With a score of 10/100, Luther Manor ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at Luther Manor exceed national averages, with 4.81 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.69 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 48 deficiencies at Luther Manor, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.81 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.69 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.23 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.89 | 2.4 | Above Average |
| Weekend Total Nursing | 4.33 | 3.8 | Above Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Jan 13, 2026 · Quality of Life and Care Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jul 28, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0585 Severity DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eMay 12, 2025 · Resident Rights Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Mar 25, 2025 · Pharmacy Service Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Oct 30, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.1% | 4.5% | Worse |
| Falls with major injury | 3.6% | 3.0% | Worse |
| On antipsychotic medication | 18.3% | 14.5% | Worse |
| Urinary tract infections | 4.0% | 2.5% | Worse |
| ADL decline (daily activities) | 18.8% | 14.0% | Worse |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 33.8% | 45.0% | Better |
⚠️ Penalties & Fines
6 penalties recorded by CMS
Total fines: $170,666
How This Grade Was Calculated
This facility's grade of F is based on a score of 10 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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