Lutheran Home
7500 W North Ave, Wauwatosa, WI 53213 · Milwaukee County · 160 certified beds · avg 128 residents/day · certified since Sep 1, 1994
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 19, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 17, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Jun 10, 2025 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jun 10, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 10, 2025 | E · Potential for harm, repeated | 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. |
| Jun 10, 2025 | E · Potential for harm, repeated | 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. |
| Jun 10, 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. · from a complaint |
| Jun 10, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 10, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 10, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Jun 10, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 10, 2025 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 4, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 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. |
| Mar 14, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 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. |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 19, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (7 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 1 | G ▲ |
| 2024 | 7 | 0 | F |
| 2025 | 11 | 0 | E |
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) | 4.56 | 4.29 | 3.95 | top 33% in Wisconsin; top 21% in the U.S. |
| Registered Nurse hours | 1.06 | 1.01 | 0.69 | top 39% in Wisconsin; top 13% in the U.S. |
| Weekend total nurse staffing | 4.05 | 3.84 | 3.50 | top 36% in Wisconsin; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.59 | 0.68 | 0.48 | bottom 46% in Wisconsin; top 23% in the U.S. |
| Total nursing staff turnover (%) | 37.4 | 46.9 | 45.8 | top 24% in Wisconsin; top 30% in the U.S. |
| RN turnover (%) | 24.1 | 39.7 | 42.9 | top 24% in Wisconsin; top 20% 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 4.28, RN 0.99, weekend 3.80. Staffing rating: 5/5.
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: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bukowy, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/20/2014 |
| Bukowy, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 05/20/2014 |
| Cavers, Kathryn | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2012 |
| Cavers, Kathryn | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2012 |
| Cavers, Kathryn | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2012 |
| Clausen, Henrik | Individual | Corporate Officer | NOT APPLICABLE | 11/17/2021 |
| Clausen, Henrik | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/17/2021 |
| Clausen, Henrik | Individual | ADP of the SNF | NOT APPLICABLE | 11/17/2021 |
| Denor, Jim | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2021 |
| Denor, Jim | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Ehn, Diane | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2021 |
| Ehn, Diane | Individual | Corporate Director | NOT APPLICABLE | 10/01/2021 |
| Ehn, Diane | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2021 |
| Hodan, Mike | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2023 |
| Hodan, Mike | Individual | Corporate Director | NOT APPLICABLE | 04/01/2023 |
| Kebbekus, Ben | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2021 |
| Kebbekus, Ben | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Kriete, Lindsey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2023 |
| Kriete, Lindsey | Individual | Corporate Director | NOT APPLICABLE | 04/01/2023 |
| Mueller, Gary | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "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 |
|---|---|---|---|---|---|
| St. Anne's Salvatorian Campus | 2.0 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| St Camillus Health Center | 2.3 mi | Wauwatosa, WI | ★★☆☆☆ | 1/5 | |
| Milwaukee Health and Rehab | 2.9 mi | Milwaukee, WI | ★★★★☆ | 4/5 | |
| Luther Manor | 3.1 mi | Milwaukee, WI | ★☆☆☆☆ | 1/5 | |
| Resolve at West Allis Respiratory and Rehab | 3.2 mi | West Allis, WI | ★☆☆☆☆ | 1/5 | |
| Congregational Home, INC. | 4.1 mi | Brookfield, WI | ★★★★☆ | 3/5 | |
| Aria at Mitchell Manor | 4.2 mi | West Allis, WI | ★★★☆☆ | 3/5 | |
| Mercy Health Services | 4.4 mi | Milwaukee, WI | ★★★☆☆ | 3/5 | |
| St Ann Health and Rehabilitation Center | 4.9 mi | Milwaukee, WI | ★★★★☆ | 4/5 | |
| Maplewood Center | 4.9 mi | West Allis, WI | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525545.