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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 8th out of 172 homes in Wisconsin. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 29m per day |
Higher than the Wisconsin average: 70%Woodside Lutheran Home is administrated by Lisa Gervais.
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 12 | This facility has 50% fewer total deficiencies than a typical Wisconsin nursing home (6 vs. WI avg 12).↓ 50% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 2 | 4 | This facility has 50% fewer deficiencies per year than a typical Wisconsin nursing home (2 vs. WI avg 4).↓ 50% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on September 24, 2025, identified a deficiency related to failure to implement Enhanced Barrier Precautions during catheter care for one resident. Earlier inspections showed mixed results, including medication storage and labeling issues noted in July 2024, with multiple expired and improperly stored medications and supplies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not part of these inspections. The pattern of deficiencies suggests some ongoing challenges with infection control and medication management, with no clear trend of improvement or worsening.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWisconsin average 6
Last Health inspection on Jul 2024
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
100% better than Wisconsin averageWisconsin average: 0.9
100% better than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% worse than Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,405 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 84 | 0 | 84 | 25,676 | 92 | 100% | 7.5 |
| Registered Nurse | 21 | 0 | 21 | 6,070 | 92 | 100% | 7.6 |
| Clinical Nurse Specialist | 15 | 0 | 15 | 5,642 | 77 | 84% | 7.4 |
| Licensed Practical Nurse | 16 | 0 | 16 | 3,568 | 92 | 100% | 7.7 |
| Dietitian | 11 | 0 | 11 | 2,554 | 92 | 100% | 6.2 |
| Speech Language Pathologist | 0 | 7 | 7 | 1,432 | 91 | 99% | 4.8 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,229 | 92 | 100% | 6.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 908 | 64 | 70% | 7.5 |
| Physical Therapy Assistant | 0 | 7 | 7 | 839 | 81 | 88% | 4.5 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 516 | 69 | 75% | 3.9 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 314 | 66 | 72% | 4.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 72 | 10 | 11% | 7.2 |
| Medical Director | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.1
35% worse than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.0
22% worse than Wisconsin averageWisconsin average: 22.1
Percent of long-stay residents whose need for help with daily activities has increased
24.6%
39% worse than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
28.9%
27% worse than Wisconsin averageWisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.5%
5% worse than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
34% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
7.5%
37% worse than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
3.6%
14% worse than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
5.2%
7% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
0.8%
85% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
25.6%
60% worse than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with Wisconsin averageWisconsin average: 95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
10% better than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
43% better than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
13% better than Wisconsin averageWisconsin average: 82.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
28% of new residents, usually for short-term rehab.
71% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
109Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Woodside Lutheran Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #11 / 177Payroll — State benchmarkedThis home is ranked 11th out of 177 homes in Wisconsin. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
216.3 miles from city center
Estimated distance in miles from Green Bay's city center to Woodside Lutheran Home's address, calculated via Google Maps.
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Woodside Lutheran Home is located in GREEN BAY, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Woodside Lutheran Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Green Bay | - | 118 | 67 | - |
| Marla Vista Assisted Living & Memory Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Green Bay | $3,000 - $8,500 | 40 | 35 | Studio / Deluxe Studio |
| Grancare Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Green Bay | - | 64 | 22 | - |
| Green Bay Health Services |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Green Bay | - | 125 | 22 | - |
| Edenbrook of Green Bay |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Green Bay | - | 90 | 0 | - |
The legal owner and operator of Woodside Lutheran Home is Bay Area Lutheran Homes Inc.
Woodside Lutheran Home has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Woodside Lutheran Home's occupancy is 82%.
Woodside Lutheran Home is registered as a non-profit in WI.
Lisa Gervais is the administrator of Woodside Lutheran Home.
Woodside Lutheran Home has 118 beds.
Yes — there are 15 photos of Woodside Lutheran Home in the photo gallery on this page.
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