Woodside Lutheran Home
A nursing home in Green Bay, Wisconsin 54304
1040 Pilgrim Way, Green Bay, Wisconsin 54304. (920) 499-1481.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 1 health citation at the latest inspection cycle Wisconsin average: 9.4
- 5.26 nurse hours per resident per day Wisconsin average: 4.25
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
1 health citation at the latest inspection cycle
The Wisconsin average is 9.4.
Last standard inspection Sep 24, 2025.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
2 citations in 2 months of the last 36. Last cited Sep 2025. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 2 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Sep 24, 2025: standard inspection1 citation
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Provide and implement an infection prevention and control program.
Jul 31, 2024: standard inspection1 citation
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1995.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, church related.
- 118 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
5.26 nurse hours per resident per day
The Wisconsin average is 4.25.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Wisconsin average |
|---|---|---|
| Nurse hours per resident per day | 5.26 | 4.25 |
| Of which registered nurses | 1.46 | 0.98 |
| At weekends | 4.35 | 3.75 |
| Nursing staff turnover | 43.9% | 46.7% |
| Registered nurse turnover | 20% | 40.1% |
| Administrators who left | 0 | Not given |
Who owns it?
- Bay Area Lutheran Homes Inc. owns 100% directly since Nov 14, 2006.
- Cliftonlarsonallen and Healthdirect Institutional Pharmacy Services Inc. and Greenfield Rehabilitation Agency, Inc. and Wipfli LLP and Pinnacle Innovative Healthcare Solutions, LLC run it.
- 54 owners or officers are people: Polly Gretzinger (corporate officer, 100%); Jessica Atkinson (corporate officer, 100%); Michelle M Poole (runs it (operational or managerial control)); Michelle M Poole (additional disclosable party (controls, leases property to, or provides services to the home)); Kathy Pletcher (corporate director, 0%); Kathy Pletcher (runs it (operational or managerial control)); Kathy Pletcher (additional disclosable party (controls, leases property to, or provides services to the home)); Larry W Frazier (corporate director, 0%); Larry W Frazier (runs it (operational or managerial control)); Larry W Frazier (additional disclosable party (controls, leases property to, or provides services to the home)); Polly Gretzinger (runs it (operational or managerial control)); Polly Gretzinger (additional disclosable party (controls, leases property to, or provides services to the home)); Pamela Anderson (corporate director, 0%); Pamela Anderson (runs it (operational or managerial control)); Pamela Anderson (additional disclosable party (controls, leases property to, or provides services to the home)); Maximilian G Roth (corporate director, 0%); Maximilian G Roth (runs it (operational or managerial control)); Maximilian G Roth (additional disclosable party (controls, leases property to, or provides services to the home)); Anna J Lim (runs it (operational or managerial control)); Anna J Lim (additional disclosable party (controls, leases property to, or provides services to the home)); Earl Vorpagel (corporate director, 0%); Earl Vorpagel (runs it (operational or managerial control)); Earl Vorpagel (additional disclosable party (controls, leases property to, or provides services to the home)); Paul Seymour (corporate director, 0%); Paul Seymour (runs it (operational or managerial control)); Paul Seymour (additional disclosable party (controls, leases property to, or provides services to the home)); Katherine A Brewer (runs it (operational or managerial control)); Katherine A Brewer (additional disclosable party (controls, leases property to, or provides services to the home)); Lisa J Gervais (runs it (operational or managerial control)); Lisa J Gervais (additional disclosable party (controls, leases property to, or provides services to the home)); Laura M Nelson (corporate director, 0%); Laura M Nelson (runs it (operational or managerial control)); Laura M Nelson (additional disclosable party (controls, leases property to, or provides services to the home)); Susan L May (corporate director); Susan L May (runs it (operational or managerial control)); Susan L May (additional disclosable party (controls, leases property to, or provides services to the home)); Dean Matzke (corporate director, 0%); Dean Matzke (runs it (operational or managerial control)); Dean Matzke (additional disclosable party (controls, leases property to, or provides services to the home)); Jessica Atkinson (runs it (operational or managerial control)); Jessica Atkinson (additional disclosable party (controls, leases property to, or provides services to the home)); Amy Veldt (runs it (operational or managerial control)); Amy Veldt (additional disclosable party (controls, leases property to, or provides services to the home)); Norman J Schroeder (corporate director, 0%); Norman J Schroeder (runs it (operational or managerial control)); Norman J Schroeder (additional disclosable party (controls, leases property to, or provides services to the home)); Jeri Raab (corporate director); Jeri Raab (runs it (operational or managerial control)); Jeri Raab (additional disclosable party (controls, leases property to, or provides services to the home)); Andrew Bake (corporate director, 0%); Andrew Bake (runs it (operational or managerial control)); Andrew Bake (additional disclosable party (controls, leases property to, or provides services to the home)); Sarah Cabino (runs it (operational or managerial control)); Sarah Cabino (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Bay Area Lutheran Homes Inc. | Owns 5% or more directly | 100% | Nov 14, 2006 |
| Bmo Bank, N.A. | Holds 5% or more security interest | 70.2% | Aug 12, 2021 |
| Nicolet National Bank | Holds 5% or more security interest | 29.8% | Apr 1, 2024 |
| Cliftonlarsonallen | Runs it (operational or managerial control) | Jan 1, 2024 | |
| Cliftonlarsonallen | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 30, 2026 | |
| Healthdirect Institutional Pharmacy Services Inc. | Runs it (operational or managerial control) | Jun 29, 2017 | |
| Healthdirect Institutional Pharmacy Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 30, 2026 | |
| Greenfield Rehabilitation Agency, Inc. | Runs it (operational or managerial control) | Jun 1, 2019 | |
| Greenfield Rehabilitation Agency, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 30, 2026 | |
| Wipfli LLP | Runs it (operational or managerial control) | Oct 20, 2013 | |
| Wipfli LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 30, 2026 | |
| Bmo Bank, N.A. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 30, 2026 | |
| Nicolet National Bank | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 30, 2026 | |
| Pinnacle Innovative Healthcare Solutions, LLC | Runs it (operational or managerial control) | Jan 1, 2007 | |
| Pinnacle Innovative Healthcare Solutions, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 30, 2026 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Wisconsin average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 5 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 20.8 miles, this one had the 11th most health citations at the latest inspection cycle (1; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Woodside Lutheran Home This nursing home | 1 | |
| Rennes Health and Rehab Center-De Pere | 2.6 | 2 |
| Odd Fellow Home | 3.0 | 13 |
| Green Bay Health Services | 3.2 | 11 |
| Serenity Spring Senior Living at Green Bay | 3.4 | 4 |
| Anna John Resident Centered Care Community | 4.6 | 6 |
| Edenbrook of Green Bay | 7.4 | 9 |
| Brown Cty Comm Treatment Ctr-Bayshore Village | 8.1 | 2 |
| Good Shepherd Services Ltd | 12.5 | 7 |
| St Paul Elder Services, Inc. | 17.8 | 1 |
| Little Chute Health Services | 18.1 | 11 |
| Edenbrook of Appleton North | 20.8 | 6 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.