Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at American Lutheran Home-mondovi during CMS and state inspections, most recent first.
Failure to use EBP for a resident with a JP drain. The resident was admitted after hospitalization for acute cholecystitis and had a JP drain in place, but staff did not place EBP signage or PPE at the room, and CNA and RN interviews showed the resident was not on precautions and staff were unsure of the correct precaution status. The DON, who also served as the infection preventionist, acknowledged the resident's EBP had been overlooked.
The facility failed to create comprehensive care plans for two residents, one with depression and another at risk of bleeding due to anticoagulant use. The first resident, prescribed Sertraline for depression, showed signs of emotional distress without a care plan in place. The second resident, on Apixaban for atrial fibrillation, lacked a care plan to manage bleeding risks. The DON confirmed the absence of these care plans.
A facility failed to limit PRN orders for Lorazepam to 14 days or provide a physician's rationale for extension for a resident in hospice care. The resident's PRN order for Lorazepam lacked an end date, contrary to facility policy requiring a documented rationale and specific duration for extensions. Despite a pharmacist's note highlighting the need for compliance, the physician did not provide a specific duration, and the DON acknowledged the oversight without further clarification.
Failure to Use Enhanced Barrier Precautions for Resident With JP Drain
Penalty
Summary
Provide and implement an infection prevention and control program. The facility did not use enhanced barrier precautions (EBP) for 1 of 2 sampled residents, R9, who had a Jackson Pratt (JP) drain placed before admission after hospitalization for acute cholecystitis. The quarterly MDS showed R9 had a BIMS score of 15 out of 15, indicating he was cognitively intact. The facility resident matrix identified R9 for EBP, but on observation he did not have EBP signage on his door or PPE at point of care. During interview and observation, CNA C stated R9 was not on any precautions and did not know why he had a drain. Later, staff placed a contact precaution sign and PPE outside the room, and RN D initially thought R9 was on contact precautions before confirming he should have been on EBP because of the JP drain. RN D stated R9 had not been placed on any precautions since admission. R9 also stated staff had not been wearing PPE during high-contact care. DON B, who also served as infection preventionist, stated R9's EBP had been overlooked and acknowledged the deficient practice.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop and implement comprehensive care plans for two residents, leading to deficiencies in addressing their medical and psychosocial needs. One resident, who was admitted with a history of major depressive disorder, was prescribed Sertraline for depression. Despite this, there was no care plan in place to address the resident's depression, including non-pharmacological interventions. Observations revealed the resident was emotionally distressed, crying in her room, and not eating lunch, indicating a need for a structured care plan to manage her depression effectively. Another resident, with a diagnosis of paroxysmal atrial fibrillation, was prescribed Apixaban, an anticoagulant medication that increases the risk of bleeding. However, the facility did not develop a care plan to manage the risk of bleeding associated with the medication. The Director of Nursing confirmed the absence of care plans for both residents, acknowledging the oversight in addressing these critical aspects of their care needs.
Failure to Limit PRN Psychotropic Medication Orders
Penalty
Summary
The facility failed to ensure that PRN orders for psychotropic drugs were limited to 14 days or had a physician's rationale to extend the medication for a specific duration for one of the residents reviewed. The resident in question, who was admitted to hospice care, had a PRN order for Lorazepam to be administered for agitation without an end date. The facility's policy requires that PRN psychotropic medications be time-limited to 14 days unless a physician documents a rationale for extending the order and specifies the duration. The resident's medication administration record showed that Lorazepam was administered on two occasions, but the order lacked a documented end date. Although a pharmacist had noted the need for a clinical rationale and specific duration for extending the PRN order, the physician only marked the rationale as hospice/palliative without providing a specific duration. The Director of Nursing acknowledged the oversight and indicated an understanding of the requirement for an end date, but no further information was provided to the surveyor regarding the rationale for the absence of an end date.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mondovi
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dove Healthcare - South Eau Claire | 17.6 mi | ★★★★★ | 0 | 0 |
| Grace Lutheran Communities - River Pines | 19.5 mi | ★★★★★ | 3 | 0 |
| Dove Healthcare - West Eau Claire | 19.5 mi | ★★★★★ | 0 | 0 |
| Oakwood Health Services | 19.5 mi | ★★★★★ | 14 | 0 |
| Trempealeau Cty Hcc Imd | 21.9 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.