Fond Du Lac Lutheran Home
Fond Du Lac Lutheran Home Information
| Facility Name | Fond Du Lac Lutheran Home |
| Location | 244 N Macy St, Fond Du Lac, WI 54935 |
| County (SSA Code) | Fond Du Lac (190) |
| Phone Number | 920-921-9520 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 85 |
| Average Number of Residents | 56.1 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | FOND DU LAC LUTHERAN HOME, INC. |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 2000-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.73682 |
| Reported LPN Staffing Hours per Resident per Day | 0.06714 |
| Reported RN Staffing - Hours per Resident per Day | 1.2889 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.35605 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.09286 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05543 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.04415 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.76044 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.37115 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.17574 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.10498 |
| Total Weighted Health Survey Score for three cycles | 138.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-25 |
| Rating cycle 1 - Health Deficiency Score | 24 |
| Rating cycle 1 - Total Health Inspection Score | 168 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-08-09 |
| Rating cycle 2 - Health Deficiency Score | 168 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-22 |
| Rating cycle 3 - Health Deficiency Score | 88 |
| Rating cycle 3 - Total Health Inspection Score | 88 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 20 |
| Number of Substantiated Complaints | 20 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |