Luther Manor

Nursing Home · Milwaukee, WI

CMS overall rating 1/5 Non profit - Corporation

CMS certification number525588

Contact & location

4545 N 92Nd ST
Milwaukee, WI 53225
Milwaukee County
Phone
(414) 464-3880
ZIP code
53225 – all care providers

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Facility details

Certified beds
99
Residents per day
94.7 (96% occupied)
Ownership
Non profit - Corporation
Legal name
United Lutheran Program for the Aging, INC
Medicare certified since
May 1, 1996
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.81 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.77 (state 0.99 · U.S. 0.69)
Licensed practical nurses
1.12 (state 0.64 · U.S. 0.86)
Nurse aides
2.93 (state 2.58 · U.S. 2.32)
Weekend total
4.32 (state 3.77 · U.S. 3.42)
Nursing staff turnover
55.2 (state 46.9 · U.S. 45.8)%
RN turnover
68.2 (state 39.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
December 16, 2025
Health deficiencies (last cycle)
6.0 (state 9.5 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
50 health · 30 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-14 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-02-16
2025-12-16 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-17
2025-12-16 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.
F0585 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-17
2025-12-16 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-17
2025-12-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-17
2025-12-16 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-17
2025-07-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-21
2025-05-13 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.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-31
2025-03-26 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-27
2024-10-31 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-25
2024-10-31 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-19
2024-10-31 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-20
2024-10-31 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-25
2024-10-31 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-20
2024-10-31 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-20
2024-10-31 Plan the resident's discharge to meet the resident's goals and needs.
F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-03
2024-10-31 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-03
2024-10-31 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-29
2024-09-10 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-11-08
2024-09-10 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2024-09-20
2024-09-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-11-08
2024-09-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-30
2024-09-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-15
2024-09-10 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-20
2024-09-10 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-19
2024-09-10 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-20
2024-09-10 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-11
2024-09-10 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-20
2024-09-10 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-11-20
2024-09-10 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-19
2024-09-10 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-11
2024-09-10 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-15
2024-06-11 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-07-03
2024-06-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-07-03
2024-06-11 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-03
2024-06-11 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-03
2024-06-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-03
2024-02-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-03-14
2024-02-01 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-03-14
2024-02-01 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-04
2024-02-01 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-06
2024-02-01 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-04
2024-02-01 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-04
2023-07-27 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.
F0758 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-25
2023-07-27 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-25
2023-07-27 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-25
2023-07-27 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-23
2023-07-27 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.
F0625 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-23
2023-07-27 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.
F0742 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-25
2023-07-27 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-25

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

5 penalties in the last three years, including $163,627 in fines.

DateTypeAmount
2024-09-10Payment Denial53 days payment denial
2024-09-10Fine$103,705
2024-06-11Fine$34,468
2024-02-01Payment Denial14 days payment denial
2024-02-01Fine$25,454

Ownership & management

NameRoleSince
Chedid, Stephanie (individual)Administrator · NOT APPLICABLE
Cooper, Delila (individual)Administrator · NOT APPLICABLE
Gibbs, Karen (individual)Administrator · NOT APPLICABLE
Hansen, Patrick (individual)Administrator · NOT APPLICABLE
Jung, Kim (individual)Administrator · NOT APPLICABLE
Keup, Arthur (individual)Administrator · NOT APPLICABLE
Select Rehabilitation, LLC (organization)Administrator · NOT APPLICABLE
Sodexo America, LLC (organization)Administrator · NOT APPLICABLE
United Lutheran Program for the Aging, INC (organization)Administrator · NOT APPLICABLE
Chedid, Stephanie (individual)Corporate Officer · NOT APPLICABLE
Hansen, Patrick (individual)Corporate Officer · NOT APPLICABLE
Keup, Arthur (individual)Corporate Officer · NOT APPLICABLE
United Lutheran Program for the Aging, INC (organization)Direct Ownership Interest · NOT APPLICABLE
Cooper, Delila (individual)Operational/managerial Control · NOT APPLICABLE
Gibbs, Karen (individual)Operational/managerial Control · NOT APPLICABLE
Hansen, Patrick (individual)Operational/managerial Control · NOT APPLICABLE
Jung, Kim (individual)Operational/managerial Control · NOT APPLICABLE
Select Rehabilitation, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Sodexo America, LLC (organization)Operational/managerial Control · NOT APPLICABLE
United Lutheran Program for the Aging, INC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Luther Manor?

Luther Manor has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Luther Manor have?

It has 99 certified beds and cares for about 95 residents per day.

Has Luther Manor been fined?

Yes. CMS lists 5 penalties totaling $163,627 in the last three years.

What is the phone number of Luther Manor?

(414) 464-3880. The facility is located at 4545 N 92Nd ST, Milwaukee, WI 53225.

Other nursing homes in Milwaukee

Compare all nursing homes in Milwaukee, WI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.