)
2024-07-31Standard010CMS-2567 (Care Compare)
2023-06-28Standard000CMS-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.

2025-09-24Standard survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-21Record 525557-20250924-F880
2024-07-31Standard survey · 1 deficiencyOfficial report
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 525557-20240731-F761

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.41
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day5.23
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours4.37
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover43%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover20%
Facility
Wisconsin
National
Wisconsin 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWisconsinNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.1%5.0%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.7%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
23.9%15.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.5%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
18.8%16.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.6%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
18.3%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)
EntityRoleInterestSinceRegistry
Bay Area Lutheran Homes Inc
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Anderson, Pamela
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Atkinson, Jessica
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bake, Andrew
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Brewer, Katherine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cabino, Sarah
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cliftonlarsonallen LLP
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Frazier, Larry
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gervais, Lisa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Greenfield Rehabilitation Agency, Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Gretzinger, Polly
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Healthdirect Institutional Pharmacy Services Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lim, Anna
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Matzke, Dean
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
May, Susan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nelson, Laura
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pinnacle Innovative Healthcare Solutions, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pletcher, Kathy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Poole, Michelle
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Raab, Jeri
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Roth, Maximilian
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schroeder, Norman
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Seymour, Paul
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Veldt, Amy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vorpagel, Earl
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wipfli LLP
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Anderson, Pamela
Individual
CORPORATE DIRECTORNOT APPLICABLE
Anderson, Pamela
Individual
ADP OF THE SNFNOT APPLICABLE
Atkinson, Jessica
Individual
ADP OF THE SNFNOT APPLICABLE
Atkinson, Jessica
Individual
CORPORATE OFFICERNOT APPLICABLE
Bake, Andrew
Individual
ADP OF THE SNFNOT APPLICABLE
Bake, Andrew
Individual
CORPORATE DIRECTORNOT APPLICABLE
Bmo Bank National Association
Organization
ADP OF THE SNFNOT APPLICABLE
Bmo Bank National Association
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Brewer, Katherine
Individual
ADP OF THE SNFNOT APPLICABLE
Cabino, Sarah
Individual
ADP OF THE SNFNOT APPLICABLE
Cliftonlarsonallen LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Frazier, Larry
Individual
CORPORATE DIRECTORNOT APPLICABLE
Frazier, Larry
Individual
ADP OF THE SNFNOT APPLICABLE
Gervais, Lisa
Individual
ADP OF THE SNFNOT APPLICABLE
Greenfield Rehabilitation Agency, Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Gretzinger, Polly
Individual
CORPORATE OFFICERNOT APPLICABLE
Gretzinger, Polly
Individual
ADP OF THE SNFNOT APPLICABLE
Healthdirect Institutional Pharmacy Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Lim, Anna
Individual
ADP OF THE SNFNOT APPLICABLE
Matzke, Dean
Individual
CORPORATE DIRECTORNOT APPLICABLE
Matzke, Dean
Individual
ADP OF THE SNFNOT APPLICABLE
May, Susan
Individual
CORPORATE DIRECTORNOT APPLICABLE
May, Susan
Individual
ADP OF THE SNFNOT APPLICABLE
Nelson, Laura
Individual
ADP OF THE SNFNOT APPLICABLE
Nelson, Laura
Individual
CORPORATE DIRECTORNOT APPLICABLE
Nicolet National Bank
Organization
ADP OF THE SNFNOT APPLICABLE
Nicolet National Bank
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Pinnacle Innovative Healthcare Solutions, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Pletcher, Kathy
Individual
ADP OF THE SNFNOT APPLICABLE
Pletcher, Kathy
Individual
CORPORATE DIRECTORNOT APPLICABLE
Poole, Michelle
Individual
ADP OF THE SNFNOT APPLICABLE
Raab, Jeri
Individual
CORPORATE DIRECTORNOT APPLICABLE
Raab, Jeri
Individual
ADP OF THE SNFNOT APPLICABLE
Roth, Maximilian
Individual
ADP OF THE SNFNOT APPLICABLE
Roth, Maximilian
Individual
CORPORATE DIRECTORNOT APPLICABLE
Schroeder, Norman
Individual
ADP OF THE SNFNOT APPLICABLE
Schroeder, Norman
Individual
CORPORATE DIRECTORNOT APPLICABLE
Seymour, Paul
Individual
ADP OF THE SNFNOT APPLICABLE
Seymour, Paul
Individual
CORPORATE DIRECTORNOT APPLICABLE
Veldt, Amy
Individual
ADP OF THE SNFNOT APPLICABLE
Vorpagel, Earl
Individual
ADP OF THE SNFNOT APPLICABLE
Vorpagel, Earl
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wipfli LLP
Organization
ADP OF THE SNFNOT 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 Brown.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Rennes Health and Rehab Center-De Pere
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3.2 mi2025-08-041230
Serenity Spring Senior Living at Green Bay
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Odd Fellow Home
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3.0 mi2026-02-021350
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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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01