AMERICAN LUTHERAN HOME-MONDOVI

200 MEMORIAL DR
MONDOVI, WI, 54755
7159264962
CCN: 525383
5
Overall
4
Health
5
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ERICKSON, JOANNECORPORATE DIRECTORNOT APPLICABLE
REID, ANITACORPORATE DIRECTORNOT APPLICABLE
LEE, RITACORPORATE DIRECTORNOT APPLICABLE
LARSON, LINDACORPORATE DIRECTORNOT APPLICABLE
LARSON, DAVIDCORPORATE DIRECTORNOT APPLICABLE
GROSSIER, STEPHANYCORPORATE DIRECTORNOT APPLICABLE
LARSON, JAMIECORPORATE OFFICERNOT APPLICABLE
DUHR, AMYCORPORATE OFFICERNOT APPLICABLE
RICH, TREVOROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LISOWSKI, TONYAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LILYQUIST, JENNYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
LARSON, JAMIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HUNGERFORD, KEVINOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DUHR, AMYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GRACE LUTHERAN FOUNDATION, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TANDE, CHELSEAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (6)
2025-03-12 · Health
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-02-14 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.11
3.68
RN Hrs/Resident/Day
1.18
0.54
LPN Hrs/Resident/Day
0.36
0.81
CNA Hrs/Resident/Day
2.57
2.33
PT Hrs/Resident/Day
0.20
0.12
Data as of 2026-03-01