01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-27 | 1 | 2025-08-27 | 2 |
| Cycle 2 | 2024-06-20 | 2 | 2024-06-20 | 3 |
| Cycle 3 | 2023-05-17 | 2 | 2023-05-17 | 1 |
CMS CCN 5254802026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
American Lutheran Home-Menomonie
915 Elm Ave E · Menomonie, WI 54751 · Dunn County
Certified beds37CMS provider file
Recent citation rows11current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
11 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-27 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-27 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-09-272025-08-27 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-09-272024-06-20 · HEALTHF0580Severity G · isolated actual harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-07-202024-06-20 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-07-202024-06-20 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2024-07-202024-06-20 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-07-202024-06-20 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-07-202023-05-17 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-06-172023-05-17 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2023-06-172023-05-17 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-06-1703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ERICKSON, JOANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2023
- GROSSIER, STEPHANYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/30/2024
- LARSON, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/30/2021
- LARSON, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/20/2025
- LEE, RITAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/30/2018
- REID, ANITAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/30/2024
- DUHR, AMYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/17/2020
- LARSON, JAMIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/29/2022
- GRACE LUTHERAN FOUNDATION, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2000
- LEADINGCHOICE NETWORK LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2016
- CLINE, JEFFERYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/13/2021
- DUHR, AMYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/17/2020
- HAZUGA, STACEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/24/2024
- JACKSON, TAMIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/28/2025
- LARSON, JAMIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/29/2022
- PHILLIPS, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/07/2022
- RENNOCK, RANDALLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/12/2020
- STUART, ALLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/06/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.48per resident day
RN hours1.43per resident day
Weekend nurse hours3.96per resident day
Staff turnover54.2%CMS reported field
06 / LOCAL RECORDS
Open the Menomonie ledger →