Skaalen Nursing And Rehabilitation 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.

60.7% 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 98 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.9% 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 81 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 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 70 beds and averages 49.8 residents a day — about 71% occupied, or roughly 20 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 4.33 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.49 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 is below 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 3.83 hrs/resident/day on weekends vs 4.53 on weekdays — 15% thinner on weekends. RN hours go from 1.66 to 1.06 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% 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.

• Potential for harm · Fcited before2024-09-10 · 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 ensure the preparation of food in a clean and sanitary environment with the potential to affect all 52 residents residing in the facility. Surveyor observed a coat of dust on light fixtures and electrical cords above food preparation area while food was being prepared. Surveyor observed food to be in circulation that was expired and observed food in circulation to be opened and undated. Evidenced by: Example - dust On 9/4/24 at 9:12 AM, during initial tour of the kitchen, Surveyor and DM H (Dietary Manager) observed 3 plastic light covers in the ceiling and electrical cord unit suspended from the ceiling directly over the food preparation area. The light covers and electrical cord had a layer of dust on them. On 9/4/24 at 9:13 AM, DM H indicated staff in the Maintenance Department are responsible for cleaning the light covers and the electrical cord. DM H indicated there is potential for the dust to dislodge into the open food underneath. Example food dating/expiration Facility policy, entitled Food Brought 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-10 · tag F0606 — failed to not employ staff found guilty of abuse — pattern
  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
  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 it did not employ individuals who were found guilty of abuse, neglect, exploitation, or mistreatment by failure to conduct timely and complete background checks for 4 (RN D, CNA E, MT C and HK F) of 8 facility staff. RN D (Registered Nurse), CNA E (Certified Nursing Assistant), and MT C (Medication Technician) did not have a background check completed every four years. HK F (Housekeeper) indicated on HK F's Background Information Disclosure (BID) form that HK F had been convicted of disorderly conduct in January 2024. The facility did not request a copy of HK F's criminal complaint, judgement of conviction, or any other relevant court or police documents as instructed by the BID form. This is evidenced by: The DHS memo P-00274 titled Wisconsin Caregiver Program: Offenses Affecting Caregiver Eligibility for Chapter 50 Programs, dated 4/2020, states: This document lists Wisconsin crimes and other offenses that the Wisconsin State Legislature, under the Caregiver Law, Wis. Stat. § 50.065, has determined require…

  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 · Fcited before2023-05-23 · 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 ensure the preparation of food in a clean and sanitary environment with the potential to affect all 47 residents residing in the facility. Surveyor observed [NAME] G's personal handbag sitting amongst stored clean cookware in the food preparation area. While temping food coming out of the ovens, [NAME] K used a visibly soiled alcohol wipe to clean thermometer and did not allow thermometer to air dry between foods. Surveyor observed a plastic scoop to be stored in contact with flour inside of a storage bin. Evidenced by: Example 1 On 5/21/23 at 9:14 AM Surveyor observed [NAME] G preparing food in the food preparation are. [NAME] G had her personal handbag on a storage shelf amongst clean bakeware. [NAME] G indicated she should not have her personal items in the food preparation or storage area. On 5/22/23 at 10:51 AM Dietary Manger F (DM) indicated [NAME] G should not have her personal handbag in the food preparation area on the storage shelf with the clean bakeware. Example 2 Facility policy, entitled Taking…

  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 · F2023-05-23 · 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 Example 2 The facility policy, titled, APIC (Association for Professionals in Infection Control) Guideline for Handwashing and Hand Antisepsis in Healthcare Settings, with a handwritten date of 8/17/03, indicates, in part: .2. Bacteria on hands must be removed by hand washing with soap and water or by hand antisepsis with alcohol-based hand-rubs (if hands are not visibly soiled): .b. Before and after caring for each resident .f. After contact with a source of microorganisms (body fluids and substances, mucous membranes, non-intact skin, inanimate objects that are likely to be contaminated). g. Every time a person puts on or takes off gloves .7. Glove use .b. Gloves should be used for hand-contaminating activities. Gloves should be removed, and hands washed when such an activity is completed and before there is a risk of contaminating the environment with the material that is on the gloves, when the integrity of the gloves is in doubt, and between patients/residents . On 5/22/23 at 8:15AM Surveyor observed RN D…

  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 · D2023-05-23 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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 every resident was treated with dignity and respect when providing activities of daily living (ADLs) for 2 of 16 residents reviewed and 1 of 1 supplemental resident reviewed (R21, R44, and R305). Surveyor observed R21 in dining room area. R21's catheter bag was not covered with a dignity bag. Surveyor observed staff entering R44's room without knocking or introducing themself. Surveyor heard staff sharing personal information about R305 outside of R305's room. Staff were standing outside of R305's room and Surveyor could hear the conversation while standing at the end of the hall. Example 1 R21 was admitted to the facility on [DATE] with diagnoses including heart failure, diabetes, kidney disease, overactive bladder, depression, anxiety, and neuromuscular dysfunction of bladder. R21's most recent Minimum Data Set (MDS) with Assessment Reference Date (ARD) of 3/5/23, indicates R21 has a Brief Interview for Mental Status (BIMS)…

  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 · D2023-05-23 · 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, interview, and record review the facility did not ensure pressure injury preventive measures were implemented. This was observed with 1 (R44) of 4 residents reviewed for pressure injuries out of a total sample of 16 residents. R44 was observed to not be repositioned at least every 2 hours while in bed. R44 was observed to have heels directly on mattress. Evidenced by: Facility policy, entitled Wound Care Protocol, revised date 7/17/21, includes, in part: .OPERATIONAL DETAILS .2. As part of the above assessment, risk factors must have a corresponding intervention to alleviate or reduce the risk. Preventive interventions may include but are not limited to pressure redistributing seating surfaces, beds, mattresses, extremity offloading, supportive devices, protective dressings, skin observations and repositioning plans . R44 was admitted to the facility on [DATE] with diagnoses including fracture, hypertension, age-related osteoporosis, retention of urine, hearing loss, age-related macular…

  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 · D2023-05-23 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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 drinks were prepared in a form to meet the individual needs for 1 of 1 resident (R6) with alterations to fluid for oral intake out of a total of 16 residents sampled. Facility staff served regular thin liquids to R6, who has a dietary order for nectar-thickened liquids. Findings include: R6 was admitted to this facility on 3/31/23 for physical and occupation therapy with primary diagnoses of altered mental status, recurrent falls, poor mobility, weakness, and dementia. R6's most comprehensive recent Minimum Data Set (MDS) assessment dated [DATE] shows R6 has a Brief Interview of Mental Status (BIMS) score of 4 out of 15, indicating severe cognitive impairment. Section K. Oral/Nutritional Status indicates that R6 has signs and symptoms of possible swallowing disorder including coughing or chocking during meals or when swallowing medications. R6 has a current dietary order for nectar thickened liquids. Nurse's note in 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 · D2023-05-23 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 record review and interview, the facility administered the influenza immunization without receiving consent from the resident's Activated Power of Attorney (APOA) for 1 of 5 residents (R31) reviewed for immunizations. R31 received the influenza immunization without consent and prior to receiving the APOA's declination. Findings include: The facility policy titled Influenza Vaccination Guidelines last reviewed 7/13/21 states in part: .3. Before offering/ administering the vaccine, the resident or the resident's legal representative will receive written education regarding the benefits and potential risks of the vaccination. The resident or legal representative will sign a form attesting to the education and will give written consent to receiving the vaccination or decline the vaccination . R31 was admitted to the facility on [DATE] with diagnoses that include Alzheimer's Disease, Generalized Anxiety Disorder, and depression. R31's most recent Brief Interview of Mental Status (BIMS) assessment dated…

  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

“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 17 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

This home reported $492K paid to related parties (affiliated landlords or management companies) in its most recent 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