Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AMERICAN LUTHERAN HOME-MENOMONIE

MENOMONIE, WI · 37 certified beds · Last Life Safety survey August 27, 2025

CMS Certification Number 525480 · first certified January 1992

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Church related

No change of ownership on CMS record since January 1, 2016, when the records begin.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within WI

6 citations — more than 4% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026. This facility’s last Life Safety survey was August 2025. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility6WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0532024-0622025-08
Citations at each Life Safety survey
Survey dateCitations
May 17, 20231
June 20, 20243
August 27, 20252

Most-cited tags

Most-cited tags at this facility
K-07121K-02911K-03531K-02111K-03211K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.12023-05-17
K-0291Install emergency lighting that can last at least 1 1/2 hours.12024-06-20
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-06-20
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-08-27
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-08-27
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-06-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Egress Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Egress Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 27, 2025 — 2 citations

Citations issued on August 27, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 27, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 27, 2025)

June 20, 2024 — 3 citations

Citations issued on June 20, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (July 20, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 20, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 20, 2024)

May 17, 2023 — 1 citation

Citations issued on May 17, 2023
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 17, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.