Nursing Home Lookup

Federal inspection record · CMS data as of October 1, 2026

Woodside Lutheran Home

1040 Pilgrim Way, Green Bay, WI · (920) 499-1481

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
118
Residents per day
87
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1995

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.

  2. Staffing

    no change (already 5)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

Woodside Lutheran Home carries 5 inspection points. That is fewer than 94% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 5 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–11 pts
  • 4★ 11–37 pts
  • 3★ 37–76 pts
  • 2★ 76–130.75 pts
  • 1★ over 130.75 pts

Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

2 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 1 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    September 24, 2025 · Standard · F880 · Corrected October 21, 2025

Pharmacy Service1E
  1. E

    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.

    July 31, 2024 · Standard · F761 · Corrected August 16, 2024

Inspection history

  1. 2025-09-24

    1 health deficiencies · 12 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2024-07-31

    1 health deficiencies · 6 fire-safety deficiencies

    Top issue: Pharmacy Service (1 deficiency)

  3. 2023-06-28

    0 health deficiencies · 1 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 5 h 16 min of nursing staff time a day, 1 h 28 min of it from a registered nurse.

This home

5 h 16 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 44% of nursing staff and 20% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts worse91.2%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts worse94.0%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse4.8%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms4.7 pts better1.3%6.0%13.5%
Percentage of long-stay residents who lose too much weight3.5 pts better1.4%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.9 pts worse17.7%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.2 pts worse23.1%15.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8 pts worse25.0%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts better15.0%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same1.9%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.5 pts worse5.2%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse26.4%23.6%18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts worse6.5%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.3 pts better97.2%86.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse17.2%15.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse2.1%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.3 pts better93.5%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.1 pts worse27.6%22.5%23.4%

·

Who owns and runs it

69 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bay Area Lutheran Homes Inc5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Anderson, PamelaCorporate Director · Individual0%2 facilities
Anderson, PamelaOperational/Managerial Control · Individual0%2 facilities
Anderson, PamelaAdp Of The SNF · Individual0%2 facilities
Atkinson, JessicaCorporate Officer · Individual0%1 facilities
Atkinson, JessicaOperational/Managerial Control · Individual0%1 facilities
Atkinson, JessicaAdp Of The SNF · Individual0%1 facilities
Bake, AndrewCorporate Director · Individual0%1 facilities
Bake, AndrewOperational/Managerial Control · Individual0%1 facilities
Bake, AndrewAdp Of The SNF · Individual0%1 facilities
Bmo Bank, N.a.5% Or Greater Security Interest · Organization0%25 facilities
Bmo Bank, N.a.Adp Of The SNF · Organization0%25 facilities
Brewer, KatherineOperational/Managerial Control · Individual0%1 facilities
Brewer, KatherineAdp Of The SNF · Individual0%1 facilities
Cabino, SarahOperational/Managerial Control · Individual0%1 facilities
Cabino, SarahAdp Of The SNF · Individual0%1 facilities
CliftonlarsonallenOperational/Managerial Control · Organization0%124 facilities
CliftonlarsonallenAdp Of The SNF · Organization0%124 facilities
Frazier, LarryCorporate Director · Individual0%1 facilities
Frazier, LarryOperational/Managerial Control · Individual0%1 facilities
Frazier, LarryAdp Of The SNF · Individual0%1 facilities
Gervais, LisaOperational/Managerial Control · Individual0%2 facilities
Gervais, LisaAdp Of The SNF · Individual0%2 facilities
Greenfield Rehabilitation Agency, IncOperational/Managerial Control · Organization0%2 facilities
Greenfield Rehabilitation Agency, IncAdp Of The SNF · Organization0%2 facilities
Gretzinger, PollyCorporate Officer · Individual0%1 facilities
Gretzinger, PollyOperational/Managerial Control · Individual0%1 facilities
Gretzinger, PollyAdp Of The SNF · Individual0%1 facilities
Healthdirect Institutional Pharmacy Services IncOperational/Managerial Control · Organization0%10 facilities
Healthdirect Institutional Pharmacy Services IncAdp Of The SNF · Organization0%10 facilities
Lim, AnnaOperational/Managerial Control · Individual0%1 facilities
Lim, AnnaAdp Of The SNF · Individual0%1 facilities
Matzke, DeanCorporate Director · Individual0%2 facilities
Matzke, DeanOperational/Managerial Control · Individual0%2 facilities
Matzke, DeanAdp Of The SNF · Individual0%2 facilities
May, SusanCorporate Director · Individual0%1 facilities
May, SusanOperational/Managerial Control · Individual0%1 facilities
May, SusanAdp Of The SNF · Individual0%1 facilities
Nelson, LauraCorporate Director · Individual0%2 facilities
Nelson, LauraOperational/Managerial Control · Individual0%2 facilities
Nelson, LauraAdp Of The SNF · Individual0%2 facilities
Nicolet National Bank5% Or Greater Security Interest · Organization0%2 facilities
Nicolet National BankAdp Of The SNF · Organization0%2 facilities
Pinnacle Innovative Healthcare Solutions, LLCOperational/Managerial Control · Organization0%1 facilities
Pinnacle Innovative Healthcare Solutions, LLCAdp Of The SNF · Organization0%1 facilities
Pletcher, KathyCorporate Director · Individual0%1 facilities
Pletcher, KathyOperational/Managerial Control · Individual0%1 facilities
Pletcher, KathyAdp Of The SNF · Individual0%1 facilities
Poole, MichelleOperational/Managerial Control · Individual0%1 facilities
Poole, MichelleAdp Of The SNF · Individual0%1 facilities
Raab, JeriCorporate Director · Individual0%1 facilities
Raab, JeriOperational/Managerial Control · Individual0%1 facilities
Raab, JeriAdp Of The SNF · Individual0%1 facilities
Roth, MaximilianCorporate Director · Individual0%1 facilities
Roth, MaximilianOperational/Managerial Control · Individual0%1 facilities
Roth, MaximilianAdp Of The SNF · Individual0%1 facilities
Schroeder, NormanCorporate Director · Individual0%1 facilities
Schroeder, NormanOperational/Managerial Control · Individual0%1 facilities
Schroeder, NormanAdp Of The SNF · Individual0%1 facilities
Seymour, PaulCorporate Director · Individual0%1 facilities
Seymour, PaulOperational/Managerial Control · Individual0%1 facilities
Seymour, PaulAdp Of The SNF · Individual0%1 facilities
Veldt, AmyOperational/Managerial Control · Individual0%1 facilities
Veldt, AmyAdp Of The SNF · Individual0%1 facilities
Vorpagel, EarlCorporate Director · Individual0%1 facilities
Vorpagel, EarlOperational/Managerial Control · Individual0%1 facilities
Vorpagel, EarlAdp Of The SNF · Individual0%1 facilities
Wipfli LlpOperational/Managerial Control · Organization0%102 facilities
Wipfli LlpAdp Of The SNF · Organization0%102 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Miscellaneous6F
  1. F

    Provide a written emergency evacuation plan.

    September 24, 2025 · K711 · Corrected September 26, 2025

  2. F

    Have simulated fire drills held at unexpected times.

    September 24, 2025 · K712 · Corrected December 29, 2025

  3. F

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    September 24, 2025 · K761 · Corrected December 11, 2025

  4. F

    Provide a written emergency evacuation plan.

    July 31, 2024 · K711 · Corrected August 19, 2024

  5. E

    Have restrictions on the use of flammable curtains.

    July 31, 2024 · K751 · Corrected August 1, 2024

  6. E

    Have restrictions on the use of highly flammable decorations.

    July 31, 2024 · K753 · Corrected August 19, 2024

Smoke4F
  1. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    September 24, 2025 · K354 · Corrected December 4, 2025

  2. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 24, 2025 · K321 · Corrected September 25, 2025

  3. E

    Install a fire alarm system that can be heard throughout the facility.

    September 24, 2025 · K341 · Corrected October 17, 2025

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    July 31, 2024 · K353 · Corrected August 6, 2024

Services4E
  1. E

    Have properly installed electrical wiring and gas equipment.

    September 24, 2025 · K511 · Corrected September 25, 2025

  2. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    September 24, 2025 · K521 · Corrected September 26, 2025

  3. E

    Have properly installed electrical wiring and gas equipment.

    July 31, 2024 · K511 · Corrected August 13, 2024

  4. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    July 31, 2024 · K521 · Corrected August 2, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    September 24, 2025 · K918 · Corrected December 12, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    June 28, 2023 · K918 · Corrected July 8, 2023

Egress2E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    September 24, 2025 · K211 · Corrected September 25, 2025

  2. E

    Install emergency lighting that can last at least 1 1/2 hours.

    September 24, 2025 · K291 · Corrected September 25, 2025

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    September 24, 2025 · E41 · Corrected December 11, 2025

·

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