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Luther Manor

4545 N 92nd St, Milwaukee, WI 53225
4144643880
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Overall CMS Rating

1.0/5

vs State Average: 3.0 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.7/5

2.0/5

Quality Measures

vs State Average: 3.1/5

8 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
8 Penalties in last 3 years
6 Fines issued
Citation Date Description Severity
Jul 29, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D
May 13, 2025 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D
Mar 26, 2025 Ensure that residents are free from significant medication errors. D
Oct 31, 2024 Respond appropriately to all alleged violations. D
Oct 31, 2024 Ensure that residents are fully informed and understand their health status, care and treatments. D
Score
4.0
State Average
3.7
National Average
2.9
0.7 RN Hours / Resident / Day
4.8 Total Nurse Hours / Resident / Day
60.9% RN Turnover Rate
Score
2.0
State Average
3.1
National Average
3.6
2.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
94.8 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST UNITED LUTHERAN PROGRAM FOR THE AGING, INC
OPERATIONAL/MANAGERIAL CONTROL SELECT REHABILITATION, LLC
OPERATIONAL/MANAGERIAL CONTROL SODEXO AMERICA, LLC
OPERATIONAL/MANAGERIAL CONTROL UNITED LUTHERAN PROGRAM FOR THE AGING, INC
OPERATIONAL/MANAGERIAL CONTROL COOPER, DELILA
OPERATIONAL/MANAGERIAL CONTROL GIBBS, KAREN
OPERATIONAL/MANAGERIAL CONTROL HANSEN, PATRICK
OPERATIONAL/MANAGERIAL CONTROL JUNG, KIM
CORPORATE OFFICER CHEDID, STEPHANIE
CORPORATE OFFICER HANSEN, PATRICK
Recent Penalties
Date Type Fine
Sep 10, 2024 Payment Denial $0
Sep 10, 2024 Fine $103,705
Jun 11, 2024 Fine $34,468
Feb 1, 2024 Payment Denial $0
Feb 1, 2024 Fine $25,454
Aug 14, 2023 Fine $2,117
Aug 7, 2023 Fine $1,748
Jul 17, 2023 Fine $3,174

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