Care & Rehab - Ladysmith 1

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.

Therapy staffing: this home’s payroll records show 0.19 therapist hours per resident per day in 2026Q1 — more than 20% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 32 beds and averages 30.5 residents a day — about 95% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 4.27 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.35 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.66 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 3.81 hrs/resident/day on weekends vs 4.45 on weekdays — 14% thinner on weekends. RN hours go from 1.53 to 0.91 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% is below 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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · D2026-06-24 · tag F0620 — isolated
  Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
  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 a resident representative did not make decisions outside the scope of their role for 1 of 3 residents (R1) reviewed for Power of Attorney for finances from a sample of 5 residents.-No Power of Attorney for finances was listed prior to R1's incapacitation and due to a joint checking account with R1 and R1's Power of Attorney for health care, the facility imposed the financial duties on the Power of Attorney for healthcare.Findings include:According to 2026 Legal Clarity Wisconsin: Wisconsin Power of Attorney for Health Care Requirements, Once activated, your agent steps into your shoes for healthcare decisions. They can consent to or refuse treatments, approve surgeries, and direct the use of life-sustaining procedures, all based on the wishes you expressed in the document or communicated directly. Your agent has priority over any other person - including family members - to make these decisions, as long as providers know the agent is available.…

  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 no plan of correction
• Potential for harm · Fcited before2026-02-24 · tag F0880 — failed to prevent and control infections — widespread
  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 observation, interview, and record review, the facility did not establish and maintain 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. This had the potential to affect all 40 residents (R).-The facility did not complete surveillance of the onset of symptoms for resident infections. (R28, R1, and R27)-Certified Nurse Assistant (CNA) did not perform hand hygiene during water pass for R1, R6, R17, R20, and R27. -No Enhanced Barrier precautions (EBP) in place for R6 related to open wounds.-Improper PPE utilized with wound care for R6. Findings include: Example 1 Surveyor reviewed infection control line lists from January 2025-present. Surveyor reviewed line lists for months of December 2025-January 2026, which stated in part, .- On 01/06/26, Site of infection: Cold symptoms. [R28] was placed on respiratory precaution monitoring for 3 days. [R28] has…

  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 · E2026-02-24 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and policy review, the facility did not ensure all drugs and biologicals were stored and labeled in accordance with currently accepted professional principles and did not ensure only authorized personnel had access to medication cabinets on 100 unit and 200 unit. This occurred for 6 of the 26 medication cabinets outside residents' rooms observed. -During the three-day survey, 6 of 26 observations were made of individual resident (R6, R27, R17, R28, R31, and R11) medication cabinets left unlocked when unattended and out of view of staff with prescribed medications in cabinets. Findings include: The facility policy, titled Medication Administration, revised August 2025, states: .#2. Storage of Medications: b. Only licensed nurses, med techs, the consultant pharmacist and those lawfully authorized to administer medications are allowed access to medications. Medication rooms, carts, and medication supplies are locked when unattended, or attended by persons with authorized access only . On 02/10/26 at 12:04 PM, Surveyor observed medication cabinet outside…

  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 · D2026-02-24 · tag F0585 — failed to handle grievances — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation and record review, the facility did not take action through documenting grievances, conducting a thorough investigation of the issues identified or providing resolution of the concerns brought to the attention of facility staff regarding missing golden necklace. This affected R9.This is evidenced by:The facility policy, titled Grievance Complaint Procedures, revised October 15, 2021, states: .Procedure: #10. Social Worker or designee will begin investigating the complaint in a timely manner to ascertain its validity and will keep a record of the investigation in the complaint file. #11. A plan of action to resolve the grievance/complaint shall be developed within 72 hours of the social worker's knowledge of the compliant. The person filing the complaint or grievance will be informed within reasonable amount of time of the plan of action and the social worker will complete a follow-up to determine if the plan has succeeded. The person filing the complaint or grievance will receive periodic updates throughout the process. If the plan is not successful,…

  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 · D2026-02-24 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility did not ensure residents were free of misappropriation and/or exploitation. The facility failed to investigate and report to the State of Wisconsin or local authorities when alleged misappropriation was first reported by resident (R) R9 on 12/04/25. This led to no resolution of R9's missing golden necklace.This is evidenced by:The facility policy, titled Grievance Complaint Procedures, revised October 15, 2021, states:.Procedure:#10. Social Worker or designee will begin investigating the complaint in a timely manner to ascertain its validity and will keep a record of the investigation in the complaint file.#9. Consistent with CMS regulation 483.13 (c) (2), immediately reporting all alleged violations involving neglect, abuse, including injuries of unknown source, and/or misappropriation of resident property to the administrator and any other officials as required by State law (including the state survey and certification agency) .#11. A plan of action to resolve the grievance/complaint shall be developed within 72 hours of 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-24 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility did not ensure each resident is free from unnecessary drugs as evidenced by not completing adequate drug monitoring for 1 of 5 residents (R) R9 reviewed for unnecessary medication reviews.The facility failed to accurately monitor resident-specific targeted behaviors for R9's psychotropic medication use. The facility policy, titled Antipsychotic use in residents with dementia and discus requirements, dated 08/24, states: Procedure: 1. Upon admission of a resident who has a diagnosis of dementia and is ordered an antipsychotic medication, the nursing staff will obtain from the physician an approved diagnosis for the antipsychotic medication and a specific targeted behavior/indication for it use.The facility policy further states under Procedure: 3. The nursing department will monitor specific behavior(s) for which the antipsychotic medication was prescribed for.*Of note, the policy does not address all psychotropic medication use.R9 was admitted to facility on 10/16/25 with diagnoses that include vascular dementia unspecified severity…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-24 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported/reported timely for 3 of 3 residents reviewed (R7, R26, R9) to the State Agency (SA) or to law enforcement.The facility did not report R7's injury of unknown origin to the State Agency (SA) or to law enforcement.The facility did not report R26's injury of unknown origin to the SA or to law enforcement.The facility did not report misappropriation of R9's personal property to the SA or to law enforcement. Findings include: Facility policy titled, Abuse -Alleged Incidents of Caregiver Misconduct and Injuries of Unknown Origin, last revised 05/25, reads in part: Immediately upon learning of an incident of resident mistreatment or discovering an injury of unknown source, nursing staff must take the necessary steps to protect all residents from possible subsequent incidents of mistreatment, neglect, exploitation, or injury by removing the individual…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-24 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility did not have evidence that all injuries of unknown origin and allegations of misappropriation of property are thoroughly investigated for 2 of 2 residents reviewed (R7, R9).R7's injury of known origin was not thoroughly investigated.R9's allegation of misappropriation of property was not thoroughly investigated.Findings include: Facility policy titled, Abuse -Alleged Incidents of Caregiver Misconduct and Injuries of Unknown Origin, last revised 05/25, reads in part: Immediately upon learning of an incident of resident mistreatment or discovering an injury of unknown source, nursing staff must take the necessary steps to protect all residents from possible subsequent incidents of mistreatment, neglect, exploitation, or injury by removing the individual under suspicion from duty until the investigation is completed, or any suspected causative factors in the environment.In addition to Federal and State reporting requirements, The Elder Justice Act requires notification of local law enforcement authorities.A thorough investigation may…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-24 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and review, the facility did not implement the care developed in a comprehensive care plan for 1 (R16) resident of 12 residents reviewed for care plans in a sample of 12 residents.R16's comprehensive care plan was not implemented by staff regarding the placement of the torticollis orthosis (a device designed to restore proper head and neck alignment). Findings include:The facility's policy, titled Care Planning with Resident and/or Representative, dated 11/23/2016, states in part: A comprehensive plan of care is a systemic assessment and identification of resident problems accomplished through short- and long-term measurable goals.it includes which disciplines are responsible for the identified approaches. It is updated when changes occur.The facility's policy, titled Standards of Care, revised 2/2026, states in part: Physician orders, standing orders, MAR/TAR, care plans, CNA charting, and policies and procedures provide guidelines to follow to meet the needs of the residents.…

  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 · D2026-02-24 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 revise the comprehensive care plan based on the preferences and needs of the resident for 1 (R16) resident for 12 residents reviewed for care planning in a sample of 12 residents.R16's comprehensive care plan was not revised by staff regarding the placement of the torticollis orthosis (a device designed to restore proper head and neck alignment) based on changing goals and preferences of R16. Findings include:The facility's policy, titled Care Planning with Resident and/or Representative, dated 11/23/2016, states in part: A comprehensive plan of care is a systemic assessment and identification of resident problems accomplished through short- and long-term measurable goals.it includes which disciplines are responsible for the identified approaches. It is updated when changes occur.The facility's policy, titled Standards of Care, revised 2/2026, states in part: Physician orders, standing orders, MAR/TAR, care plans, CNA charting, and policies…

  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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to CARE & REHAB — 6 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 17 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

About 76% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $291K 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