AMERICAN LUTHERAN HOME-MONDOVI
200 MEMORIAL DR
MONDOVI, WI, 54755
7159264962
CCN: 525383
5
Overall4
Health5
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| ERICKSON, JOANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| REID, ANITA | CORPORATE DIRECTOR | NOT APPLICABLE |
| LEE, RITA | CORPORATE DIRECTOR | NOT APPLICABLE |
| LARSON, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| LARSON, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| GROSSIER, STEPHANY | CORPORATE DIRECTOR | NOT APPLICABLE |
| LARSON, JAMIE | CORPORATE OFFICER | NOT APPLICABLE |
| DUHR, AMY | CORPORATE OFFICER | NOT APPLICABLE |
| RICH, TREVOR | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LISOWSKI, TONYA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LILYQUIST, JENNY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LARSON, JAMIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUNGERFORD, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DUHR, AMY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GRACE LUTHERAN FOUNDATION, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TANDE, CHELSEA | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
4.11
RN Hrs/Resident/Day0.54
1.18
LPN Hrs/Resident/Day0.81
0.36
CNA Hrs/Resident/Day2.33
2.57
PT Hrs/Resident/Day0.12
0.20
Data as of 2026-03-01