Federal inspection record · CMS data as of October 1, 2026

Anna John Resident Centered Care Community

2901 South Overland Road, Oneida, WI · (920) 869-2797

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
48
Residents per day
42
Ownership
Government
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 2008

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

Anna John Resident Centered Care Community carries 38 inspection points. That is fewer than 65% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 38 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–11 pts
  • 4★ 11–37 pts
  • 3★ 37–76 pts
  • 2★ 76–130.75 pts
  • 1★ over 130.75 pts

Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

9 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 5 4 pts
E 3 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning4E
  1. E

    Assure that each resident’s assessment is updated at least once every 3 months.

    February 18, 2026 · Standard · F638 · Corrected March 13, 2026

  2. E

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    February 18, 2026 · Standard · F640 · Corrected March 16, 2026

  3. E

    Ensure each resident receives an accurate assessment.

    February 18, 2026 · Standard · F641 · Corrected March 13, 2026

  4. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    September 20, 2023 · Standard · F645 · Corrected October 16, 2023

Quality of Life and Care2D
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    February 18, 2026 · Standard · F695 · Corrected March 17, 2026

  2. D

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

    November 6, 2024 · Standard · F684 · Corrected November 26, 2024

Nutrition and Dietary1F
  1. F

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

    February 18, 2026 · Standard · F812 · Corrected March 13, 2026

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    February 18, 2026 · Standard · F880 · Corrected March 13, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Respond appropriately to all alleged violations.

    June 6, 2025 · Complaint · F610 · Corrected July 1, 2025

Inspection history

  1. 2026-02-18

    6 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2024-11-06

    2 health deficiencies · 12 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  3. 2023-09-20

    1 health deficiencies · 13 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 6 h 53 min of nursing staff time a day, 1 h 6 min of it from a registered nurse.

This home

6 h 53 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 31% of nursing staff and 27% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse1.81.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days2.5 pts worse4.72.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better99.3%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better97.5%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better2.9%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms2 pts better4.0%6.0%13.5%
Percentage of long-stay residents who lose too much weight0.4 pts better4.5%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts better15.3%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication14.8 pts better1.1%15.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.6 pts better11.4%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts better15.0%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts worse3.2%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts worse3.0%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.4 pts better9.2%23.6%18.3%
Percentage of long-stay residents with pressure ulcers2.2 pts better2.7%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better89.1%86.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.0%1.2%1.5%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Oneida Nation5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Danforth, DebbieW-2 Managing Employee · Individual0%1 facilities
Larson, DavidW-2 Managing Employee · Individual0%14 facilities
Rosner, JennieW-2 Managing Employee · Individual0%1 facilities
White, DanielleW-2 Managing Employee · Individual0%2 facilities

·

Fire safety

33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke17F
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    February 18, 2026 · K353 · Corrected March 13, 2026

  2. D

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

    February 18, 2026 · K321 · Corrected March 13, 2026

  3. D

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

    February 18, 2026 · K355 · Corrected March 9, 2026

  4. C

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

    February 18, 2026 · K354 · Corrected March 13, 2026

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 6, 2024 · K353 · Corrected December 4, 2024

  6. F

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

    November 6, 2024 · K354 · Corrected November 26, 2024

  7. E

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

    November 6, 2024 · K355 · Corrected November 26, 2024

  8. E

    Install corridor and hallway doors that block smoke.

    November 6, 2024 · K363 · Corrected November 26, 2024

  9. D

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

    November 6, 2024 · K321 · Corrected November 26, 2024

  10. D

    Provide properly protected cooking facilities.

    November 6, 2024 · K324 · Corrected November 26, 2024

  11. C

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

    November 6, 2024 · K345 · Corrected November 26, 2024

  12. F

    Provide properly protected cooking facilities.

    September 20, 2023 · K324 · Corrected October 9, 2023

  13. F

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

    September 20, 2023 · K354 · Corrected October 18, 2023

  14. F

    Install corridor and hallway doors that block smoke.

    September 20, 2023 · K363 · Corrected October 9, 2023

  15. F

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

    September 20, 2023 · K372 · Corrected January 3, 2024

  16. E

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

    September 20, 2023 · K355 · Corrected October 9, 2023

  17. D

    Inspect, test, and maintain automatic sprinkler systems.

    September 20, 2023 · K353 · Corrected October 19, 2023

Gas, Vacuum, and Electrical Systems6F
  1. F

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

    February 18, 2026 · K916 · Corrected April 13, 2026

  2. E

    Ensure proper usage of power strips and extension cords.

    February 18, 2026 · K920 · Corrected March 9, 2026

  3. E

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

    November 6, 2024 · K914 · Corrected November 26, 2024

  4. E

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

    November 6, 2024 · K925 · Corrected November 26, 2024

  5. F

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

    September 20, 2023 · K918 · Corrected January 3, 2024

  6. D

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    September 20, 2023 · K927 · Corrected October 13, 2023

Miscellaneous4F
  1. F

    Have simulated fire drills held at unexpected times.

    February 18, 2026 · K712 · Corrected March 13, 2026

  2. D

    Have restrictions on the use of highly flammable decorations.

    February 18, 2026 · K753 · Corrected March 13, 2026

  3. F

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

    November 6, 2024 · K761 · Corrected November 26, 2024

  4. F

    Provide a written emergency evacuation plan.

    September 20, 2023 · K711 · Corrected October 18, 2023

Egress3F
  1. F

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

    November 6, 2024 · K222 · Corrected November 26, 2024

  2. E

    Have properly located and lighted "Exit" signs.

    November 6, 2024 · K293 · Corrected November 26, 2024

  3. F

    Install emergency lighting that can last at least 1 1/2 hours.

    September 20, 2023 · K291 · Corrected October 9, 2023

Emergency Preparedness1F
  1. F

    Establish an Emergency Preparedness Program (EP).

    September 20, 2023 · E1 · Corrected October 18, 2023

Construction1D
  1. D

    Use approved construction type or materials.

    September 20, 2023 · K161 · Corrected October 25, 2023

Services1D
  1. D

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

    September 20, 2023 · K521 · Corrected October 23, 2023

·

Other homes nearby

  1. Woodside Lutheran Home

    Green Bay, WI

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    5 h 16 min
    Fines
    $0
  2. Rennes Health and Rehab Center-De Pere

    De Pere, WI · Rennes Group

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 27 min
    Fines
    $0
  3. Green Bay Health Services

    Green Bay, WI · North Shore Healthcare

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 38 min
    Fines
    $0