American Lutheran Home-Menomonie — nursing home in Menomonie, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 37 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 30.8 CMS, MDS-derived
CMS Certification Number: 525480
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1992
Ownership type: Non profit - Church related
Operator (legal business name): American Lutheran Homes Inc
CMS chain: Not part of a CMS-reported chain
Phone: (715) 235-9041
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 27, 2025

Citations

11

5 health · 6 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D3	E3	F4
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525480
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 37
First approved: Jan 1, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Wisconsin.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 27, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Aug 27, 2025	Health	Health Standard	1	Potential harm	—	Open →
Jun 20, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 20, 2024	Health	Health Standard	2	Actual harm	—	Open →
May 17, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
May 17, 2023	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D3	E3	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Aug 27, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 27, 2025
Aug 27, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 27, 2025
Aug 27, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 27, 2025
Jun 20, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Jul 20, 2024
Jun 20, 2024	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 20, 2024
Jun 20, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 20, 2024
Jun 20, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 20, 2024
Jun 20, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 20, 2024
May 17, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 17, 2023
May 17, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jun 17, 2023
May 17, 2023	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 17, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.17

State avg 4.25US avg 3.90

Registered nurse (RN)1.15

State avg 0.98US avg 0.69

Licensed practical nurse0.60

State avg 0.65US avg 0.86

Nurse aide2.42

State avg 2.61US avg 2.35

Weekend total nurse3.60

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.58 (case-mix index 1.27).

Staff turnover

Total nursing staff turnover45.5%

State avg 46.7%US avg 45.3%

Registered nurse turnover50.0%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 27, 2025
Cycle 1 health score: 4
Total weighted score: 9

Operating entity

American Lutheran Homes Inc

CMS legal business name of the certified provider. Operates 3 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

30

Organizations

2

Individuals

26

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Grace Lutheran Foundation, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2000
Leadingchoice Network LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2016
Jeffery Cline	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 13, 2021
Amy Duhr	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 17, 2020
Stacey Hazuga	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 24, 2024
Tami Jackson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 28, 2025
Jamie Larson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 29, 2022
Michael Phillips	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 7, 2022
Randall Rennock	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 12, 2020
Ally Stuart	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 6, 2024
Mathew Ulberg	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 3, 2015
Joanne Erickson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 1, 2023
Stephany Grossier	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 30, 2024
David Larson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 30, 2021
Linda Larson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 20, 2025
Rita Lee	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 30, 2018
Anita Reid	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 30, 2024
Amy Duhr	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 17, 2020
Jamie Larson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 29, 2022
Grace Lutheran Foundation, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 3, 2025
Leadingchoice Network LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 3, 2025
Matthew Berg	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2016
Jeffery Cline	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 13, 2021
Amy Duhr	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 17, 2020
Stacey Hazuga	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 24, 2024
Tami Jackson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 28, 2025
Jamie Larson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 29, 2022
Michael Phillips	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 26, 2024
Randall Rennock	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 12, 2020
Mathew Ulberg	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 3, 2015

Other facilities operated by American Lutheran Homes Inc

All 2 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Bethany on University 201 S University Dr, Fargo, ND 58103 CCN 355086	172		Feb 12, 2026	101 harm	—
American Lutheran Home-Mondovi 200 Memorial Dr, Mondovi, WI 54755 CCN 525383	35		May 7, 2026	21	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 915 Elm Ave E, Menomonie, WI 54751
ZIP: 54751
County: Dunn County FIPS 55033
State: Wisconsin
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Neighbors - Central Neighborhood (the) 2901 Forbes Ave, Menomonie, WI 54751 CCN 525433	2.5 km	45	Jun 19, 2025	10	—
Neighbors - East Neighborhood (the) 658 Howison Circle, Menomonie, WI 54751 CCN 525713	2.7 km	46	Jul 20, 2026	141 harm	—
Neighbors - West Neighborhood (the) 651 Howison Circle, Menomonie, WI 54751 CCN 525714	2.7 km	46	Mar 19, 2026	171 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525480	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525480	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 525480

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction