Deficiency timeline

LUTHER MANOR

Dated inspection findings, penalties, and correction notes for this continuing care retirement community in Milwaukee, WI. Newest events first.

58 eventsTimeline fines $170,666Class insights →
  1. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Feb 16, 2026

  2. Class IIIPotential for more than minimal harm (D)cms

    F0605: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected Jan 17, 2026

  3. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jan 17, 2026

  4. Class IIIPotential for more than minimal harm (D)cms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Jan 17, 2026

  5. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    Ensure 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.

    Corrected Jan 17, 2026

  6. Class IIIPotential for more than minimal harm (D)cms

    F0585: Resident Rights

    Resident rights

    Honor 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.

    Corrected Jan 17, 2026

  7. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Aug 21, 2025

  8. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0585: Resident Rights

    Resident rights

    Honor 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.

    Corrected May 31, 2025

  9. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Apr 27, 2025

  10. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0745: Quality of Life and Care

    Quality of life & care

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Corrected Nov 29, 2024

  11. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0552: Resident Rights

    Resident rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected Nov 25, 2024

  12. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Nov 19, 2024

  13. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Nov 20, 2024

  14. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0644: Resident Assessment and Care Planning

    Assessment & care planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected Nov 25, 2024

  15. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0645: Resident Assessment and Care Planning

    Assessment & care planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected Nov 20, 2024

  16. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Nov 20, 2024

  17. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0660: Resident Assessment and Care Planning

    Assessment & care planning

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected Dec 3, 2024

  18. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Dec 3, 2024

  19. Class IIIPotential for more than minimal harm (E)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Sep 15, 2024

  20. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Nov 8, 2024

  21. Class IImmediate jeopardy (J)cms

    F0692: Quality of Life and Care

    Quality of life & care

    Provide enough food/fluids to maintain a resident's health.

    Corrected Sep 20, 2024

  22. Class IIIPotential for more than minimal harm (F)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Nov 8, 2024

  23. Class IIIPotential for more than minimal harm (E)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Sep 30, 2024

  24. Class IIIPotential for more than minimal harm (E)cms

    F0758: Pharmacy Service

    Pharmacy services

    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.

    Corrected Sep 20, 2024

  25. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Nov 19, 2024

  26. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Nov 20, 2024

  27. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Oct 11, 2024

  28. Class IIIPotential for more than minimal harm (D)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Sep 20, 2024

  29. Class IIIPotential for more than minimal harm (D)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Nov 20, 2024

  30. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Sep 19, 2024

  31. Class IIIPotential for more than minimal harm (D)cms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Oct 11, 2024

  32. Class IIIPotential for more than minimal harm (D)cms

    F0947: Nursing and Physician Services

    Nursing & physician services

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected Sep 15, 2024

  33. Fine $103,705cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  34. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  35. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Jul 3, 2024

  36. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Jul 3, 2024

  37. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jul 3, 2024

  38. Fine $34,468cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  39. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Jul 3, 2024

  40. Class IIActual harm (G)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jul 3, 2024

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Feb 6, 2024

  42. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Mar 4, 2024

  43. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Mar 4, 2024

  44. Fine $25,454cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  45. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  46. Class IIActual harm (G)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Mar 14, 2024

  47. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected Mar 14, 2024

  48. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Mar 4, 2024

  49. Fine $2,117cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  50. Fine $1,748cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  51. Class IIIPotential for more than minimal harm (D)cms

    F0625: Resident Rights

    Resident rights

    Notify 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.

    Corrected Aug 23, 2023

  52. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Aug 25, 2023

  53. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0742: Quality of Life and Care

    Quality of life & care

    Provide 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.

    Corrected Aug 25, 2023

  54. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0758: Pharmacy Service

    Pharmacy services

    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.

    Corrected Aug 25, 2023

  55. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Aug 25, 2023

  56. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Aug 25, 2023

  57. Class IIIPotential for more than minimal harm (D)cms

    F0623: Resident Rights

    Resident rights

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected Aug 23, 2023

  58. Fine $3,174cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile

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