Complete Care at Care Age

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

47.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 223 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 52.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 80 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.35 therapist hours per resident per day in 2026Q1 — more than 60% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 31% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 110 beds and averages 71.1 residents a day — about 65% occupied, or roughly 39 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.33 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.67 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.03 hrs/resident/day on weekends vs 4.45 on weekdays — 10% thinner on weekends. RN hours go from 0.74 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 69% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

31 citations, most serious first. The 15 most serious are shown; the remaining 16 are one tap away and print in full.

• Immediate jeopardy · J2025-06-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure each resident receives the necessary care and services in accordance with professional standards of practice (N6, Wisconsin Nurse Practice Act) after experiencing a change of condition for 1 of 11 residents reviewed (R20). R20 had an unintended sudden change of plane while being transferred by a sit to stand lift by a lone Certified Nursing Assistant (CNA). While in the lift sling, the lift's battery died, and resident ended up in a squatting position with her buttocks touching the foot pads of the lift. This sudden change of plane resulted in a hip fracture. Staff did not follow R20's plan of care which included using 2 staff for transfers with a sit to stand lift, and staff moved resident twice without a Registered Nurse (RN) assessment after the change of plane. The facility failed to report R20 having a change of plane to the oncoming shift, failed to give details regarding R20's incident to R20's provider delaying medical treatment, failed to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-06-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Example 2 R35 was admitted to the facility 4/24/23 with diagnoses including, but not limited to, the following: Dementia (a group of thinking and social symptoms that interferes with daily functioning), diabetes mellitus type 2 (a long-term condition in which the body has trouble controlling blood sugar), abnormal gait (walking different than normal), chronic kidney disease (disease of the kidneys that will eventually lead to kidney failure), and hypertension (high blood pressure). On 4/24/23, the facility's Treatment Administration Record (TAR) documents the following: Monitor feet to ensure skin is intact and free from s/sx (signs/symptoms) of developing skin alterations. Notify MD (Medical Doctor) with any change in skin integrity. Every evening shift for prevention of skin impairment. R35's Braden's are as follows: 4/24/24: 19 (Not At Risk) 7/24/24: 20 (Not at Risk) 10/25/24: 18 (Mild Risk) 11/8/24: 15 (Mild Risk) 1/21/25: 14 (Moderate Risk) 2/13/25: 11 (High Risk) 5/3/25: 16 (Mild Risk) On 7/5/24, the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-06-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure that each resident receives adequate supervision and assistance devices to prevent accidents in 1 of 2 residents (R20) reviewed for falls resulting in actual harm, 1 of 1 resident (R31) reviewed for motorized wheelchair charging, and 2 of 4 units reviewed for lithium battery charging. R20 is being cited at Actual Harm/Isolated. R31 and 2 of 4 units is being cited at Potential for Harm/Isolated. R20 was care planned to be a two person assist with a sit to stand transfer. CNA L transferred R20 alone when the lift lost battery power. R20 ended up sitting on the ground, had a sudden drop from the lift, and a change of plane/fall. CNA L assisted R20 off the floor and did not report R20 ended up sitting on the ground, had a sudden drop from a lift, and a change of plane/fall immediately to the floor nurse or to the oncoming shift. CNA L reported that R20 was on the ground to CNA M. CNA M did not report R20 had a fall to the floor nurse. R20 was found to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-01-05 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews, the facility did not always ensure that 3 out of 4 residents ( R37, R2, R360) reviewed for pressure ulcers received the necessary care and treatment to promote healing of existing pressure ulcers and to avoid the development of new pressure ulcers. R37 developed a Stage #3 pressure ulcer to his middle finger of the right hand. R37's range of motion to the right hand had deteriorated and a contracture developed. R37 was not provided with pressure relief for the contracture to the right hand and developed the stage #3 pressure ulcer. R2 had a history of resolved pressure ulcers to the right ankle and left buttocks. On [DATE] R2 developed a new pressure ulcer to the right buttocks (stage 2) and an order was given to obtain an alternating air mattress to provide additional pressure relief. The facility acknowledged that R2 should have had this type of mattress on his bed prior to the development of the new pressure ulcer to the right buttock and also that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-01-05 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, and record review, the facility did not ensure a Resident with limited range of motion received the appropriate treatment and services to prevent further decrease in range of motion for 1 (R37) of 1 Residents reviewed for limited range of motion. On 5/25/22, R37 was transferred from the hospital to the facility. R37 had been hospitalized following a fall which resulted in a right hip fracture and right humerus fracture. There was no surgical repair of the right humerus and R37 was advised to keep the right arm in a sling. R37 was admitted to the facility with the supportive services of hospice care. The facility did not document the interventions to address R37's limited arm Range of Motion (ROM), or identity interventions to prevent further decline in the right arm ROM until after R37's right hand became contracted. Findings include: The Facility policy, entitled Prevention of Decline in Range of Motion, dated 10/1/22 documents Residents who enter the facility without limited…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-03 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility did not ensure food was served in accordance with professional standards for food service safety potentially affecting 45 of 67 residents who eat their meals in their room. Observations were made of staff delivering meal trays to residents in their room with uncovered dessert items and beverages.Findings include:The facility policy and procedure that is undated and titled Dining: Maintain Nutritive Values documents: 4. Food Service . b. Prepared food will be transported to other areas in covered containers.On 12/2/2025 at 12:15 PM, Surveyor was in R1's room when staff brought in R1's lunch tray. The tray had a bowl with chocolate cake that had not been covered and coffee that did not have a lid on. Staff had prepared R1's meal tray at the nurses' station down the hallway and carried the uncovered items through the hall to present to R1.On 12/3/2025 at 8:02 AM, Surveyor observed the breakfast service on the rehab (rehabilitation) unit. Trays were brought to the unit by the kitchen staff in an insulated cart. Certified…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-06-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility did not maintain a safe and sanitary environment in which food is prepared, stored, and distributed. This has the potential to affect all 57 residents who reside in the facility. The facility did not have a system in place for manually monitoring the internal concentration of the chemical dishwasher. Surveyor observed staff prepping food and in food preparation areas without hair restraints. Surveyor observed food in circulation to be opened and undated or pass the expiration date. Evidenced by: Example 1 Facility's policy, titled Recording Dish Machine Temperatures, undated, includes: Dishwashing staff will monitor and record dishwasher machine temperatures to assure proper sanitizing of dishes. The food service manager will train dishwashing staff to monitor dish machine temperatures throughout the dishwashing process. Staff will be trained to record dish machine temperatures for the wash and rinse cycles at each meal. The food service manager will spot check this log to assure temperatures are appropriate and staff is actually…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-25 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure that each resident receives food and drink that is palatable and at a safe and appetizing temperature. This has the potential to affect 4 of 4 sampled residents (R56, R23, R37, R29) reviewed for food palatability and 4 of 4 supplemental residents (R2, R8, R14, and R5). R56, R23, R37, R29, R2, R8, R14, and R5 voiced concerns with their food not being palatable. Surveyors conducted 2 test trays and both test trays were not palatable. Evidenced by: Facility policy, titled Record Food Temperatures, implemented 5/28/25, includes: . Hot foods will be held at 135 degrees Fahrenheit or greater . Potentially hazardous cold food temperatures will be kept at or below 41 degrees Fahrenheit. Example 1 R29 admitted to the facility on [DATE]. His most recent Minimum Data Set (MDS), with Assessment Reference Date (ARD) of 4/9/25, indicates his cognition is moderately impaired with a Brief Interview for Mental Status (BIMS) score of 11 out of 15. It…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-06-25 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility has not established an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 19 sampled residents (R49, R23, and R41) and 1 of 1 supplemental residents (R19) observed for hand hygiene. Staff did not perform proper hand hygiene per standards of practice during wound care on R49 and R23. A nurse had a breach in infection control during medication adminstration observation for R19 when a nurse did not perform hand hygiene following a blood glucose test. A nurse had a breach in infection control during wound care for R41. Evidenced by: The facility policy entitled Hand Hygiene, dated 5/28/25, states, in part: . Policy: All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents, and visitors. This applies to all staff working in all locations within the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-25 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure that all residents are clinically appropriate to self-administer medications for 2 of 2 sampled residents (R36, 31) and 1 of 1 supplemental resident's (R24) reviewed for self- administration of medications. R36 was observed to have a cup of medications left on his bedside table for him to take independently. R36 does not have an assessment for self-administration of medications indicating that he is safe to administer medications independently. R31 had containers of medication at bedside and had scheduled medications left on her bedside table for longer than 1 hour. R31's self-administration assessment only allows Lactaid at bedside and requires nurses to follow up with R31 after 1 hour. R24 had an inhaler at his bedside. R24 does not have an assessment for self-administration of medications indicating that he is safe to administer medications independently. Evidenced by: The facility's policy titled Resident Self- Administration of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-25 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure that a comprehensive person-centered care plan included a sleep assessment and sleep tracking for 3 of 5 residents (R6, R18, and R43) reviewed for unnecessary medications. R6 is prescribed melatonin and does not have a sleep assessment or sleep tracking. R18 is prescribed melatonin and does not have a sleep assessment or sleep tracking. R43 is prescribed melatonin and does not have a sleep assessment or sleep tracking. This is evidenced by: The facility's policy titled Use of Psychotropic Medication(s), dated 5/28/25, includes: Adequate indications for use refers to the identified, documented clinical rationale for administering a medication that is based upon an assessment of the resident's condition and therapeutic goals and after any other treatments have been deemed clinically contraindicated. 5. The indications for initiating, maintaining, or discontinuing medications(s), [sic] as well as the use of non-pharmacological approaches, will be determined by evaluating the resident's physical, behavioral, mental, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-25 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Example 2 R28 admitted to the facility on [DATE] with diagnoses including urinary tract infection (2/25/25) , urine retention, and neuromuscular dysfunction of bladder. On 6/10/25 at 10:56 AM Surveyor observed R28 being pushed in his wheelchair down the hallway. Surveyor heard something rubbing as R28 passed. Surveyor observed R28's catheter bag dragging on the floor. On 6/10/25 at 10:59 AM LPN Y (Licensed Practical Nurse) indicated R28's catheter bag should not be in contact with the floor. LPN Y stated, I will fix this. On 6/10/25 12:03 PM NHA A (Nursing Home Administrator) indicated residents' catheters should not be touching the floor. On 6/10/25 at 1:53 PM DON B (Director of Nursing) indicated R28's catheter should not be in contact with floor. On 6/11/25 at 1:26 PM during wound care observation, Surveyor observed R28's catheter bag to be resting in contact with the floor. On 6/11/25 at 1:27 PM LPN G indicated R28's catheter bag should not be in direct contact with the facility's floor. Based on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-25 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure residents are free of any significant medication errors for 2 of 2 residents (R31 and R41) reviewed for medications. The facility did not ensure R31 took her evening medications as prescribed. R41 did not receive one dose of the intravenous (IV) antibiotic ordered for wound infection. This is evidenced by: The facility's policy titled Medication Errors, dated 5/28/25, includes: It is the policy of this facility to provide protections for the health, welfare, and rights of each resident by ensuring residents receive care and services safely in an environment free of significant medication errors. Medication error means the observed or identified preparation or administration of medications or biologicals which is not in accordance with the prescriber's order; manufacturer's specifications (not recommendations) regarding the preparation and administration of the medication or biological; or accepted professional standards and principles which apply…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-25 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not provide food that accommodates resident preferences; appealing options of similar nutritive value to residents who choose not to eat food that is initially served or who request a different meal choice for 3 of 17 sampled resident's (R23, R31, & R37). R23 was being served foods that were listed on his meal ticket as disliked food. R23's food preferences were not being honored. R31 was being served gravy that was listed on her meal ticket as disliked food. R31's food preferences were not being honored. R37's received foods that are on the R37 has indicated she should not have. Evidenced by: The facility policy entitled Resident Food Preferences, dated 5/28/25, states, in part: . Individual food preferences will be assessed upon admission and communicated to the interdisciplinary team. Modifications to diet will only be ordered with the resident's or representative's consent. Policy Interpretation and Implementation: 1. Upon the resident's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-16 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record reviews, the facility did not provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 5 (R3, R5, R6, R7 and R8) of 7 residents reviewed for medications. *R3, R5, R6, R7 and R8 had MD orders for narcotic pain medication. Facility staff did not consistently document the administration time of the pain medication directly after administering the pain medication as outlined in the facility policy. The late documentation could result in duplication of pain medication administration. *R5 had duplicate Medical Doctor (MD) orders for Oxycodone (a narcotic pain medication). Facility staff were using both MD orders for documenting the administration of Oxycodone. Findings include: The Wisconsin State Regulation entitled, DHS 132.60(5)(d)2. documents, in part: . Responsibility for administration. Policies and procedures designed to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$80,375 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $26,125 — penalty dated 2025-06-25
• $54,250 — penalty dated 2025-06-25
• Medicare payment denial — starting 2025-07-24 for 2 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to COMPLETE CARE — 85 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 32 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

8 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $599K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in WI