American Lutheran Home-Mondovi
200 Memorial Dr, Mondovi, WI 54755 · Buffalo County · 35 certified beds · avg 21 residents/day · certified since Apr 1, 1985
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 7, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 12, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 14, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 14, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 14, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 4 | 0 | F |
| 2025 | 2 | 0 | D |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.60 | 4.29 | 3.95 | bottom 29% in Wisconsin; bottom 42% in the U.S. |
| Registered Nurse hours | 1.05 | 1.01 | 0.69 | top 39% in Wisconsin; top 14% in the U.S. |
| Weekend total nurse staffing | 3.35 | 3.84 | 3.50 | bottom 38% in Wisconsin; top 50% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.90 | 0.68 | 0.48 | top 19% in Wisconsin; top 8% in the U.S. |
| Total nursing staff turnover (%) | 20.0 | 46.9 | 45.8 | top 3% in Wisconsin; top 3% in the U.S. |
| RN turnover (%) | 20.0 | 39.7 | 42.9 | top 18% in Wisconsin; top 13% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.79, RN 1.10, weekend 3.53. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Berg, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2016 |
| Duhr, Amy | Individual | Corporate Officer | NOT APPLICABLE | 01/17/2020 |
| Duhr, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/17/2020 |
| Duhr, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 01/17/2020 |
| Erickson, Joanne | Individual | Corporate Director | NOT APPLICABLE | 05/30/2023 |
| Grace Lutheran Foundation, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2000 |
| Grace Lutheran Foundation, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2025 |
| Grossier, Stephany | Individual | Corporate Director | NOT APPLICABLE | 05/30/2024 |
| Hungerford, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Larson, David | Individual | Corporate Director | NOT APPLICABLE | 05/30/2021 |
| Larson, Jamie | Individual | Corporate Officer | NOT APPLICABLE | 08/24/2021 |
| Larson, Jamie | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/24/2021 |
| Larson, Jamie | Individual | ADP of the SNF | NOT APPLICABLE | 08/24/2021 |
| Larson, Linda | Individual | Corporate Director | NOT APPLICABLE | 01/28/2025 |
| Lee, Rita | Individual | Corporate Director | NOT APPLICABLE | 05/30/2018 |
| Lilyquist, Jenny | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/26/2017 |
| Lilyquist, Jenny | Individual | ADP of the SNF | NOT APPLICABLE | 01/26/2017 |
| Lisowski, Tonya | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/12/2016 |
| Lisowski, Tonya | Individual | ADP of the SNF | NOT APPLICABLE | 07/12/2016 |
| Reid, Anita | Individual | Corporate Director | NOT APPLICABLE | 05/30/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Dove Healthcare - South Eau Claire | 17.6 mi | Eau Claire, WI | ★★★★★ | 5/5 | |
| Grace Lutheran Communities - River Pines | 19.5 mi | Altoona, WI | ★★★★☆ | 4/5 | |
| Dove Healthcare - West Eau Claire | 19.5 mi | Eau Claire, WI | ★★★★☆ | 3/5 | |
| Oakwood Health Services | 19.5 mi | Altoona, WI | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525383.