Home›Browse›Wisconsin›Fond Du Lac›Tarfa Terrace

Nursing homeFAID #13299

Tarfa Terrace

244 N MACY ST, FOND DU LAC, WI, 54935

(920) 921-9520

85 licensed beds

★★★★★3/5CMS Five-Star overall3/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

244 N Macy St

Fond Du Lac, WI 54935

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

525655

Care type

Nursing home

County

Fond Du Lac

Facility name

Tarfa Terrace

Legal entity

Fond Du Lac Lutheran Home

Street address

244 N MACY ST

City / state / ZIP

Fond Du Lac, WI 54935

Phone

(920) 921-9520

About this facility — Tarfa Terrace

Tarfa Terrace is a Medicare/Medicaid-certified skilled nursing facility in Fond Du Lac, Wisconsin. It is licensed for 85 beds — above the median for skilled nursing facilities in Wisconsin (65 beds).

It is one of 30 senior care facilities in Fond Du Lac and 323 skilled nursing facilities across Wisconsin. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Tarfa Terrace 89 times across 13 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $9,113 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner

Julie Marks

Parent company

Illuminus

Ownership type

Non profit - Corporation

Registered owners & officers

Lutheran Homes and Health Services, Inc.

Direct owner · Operational control — 100% stake — since 2000

Illuminus Inc

Operational control · Additional disclosable party — since 2016

Kaymen, Stanley

Operational control · Additional disclosable party — since 2023

Marks, Julie

Director · Officer · Operational control · Additional disclosable party — since 2025

Mauthe, Matthew

Officer · Operational control · Additional disclosable party — since 2016

Schleif, Terry

Director — since 2016

Suhs, Kim

Director — since 2015

Weber, Lisa

Operational control · Additional disclosable party — since 2014

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2000-01-01

CMS overall rating

3 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

$9,113 total

Last standard inspection

2025-09-04

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$534 per day (≈ $16,230/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

33% Medicaid · 6% Medicare · 61% private/other

Occupancy

68% (fiscal year 2023)

Vs. state median

31% above the WI median of $407/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-05-14Health inspectionComplaint-triggered1 citation

F-0552

D · No harm foundFrom a complaint

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2026-06-03

2025-09-04Health inspection3 citations

F-0553

D · No harm found

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2025-10-25

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-10-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-10-25

11 earlier / fire-safety inspections (85 citations)

2025-03-27Health inspectionComplaint-triggered4 citations

F-0584

D · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-04-22

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-04-22

F-0846

C · No harm foundFrom a complaint

Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.

Corrected 2025-04-22

F-0947

D · No harm foundFrom a complaint

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-04-22

2024-12-19Health inspectionComplaint-triggered1 citation

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-01-13

2024-09-24Health inspectionComplaint-triggered2 citations

F-0610

D · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-10-22

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-17

2024-07-10Health inspection15 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-08-06

F-0551

D · No harm found

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2024-08-06

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-08-06

F-0600

D · No harm found

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-06

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-08-06

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-08-06

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-06

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-06

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F-0691

D · No harm found

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-08-06

F-0700

D · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-08-06

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-08-06

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-08-06

F-0761

D · No harm found

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.

Corrected 2024-08-06

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-06

2024-04-10Health inspectionComplaint-triggered3 citations

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-09

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-09

F-0726

D · No harm foundFrom a complaint

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-05-09

2023-11-27Health inspectionComplaint-triggered3 citations

F-0585

D · No harm foundFrom a complaint

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.

Corrected 2023-12-27

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-12-27

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-12-27

2023-08-03Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-09-01

2023-05-24Health inspection10 citations

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-07-07

F-0585

D · No harm found

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.

Corrected 2023-07-07

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-07-07

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2023-07-07

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-07-07

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-07

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-07-07

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-07

F-0725

F · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-07-07

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-07-07

2025-09-04Fire-safety inspection10 citations

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-09-23

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2025-09-24

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-09-18

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-10-17

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-11-21

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-30

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-09-22

K-0500

D · No harm found

Meet other general requirements that are deficient.

Corrected 2025-09-23

K-0521

D · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-09-22

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-09-23

2024-07-10Fire-safety inspection27 citations

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2024-08-05

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2024-09-11

E-0029

F · No harm found

Develop a communication plan.

Corrected 2024-08-05

E-0035

F · No harm found

Provide family notifications of emergency plan.

Corrected 2024-08-05

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2024-08-05

K-0132

E · No harm found

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

Corrected 2024-08-05

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-08-05

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-08-05

K-0311

E · No harm found

Have an enclosure around a vertical opening shaft.

Corrected 2024-09-20

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-05

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-09-03

K-0346

F · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-08-05

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-15

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-08-05

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-08-05

K-0362

E · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-09-20

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-12-24

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-05

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-08-05

K-0751

E · No harm found

Have restrictions on the use of flammable curtains.

Corrected 2024-08-05

K-0753

E · No harm found

Have restrictions on the use of highly flammable decorations.

Corrected 2024-08-05

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-26

K-0781

F · No harm found

Have restrictions on the use of portable space heaters.

Corrected 2024-08-05

K-0912

D · No harm found

Have power receptacles that are properly grounded.

Corrected 2024-08-05

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-08-05

K-0916

F · No harm found

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-08-30

K-0925

E · No harm found

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Corrected 2024-08-05

2023-05-24Fire-safety inspection9 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-07-07

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-07-07

K-0300

D · No harm found

Meet other general requirements that are deficient.

Corrected 2023-07-07

K-0345

C · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-07

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-07

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-07-07

K-0521

E · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-07-07

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-07-07

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-07-07

Federal penalties

2025-03-27Fine$9,113

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 525655.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 89 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Federal NPI Registry (NPPES)

NPI 1649266404

Monthly federal file

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered