Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Woodside Lutheran Home during CMS and state inspections, most recent first.
A resident with an indwelling urinary catheter did not have EBP implemented during catheter care. A CNA emptied the catheter leg bag and performed device care wearing gloves but no gown, even though the facility's EBP policy requires gown and glove use for high-contact cares such as urinary catheter care. The CNA acknowledged the gown should have been worn, and the DON confirmed catheter care is high-contact resident care under the policy.
A facility failed to properly store, label, and date medications and medical supplies, affecting 11 residents. Observations revealed expired and undated items in medication carts and storage rooms, including inhalers, syringes, and wound dressings. Staff confirmed these deficiencies, acknowledging non-compliance with facility policies.
Failure to Use Enhanced Barrier Precautions During Catheter Care
Penalty
Summary
Provide and implement an infection prevention and control program was deficient because the facility did not establish and maintain enhanced barrier precautions for a resident with an indwelling urinary catheter. R61 was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the left non-dominant side and BPH with lower urinary obstructive and reflex uropathy. The resident's MDS assessment indicated dependence on staff for transfers, hygiene, dressing, and mobility, and a BIMS score of 9 out of 15, showing moderate cognitive impairment. During observation, CNA-C emptied R61's catheter leg bag and performed catheter care while wearing gloves but without a gown, despite the facility's EBP policy stating that gown and glove use is required for high-contact resident care, including device care such as urinary catheter care. After the observation, the surveyor noted an EBP sign outside the room, and CNA-C acknowledged that a gown should have been worn. The DON also confirmed that catheter care is considered high-contact resident care and that the facility's EBP policy requires a gown during such care.
Medication and Supply Storage Deficiencies
Penalty
Summary
The facility failed to ensure that medications and medical supplies were stored, labeled, and dated appropriately, leading to deficiencies in medication management for 11 residents. Observations revealed that medication carts and treatment carts contained opened, undated, unlabeled, and expired medications and supplies. Specific instances included an Albuterol Nebulizer vial and a Trelegy Ellipta inhaler without open dates, and various expired wound dressings and lubricating jelly packets mixed with non-expired ones. Further observations in the medication storage rooms and treatment carts across different units showed numerous expired and undated items, such as sterile syringes, Biotene oral rinse, and Medihoney tubes. Staff interviews confirmed that these items were expired and should have been discarded, and that open medications and supplies should have been labeled with the resident's name and open date as per facility policy. The surveyor's findings highlighted a systemic issue with the facility's adherence to its own Medication Storage and Administration policies. Staff members, including LPNs and RNs, verified the presence of expired and improperly labeled items, acknowledging that these items should not have been in use. The facility's failure to comply with its policies resulted in the improper management of medications and medical supplies, affecting the quality of care provided to the residents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 77 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Green Bay
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rennes Health And Rehab Center-de Pere | 2.6 mi | ★★★★★ | 9 | 0 |
| Odd Fellow Home | 3 mi | ★★★★★ | 5 | 0 |
| Green Bay Health Services | 3.2 mi | ★★★★★ | 0 | 0 |
| Ccc Of West Green Bay | 3.3 mi | — | 0 | 0 |
| Grancare Nursing Center | 3.4 mi | ★★★★★ | 6 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Woodside Lutheran Home.
100% money-back within 48 hours.
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.