Elder Care Record

Wisconsin › Brown County › Green Bay

Woodside Lutheran Home

1040 Pilgrim Way, Green Bay, WI 54304

CCN 525557 · Non-profit, church related · 118 certified beds

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.

Certified for 118 beds, Woodside Lutheran Home serves Green Bay in Brown County, Wisconsin and has taken Medicare and Medicaid residents since 1995.

CMS gives it 5 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 5, staffing 5 and quality measures 2.

Inspectors recorded 2 health deficiencies across the three most recent survey cycles (1, 1, 0 by cycle, most recent first), none at the actual-harm level. That is 1.7 per 100 beds, fewer than the state median of 31.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.2 hours per resident per day (1.4 RN), above the Wisconsin median of 4.0; nursing staff turnover is 42.5%.

2health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.2nurse hours per resident per daystate median 4.0
72%occupancy (residents ÷ beds)85 residents a day

Compared with county, state and nation

MeasureThis facilityBrown Co. medianWisconsin medianUS average
Overall star rating5533.0
Health citations, 3 cycles2132128.7
Citations per 100 beds1.720.631.826.8
Total nurse hours per resident day5.24.74.03.9
RN hours per resident day1.40.80.90.7
Nursing staff turnover42.5%43.2%46.2%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (8 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)1
Cycle 21
Cycle 30

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Sep 2025, 31 Jul 2024.

Severity mix: D ×1 E ×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
24 Sep 2025F0880Provide and implement an infection prevention and control program.DStandard survey21 Oct 2025
31 Jul 2024F0761Ensure 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 survey16 Aug 2024

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.23 h
Nurse aides3.3 h
LPN0.51 h
RN1.41 h
Weekend total4.37 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 42.5%, RNs 20.0%; 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 Stay18.8%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.5%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.9%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay27.9%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 Stay23.9%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, church related. Legal business name: Bay Area Lutheran Homes Inc.

OrganisationRole in the CMS recordInterestSince
Bay Area Lutheran Homes Inc5% or greater direct ownership interest100%11/14/2006
Bmo Bank National Association5% or greater security interestNOT APPLICABLE08/12/2021
Nicolet National Bank5% or greater security interestNOT APPLICABLE04/01/2024
Cliftonlarsonallen LLPOperational/managerial controlNOT APPLICABLE01/01/2024
Greenfield Rehabilitation Agency, IncOperational/managerial controlNOT APPLICABLE06/01/2019
Healthdirect Institutional Pharmacy Services IncOperational/managerial controlNOT APPLICABLE06/29/2017
Pinnacle Innovative Healthcare Solutions, LLCOperational/managerial controlNOT APPLICABLE01/01/2007
Wipfli LLPOperational/managerial controlNOT APPLICABLE10/20/2013
Bmo Bank National AssociationAdp of the snfNOT APPLICABLE04/30/2026
Cliftonlarsonallen LLPAdp of the snfNOT APPLICABLE04/30/2026
Greenfield Rehabilitation Agency, IncAdp of the snfNOT APPLICABLE04/30/2026
Healthdirect Institutional Pharmacy Services IncAdp of the snfNOT APPLICABLE04/30/2026
Nicolet National BankAdp of the snfNOT APPLICABLE04/30/2026
Pinnacle Innovative Healthcare Solutions, LLCAdp of the snfNOT APPLICABLE04/30/2026
Wipfli LLPAdp of the snfNOT APPLICABLE04/30/2026

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 Brown County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Anna John Resident Centered Care CommunityOneida48545918.8—18 Feb 2026
Brown Cty Comm Treatment Ctr-Bayshore VillageGreen Bay635451320.6—11 Dec 2024
Rennes Health and Rehab Center-De PereDe Pere137555128.8—15 Jan 2026
Serenity Spring Senior Living At Green BayGreen Bay64545914.1—7 Jan 2026
Edenbrook of Green BayGreen Bay903323134.4—20 May 2026
Green Bay Health ServicesGreen Bay1252332923.2—4 Aug 2025
Odd Fellow HomeGreen Bay882234247.7$93K2 Feb 2026

All 8 facilities in Brown County

Questions and answers

How many deficiencies has Woodside Lutheran Home been cited for?

2 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Woodside Lutheran Home been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Woodside Lutheran Home compare?

Reported total nurse staffing is 5.2 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Woodside Lutheran Home?

Ownership type is non-profit, church related. Organisations in the CMS ownership record include Bay Area Lutheran Homes Inc, Cliftonlarsonallen LLP and Greenfield Rehabilitation Agency, Inc. Individual owners and managers are not listed on this site.

When was Woodside Lutheran Home last inspected?

The most recent survey or investigation in the CMS record is dated 24 Sep 2025; the most recent standard health survey was 24 Sep 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.