Elder Care Record

Wisconsin › Milwaukee County › Milwaukee

Luther Manor

4545 N 92nd St, Milwaukee, WI 53225

CCN 525588 · Non-profit, corporation · 99 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Luther Manor is a Non-profit, corporation nursing home in Milwaukee, Wisconsin, certified for 99 beds and caring for about 95 residents a day.

CMS gives it 1 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.

Inspectors recorded 50 health deficiencies across the three most recent survey cycles (6, 26, 18 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 50.5 per 100 beds, more than the state median of 31.8.

CMS lists 5 penalties in the period covered: fines totalling $164K and 2 payment denials.

Reported nurse staffing is 4.8 hours per resident per day (0.8 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 55.2%.

50health deficiencies, 3 survey cycles7 at actual harm or worse
$164Kfines listed by CMS5 penalties in period
4.8nurse hours per resident per daystate median 4.0
96%occupancy (residents ÷ beds)95 residents a day

Compared with county, state and nation

MeasureThis facilityMilwaukee Co. medianWisconsin medianUS average
Overall star rating1233.0
Health citations, 3 cycles50382128.7
Citations per 100 beds50.544.131.826.8
Total nurse hours per resident day4.84.04.03.9
RN hours per resident day0.80.70.90.7
Nursing staff turnover55.2%52.4%46.2%45.8%
Fines listed$163,627$65,881$0—

County and state figures are medians across facilities (32 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 226
Cycle 318

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Dec 2025, 10 Sep 2024.

Severity mix: J ×3 G ×4 D ×36 E ×6 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
14 Jan 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation16 Feb 2026
16 Dec 2025F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey17 Jan 2026
16 Dec 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey17 Jan 2026
16 Dec 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey17 Jan 2026
16 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey17 Jan 2026
16 Dec 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey17 Jan 2026
29 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Aug 2025
13 May 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint investigation31 May 2025
26 Mar 2025F0760Ensure that residents are free from significant medication errors.DComplaint investigation27 Apr 2025
31 Oct 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation25 Nov 2024
31 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Nov 2024
31 Oct 2024F0610Respond appropriately to all alleged violations.DComplaint investigation20 Nov 2024
31 Oct 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation25 Nov 2024
31 Oct 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDComplaint investigation20 Nov 2024
31 Oct 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation20 Nov 2024
31 Oct 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation3 Dec 2024
31 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation3 Dec 2024
31 Oct 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation29 Nov 2024
10 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation8 Nov 2024
10 Sep 2024F0692Provide enough food/fluids to maintain a resident's health.JStandard survey20 Sep 2024
10 Sep 2024F0880Provide and implement an infection prevention and control program.FStandard survey8 Nov 2024
10 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey30 Sep 2024
10 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey15 Sep 2024
10 Sep 2024F0758Implement 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.EStandard survey20 Sep 2024
10 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation19 Nov 2024
10 Sep 2024F0610Respond appropriately to all alleged violations.DComplaint investigation20 Nov 2024
10 Sep 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey11 Oct 2024
10 Sep 2024F0641Ensure each resident receives an accurate assessment.DStandard survey20 Sep 2024
10 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey20 Nov 2024
10 Sep 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey19 Sep 2024
10 Sep 2024F0760Ensure that residents are free from significant medication errors.DStandard survey11 Oct 2024
10 Sep 2024F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard survey15 Sep 2024
11 Jun 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JComplaint investigation3 Jul 2024
11 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation3 Jul 2024
11 Jun 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation3 Jul 2024
11 Jun 2024F0610Respond appropriately to all alleged violations.DComplaint investigation3 Jul 2024
11 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 Jul 2024
1 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation14 Mar 2024
1 Feb 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation14 Mar 2024
1 Feb 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation4 Mar 2024
1 Feb 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Feb 2024
1 Feb 2024F0610Respond appropriately to all alleged violations.DComplaint investigation4 Mar 2024
1 Feb 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation4 Mar 2024
27 Jul 2023F0758Implement 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.EStandard survey25 Aug 2023
27 Jul 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey25 Aug 2023
27 Jul 2023F0610Respond appropriately to all alleged violations.DStandard survey25 Aug 2023
27 Jul 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey23 Aug 2023
27 Jul 2023F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard survey23 Aug 2023
27 Jul 2023F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard survey25 Aug 2023
27 Jul 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey25 Aug 2023

Penalties

DateTypeAmountDetail
10 Sep 2024Payment denial—53 days
10 Sep 2024Fine$103,705
11 Jun 2024Fine$34,468
1 Feb 2024Payment denial—14 days
1 Feb 2024Fine$25,454

Staffing

Total nursing4.81 h
Nurse aides2.93 h
LPN1.12 h
RN0.77 h
Weekend total4.32 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 55.2%, RNs 68.2%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay21.5%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.3%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.2%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay25.5%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.1%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.5%14.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: United Lutheran Program For The Aging, Inc.

OrganisationRole in the CMS recordInterestSince
United Lutheran Program For the Aging, IncDirect ownership interestNOT APPLICABLE01/01/1966
Select Rehabilitation, LLCOperational/managerial controlNOT APPLICABLE01/24/2025
Sodexo America, LLCOperational/managerial controlNOT APPLICABLE01/24/2025
United Lutheran Program For the Aging, IncOperational/managerial controlNOT APPLICABLE01/24/2025
Select Rehabilitation, LLCAdp of the snfNOT APPLICABLE01/24/2025
Sodexo America, LLCAdp of the snfNOT APPLICABLE01/24/2025
United Lutheran Program For the Aging, IncAdp of the snfNOT APPLICABLE01/24/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Milwaukee County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Eastcastle Pl Bradford Ter Conv CtrMilwaukee405351640.0$90K18 Feb 2026
Lutheran HomeWauwatosa1604352012.5—10 Jun 2025
Milwaukee Catholic HomeMilwaukee1074511312.1—20 May 2026
Milwaukee Health and RehabMilwaukee954422122.1—8 Dec 2025
Saint Johns On the LakeMilwaukee274351451.9—1 Apr 2026
St Ann Health and Rehabilitation CenterMilwaukee504422142.0—5 Mar 2026
Aria At Mitchell ManorWest Allis503332346.0$16K1 Jul 2026
Complete Care At Glendale WestGlendale943233840.4$11K12 Nov 2025

All 32 facilities in Milwaukee County

Questions and answers

How many deficiencies has Luther Manor been cited for?

50 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Luther Manor been fined?

Yes. CMS lists fines totalling $164K in the period covered, plus 2 payment denials.

How does staffing at Luther Manor compare?

Reported total nurse staffing is 4.8 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Luther Manor?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include United Lutheran Program For the Aging, Inc, Select Rehabilitation, LLC and Sodexo America, LLC. Individual owners and managers are not listed on this site.

When was Luther Manor last inspected?

The most recent survey or investigation in the CMS record is dated 14 Jan 2026; the most recent standard health survey was 16 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.