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WOODSIDE LUTHERAN HOME

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WOODSIDE LUTHERAN HOME is a non profit - church related facility in GREEN BAY, WI with 130 certified beds and a 5-star overall CMS rating. The facility has 2 deficiency records on file.

1040 PILGRIM WAY, GREEN BAY, WI 54304

Phone: 9204991481

Overall Rating

5/5

Health Inspection

5/5

Staffing

5/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
525557
Ownership
Non profit - Church related
Provider Type
Medicare and Medicaid
Beds
130
Residents
86
In Hospital
No
County
Brown
Last Inspection
Sep 24, 2025

Staffing Data

RN Hours
1.38 (nat'l avg: 0.68)
LPN Hours
0.57
CNA Hours
3.43
Total Nursing Hours
5.39 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
39.6%
RN Turnover
32.4%

What the CMS Record Reveals About WOODSIDE LUTHERAN HOME

WOODSIDE LUTHERAN HOME operates 130 certified beds in GREEN BAY, WI with approximately 86 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (5★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 2 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.39 total nursing hours per resident day (national average 3.89), with RN coverage at 1.38 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, WOODSIDE LUTHERAN HOME falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 39.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (2 most recent)

D — Isolated - Minimal harm Sep 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 21, 2025

E — Pattern - Minimal harm Jul 31, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 16, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.1% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 30.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 25.6% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for WOODSIDE LUTHERAN HOME?
WOODSIDE LUTHERAN HOME has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (5★), and quality measures (2★).
What are the staffing levels at WOODSIDE LUTHERAN HOME?
WOODSIDE LUTHERAN HOME reports 5.39 total nursing hours per resident day (national average: 3.89). RN hours are 1.38 per resident day (national average: 0.68). Nursing staff turnover is 39.6%.
How many beds does WOODSIDE LUTHERAN HOME have?
WOODSIDE LUTHERAN HOME has 130 certified beds with approximately 86 residents. The facility is located at 1040 PILGRIM WAY, GREEN BAY, WI 54304.
Does WOODSIDE LUTHERAN HOME have any deficiencies on record?
Yes, WOODSIDE LUTHERAN HOME has 2 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has WOODSIDE LUTHERAN HOME received any fines or penalties?
No, WOODSIDE LUTHERAN HOME has no fines or penalties on record.
Who owns WOODSIDE LUTHERAN HOME?
WOODSIDE LUTHERAN HOME is classified as "Non profit - Church related" ownership. The facility type is "Medicare and Medicaid".
When was WOODSIDE LUTHERAN HOME last inspected?
The most recent health inspection for WOODSIDE LUTHERAN HOME was on Sep 24, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for WOODSIDE LUTHERAN HOME?
WOODSIDE LUTHERAN HOME is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial