Woodside Lutheran Home
1040 Pilgrim Way, Green Bay, WI 54304 · Brown County · 118 certified beds · avg 85 residents/day · certified since Jan 1, 1995
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 (2)
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 |
|---|---|---|
| Sep 24, 2025 | 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. |
| Jul 31, 2024 | E · Potential for harm, repeated | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | E |
| 2025 | 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) | 5.95 | 4.29 | 3.95 | top 6% in Wisconsin; top 4% in the U.S. |
| Registered Nurse hours | 1.61 | 1.01 | 0.69 | top 9% in Wisconsin; top 4% in the U.S. |
| Weekend total nurse staffing | 4.97 | 3.84 | 3.50 | top 12% in Wisconsin; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.78 | 0.68 | 0.48 | top 31% in Wisconsin; top 12% in the U.S. |
| Total nursing staff turnover (%) | 42.5 | 46.9 | 45.8 | top 38% in Wisconsin; top 43% 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 5.23, RN 1.41, weekend 4.37. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bay Area Lutheran Homes INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/14/2006 |
| Anderson, Pamela | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Anderson, Pamela | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2022 |
| Anderson, Pamela | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Atkinson, Jessica | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2023 |
| Atkinson, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Atkinson, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2023 |
| Bake, Andrew | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Bake, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Bake, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Bmo Bank National Association | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/12/2021 |
| Bmo Bank National Association | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2026 |
| Brewer, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2019 |
| Brewer, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2019 |
| Cabino, Sarah | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/23/2016 |
| Cabino, Sarah | Individual | ADP of the SNF | NOT APPLICABLE | 05/23/2016 |
| Cliftonlarsonallen LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 04/30/2026 |
| Frazier, Larry | Individual | Corporate Director | NOT APPLICABLE | 01/01/2026 |
| Frazier, Larry | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
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 how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Rennes Health and Rehab Center-De Pere | 2.5 mi | De Pere, WI | ★★★★★ | 5/5 | |
| Odd Fellow Home | 3.0 mi | Green Bay, WI | ★★☆☆☆ | 2/5 | |
| Green Bay Health Services | 3.2 mi | Green Bay, WI | ★★☆☆☆ | 3/5 | |
| Serenity Spring Senior Living at Green Bay | 3.4 mi | Green Bay, WI | ★★★★★ | 4/5 | |
| Anna John Resident Centered Care Community | 4.6 mi | Oneida, WI | ★★★★★ | 4/5 | |
| Edenbrook of Green Bay | 7.3 mi | Green Bay, WI | ★★★☆☆ | 3/5 | |
| Brown Cty Comm Treatment Ctr-Bayshore Village | 8.1 mi | Green Bay, WI | ★★★★★ | 4/5 | |
| Good Shepherd Services LTD | 12.5 mi | Seymour, WI | ★★★★☆ | 4/5 | |
| St Paul Elder Services, INC | 17.8 mi | Kaukauna, WI | ★★★★★ | 5/5 | |
| Little Chute Health Services | 18.1 mi | Little Chute, WI | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525557.