St Croix Health Center

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.

64.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 61 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.1% 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 63 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 0.42 therapist hours per resident per day in 2026Q1 — more than 72% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 50 beds and averages 38.1 residents a day — about 76% occupied, or roughly 12 beds typically open. It usually has some room. 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 5.93 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.04 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.11 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 5.51 hrs/resident/day on weekends vs 6.09 on weekdays — 10% thinner on weekends. RN hours go from 1.27 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as 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 fewer than at the previous inspection — improving. 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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · Fcited before2025-12-03 · 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, interview and record review, the facility did not distribute and serve food in accordance with professional standards for food service safety which had the potential to affect all 38 residents.Food Server (FS) H did not cover facial hair while temping and serving food.Findings include:Facility policy titled Dress Policy from New Horizon's Food Handbook dated December 2021, reads in part. Hair restraints while handling food including facial hair covers in accordance with state and health department regulations.On 12/01/2025 at 12:07 PM, Surveyor observed FS H temping and serving food with a hat on, beard net on, and full mustache uncovered and exposed.On 12/02/2025 at 8:15 AM, Surveyor observed FS H serving breakfast with mustache exposed and uncovered. On 12/02/2025 at 10:02 AM, Surveyor interviewed [NAME] J in the main kitchen. [NAME] J stated that as long as hair is up and covered, kitchen staff can wear a hat or hairnet. [NAME] J also stated facial hair must be covered. On 12/03/2025 at 7:48 AM, Surveyor interviewed Dietary Manager (DM) I. DM I stated…

  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 · F2025-12-03 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  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 the Quality Assessment and Assurance (QAA) committee required the Medical Director (MD) to attend the Quality Assurance Process Improvement meetings each quarter. This has the potential to affect all 38 residents. This is evidenced by:On 12/03/25 at 2:36 PM, Surveyor interviewed Director of Nursing (DON) B about Quality Assurance Process Improvement (QAPI) meetings and who should be in attendance at these meetings. DON B stated the Medical Director (MD) has not attended the last two meetings on 11/20/25 and 08/21/25. The meeting information is sent to MD to review and if additional information is to be added. Nursing Home Administrator A (NHA) is in contact with the clinic for a new MD and physician. The current physician is leaving, and MD is retiring and NHA A is hoping the new physician will also be the MD. On 12/03/25 at 3:05 PM, Surveyor interviewed NHA A asking if MD attended QAPI meetings and if formal negotiations have occurred to contract a new Medical Director. NHA A stated MD did not attend the meetings. NHA…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-03 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure 2 of 6 residents reviewed were free from unnecessary medications in relation to excessive duration.R2 was prescribed Lorazepam 2MG/ML Concentrate (0.25 ml / 0.5mg) by mouth every 2 hours as needed without a required end date.R27 was prescribed Lorazepam 0.5mg by mouth every 6 hours as needed for anxiety without a required end date. Findings include: Example 1 R2 was admitted to the facility on [DATE]. Pertinent diagnoses include bipolar disorder, unspecified, and unspecified dementia, unspecified severity, with other behavioral disturbance. R2 is on Hospice Pertinent medication order includes: Lorazepam 2MG/ML Concentrate Dose: (0.25 ml / 0.5mg) by mouth every 2 hours as needed For: Anxiety, Restlessness, Insomnia (Trouble Sleeping) Administration Instructions: no stop date, indefinitely Surveyor noted the facility did not have a policy or procedure for as-needed psychotropic medications. On 12/03/25 at 7:43 AM, Surveyor interviewed Licensed…

  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 · D2025-12-03 · tag F0880 — failed to prevent and control infections — isolated
  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 maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to prevent the development and transmission of communicable diseases and infections for 2 of 13 residents (R) (R7, R24)Staff did not change gloves or perform hand hygiene during observation of incontinence cares for R7 and R24.Staff utilized contaminated high touch environmental surfaces to conduct resident cares for R7 and R24. Findings: The facility policy titled Hand Hygiene updated on 05/20/25 states: Purpose: Appropriate hand hygiene is essential in preventing transmission of infectious agent. To cleanse hands to prevent the spread of potentially deadly infections, to provide a clean and healthy environment for residents, staff, and visitors. To reduce the risk to the healthcare provider of colonization or infections acquired from a resident. Hand hygiene continues to be the primary means of preventing the transmission…

  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 · Fcited before2024-09-18 · 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, record review and interview, the facility did not serve foods in a sanitary manner which has the potential to affect all 42 residents. Nutritional Aide (NA) F touched her reading glasses several times when preparing and serving lunch without performing hand hygiene and continuing to serve foods. While checking the lunch foods temperatures NA F did not allow the thermometer probe to air dry after sanitizing with alcohol and before inserting into foods. Staff did not wear hair restraint when preparing food and when in the kitchenette where food was being served. This is evidenced by: Surveyor requested and received facility policies as follows: ~Handwashing dated 2010 notes: Policy: Staff will wash hands frequently as needed throughout the day following proper hand washing procedure. Procedure: During food preparation as often as necessary to remove soil and contamination and to prevent cross contamination . ~Taking Accurate Temperatures dated 2010 notes: To take temperatures a clean, rinsed, sanitized and air-dried thermometer .is needed. Example 1 On 9/16/24 at…

  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 · D2024-09-18 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to follow procedures that prohibit and prevent abuse, neglect, and exploitation of residents. The facility did not perform a Minnesota background check in the last 4 years for a staff member that has direct contact with residents. This was found for 1 of 8 staff members investigated for background check compliance. Findings include: The facility policy entitled, Abuse Policy, dated 04/24/24 states: Screening: Potential employees of St. Croix Health Center are screened for any history of abuse, neglect, or mistreatment of residents. A criminal background check and a call to the Caregiver Background Registry is performed by Human Resources upon hire. (Note: Policy does not mention follow up background checks.) On 09/17/24 at 10:00 AM, Surveyor performed record review of eight employees' background checks and found that one employee, Certified Nursing Assistant (CNA) I, did not have a Minnesota background check. CNA I's only background information in the file was for the state of Wisconsin. Surveyor reviewed the personnel file…

  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 before2024-09-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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, record review and interview, the facility did not provide necessary services to maintain good personal hygiene for 1 of 3 residents (R) observed for care (R2). This is evidenced by: Surveyor reviewed R2's most recent quarterly Minimum Data Set (MDS), completed on 8/06/24. The MDS notes R2 is understood, usually understands and has severely impaired cognition. R2 is dependent on staff for bed mobility, transfer and hygiene. R2 is always incontinent of bowel and bladder. R2's diagnoses include heart failure, renal insufficiency and non-Alzheimer's dementia. Surveyor reviewed R2's care plan and noted: Need: I have the potential to have skin injury Goal: keep my skin healthy and intact Date: 08/09/24 three months Approach: Check and change me upon arising, before/after meals at bedtime and on night rounds. Surveyor reviewed R2's [NAME] guidelines for daily care and noted: Check and change as needed upon arising, before/after meals, hs (hour of sleep) and night rounds Surveyor requested 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
• Potential for harm · D2024-09-18 · 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 observation, record review and interview, the facility did not provide the necessary care and treatment to prevent the development of pressure injuries for 1 of 3 residents (R) reviewed for pressure injuries (R2). This is evidenced by: Surveyor requested and reviewed the facility policy titled Prevention and Treatment of Skin Breakdown dated as most recently updated on 5/2024. The policy in part read: Purpose: To properly identify and assess residents whose clinical conditions increase the risk for impaired skin integrity and pressure ulcers; to implement preventative measures . Procedure: ~Prevention of Pressure Ulcers: Braden Scale will be done: Upon admission Review quarterly Annually. Surveyor reviewed R2's most recent Minimum Data Set (MDS) which was a quarterly assessment completed on 8/06/24. The MDS notes R2 is understood, usually understands and has severely impaired cognition. R2 is dependent on staff for bed mobility, transfer and hygiene. R2 is at risk for pressure injury. R2 uses a…

  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 before2024-09-18 · 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 observation, record review and interview, the facility did not provide the necessary services in attempt to prevent any further decrease in range of motion for 1 of 3 residents (R) reviewed (R2). This is evidenced by: Surveyor requested the facility policy regarding Restorative/Range of Motion (ROM) programs. Nursing Home Administrator (NHA) informed Surveyor the facility does not have a policy regarding ROM programs; it is an expectation Certified Nursing Assistants perform ROM. Surveyor reviewed R2's most recent quarterly Minimum Data Set (MDS), completed on 8/06/24. The MDS notes R2 is understood, usually understands and has severely impaired cognition. R2 is dependent on staff for bed mobility and transfer. R2 has range of motion impairment on one upper extremity. R2 uses a wheelchair. R2's diagnoses include heart failure, renal insufficiency and non-Alzheimer's dementia. Surveyor reviewed R2's care plan and noted: I need help with all may cares, have dementia and not able to sequence tasks, I also…

  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 · D2024-09-18 · 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 observation, interview and record review, the facility did not ensure resident safety through assessment and that the environment remains free of accident hazards as is possible for 2 of 4 residents (R) R31 and R2 reviewed. Facility did not complete a smoking risk assessment or implement care plan interventions for smoking safety for R31. R2 was evaluated by the facility to be a fall risk. R2 was observed sitting unsupervised on edge of bed in high position and fall mat not in place. Findings include: Facility policy entitled, Non-smoking Campus, last updated 04/24/24, stated in part, .we are a NON-SMOKING campus and there is NO smoking on our grounds. R31 was admitted to the facility on [DATE] with pertinent diagnoses of parkinsonism, polyneuropathy, muscle weakness, nicotine dependence, hemiplegia right side, corticobasal degeneration, and emphysema. R31's most recent admission Minimum Data Set (MDS), dated [DATE], had a Brief Interview for Mental Status (BIMS) score of 15, indicating cognition is…

  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

“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.

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 6 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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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