Friendship, WI

Aria at Villa Pines

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

201 Park St., Friendship, WI

(608) 339-3361

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

32

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aria Healthcare

Operator or chain grouping

Approved since

1984-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.40

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.31

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.74

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

4.45

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.71

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.65

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

1.24

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.37

CMS adjusted RN staffing hours

Adjusted total hours

4.35

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,185

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

51.17

Composite VBP score used to determine payment impact.

Payment multiplier

1.0055

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.66

Baseline 18.88% · Performance 19.27% · Measure score 4.66 · Achievement 4.66 · Improvement 0

Healthcare-associated infections

2.41

Baseline 6.65% · Performance 7.11% · Measure score 2.41 · Achievement 2.41 · Improvement 0

Total nurse turnover

8.59

Baseline 36.11% · Performance 28.57% · Measure score 8.59 · Achievement 8.59 · Improvement 6.20

Adjusted total nurse staffing

4.80

Baseline 3.47 hours · Performance 4.44 hours · Measure score 4.80 · Achievement 4.80 · Improvement 3.72

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.9%
10.72%
0.8 pts better
No Different than the National Rate · Eligible stays 47 · Observed rate 6.38% · Lower 95% interval 6.73%
Discharge to community 57.53%
50.57%
7 pts better
No Different than the National Rate · Eligible stays 42 · Observed rate 52.38% · Lower 95% interval 42.66%
Medicare spending per beneficiary 1.24
1.02
0.2 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 32 · Denominator 32
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 32
Discharge self-care score 54.17%
53.69%
0.5 pts better
Numerator 13 · Denominator 24
Discharge mobility score 54.17%
50.94%
3.2 pts better
Numerator 13 · Denominator 24
Pressure ulcers or injuries, new or worsened 6.25%
2.29%
4 pts worse
Numerator 2 · Denominator 32 · Adjusted rate 6.79%
Healthcare-associated infections requiring hospitalization 7.11%
7.12%
About the same
No Different than the National Rate · Eligible stays 31 · Observed rate 6.45% · Lower 95% interval 3.98%
Staff COVID-19 vaccination coverage 7.69%
8.2%
0.5 pts worse
Numerator 5 · Denominator 65
Staff flu vaccination coverage 57.14%
42%
15.1 pts better
Numerator 60 · Denominator 105
Discharge function score 70.83%
56.45%
14.4 pts better
Numerator 17 · Denominator 24
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
1.6
0.4 pts worse
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.1 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.0
2.2
0.8 pts worse
1.8
1.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.7%
4.3 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
95.0%
5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.2%
3.2 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 7.1%
5.0%
2.1 pts worse
11.4%
4.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 14.3% · Q3 4.8% · Q4 0.0% · 4Q avg 7.1%
Percentage of long-stay residents who lose too much weight 2.7%
4.9%
2.2 pts better
5.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.8%
16.6%
0.8 pts better
19.6%
3.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · 4Q avg 15.8%
Percentage of long-stay residents who received an antipsychotic medication 5.8%
16.7%
10.9 pts better
16.7%
10.9 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 20.0%
21.1%
1.1 pts better
16.3%
3.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.9%
17.3%
6.4 pts better
14.9%
4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
2.3%
2.3 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.2%
3.0%
0.2 pts worse
1.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.2% · Q3 0.0% · Q4 4.2% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.6%
25.5%
5.9 pts better
19.8%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q2 23.9% · Q3 13.6% · Q4 18.6% · 4Q avg 19.6%
Percentage of long-stay residents with pressure ulcers 1.4%
5.5%
4.1 pts better
5.1%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
86.8%
11.1 pts better
81.7%
16.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 96.2% · Q3 100.0% · Q4 100.0% · 4Q avg 97.9%
Percentage of short-stay residents who had an outpatient emergency department visit 19.5%
15.0%
4.5 pts worse
12.0%
7.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 19.2% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
82.2%
17.8 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 26.6%
22.7%
3.9 pts worse
23.9%
2.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 26.9% · Expected 24.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-27 · Fire 2025-02-27

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-02-19 · Fire 2024-02-19

4 health deficiencies

Top issue: Infection Control (1 deficiency)

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2022-12-28 · Fire 2022-12-28

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-02-27

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-02-27

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-02-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-02-27

K321 · Smoke Deficiencies

Fire Safety

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

Not marked corrected

F · Potential for more than minimal harm 2024-02-19

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-03-20

F · Potential for more than minimal harm 2024-02-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-03-07

E · Potential for more than minimal harm 2024-02-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-19

D · Potential for more than minimal harm 2024-02-19

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-02-19

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-19

D · Potential for more than minimal harm 2024-02-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-02-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-19

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-02-19

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-03-07

F · Potential for more than minimal harm 2022-12-28

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-01-10

F · Potential for more than minimal harm 2022-12-28

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2022-12-28

F · Potential for more than minimal harm 2022-12-28

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-12-28

F · Potential for more than minimal harm 2022-12-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-12-29

E · Potential for more than minimal harm 2022-12-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-29

E · Potential for more than minimal harm 2022-12-28

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-01-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-16

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-10-27

D · Potential for more than minimal harm 2025-08-05

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-08

F · Potential for more than minimal harm 2024-02-19

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-03-20

D · Potential for more than minimal harm 2024-02-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-20

D · Potential for more than minimal harm 2024-02-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-20

C · Minimal harm 2024-02-19

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-03-20

Penalties and ownership

What sits behind the stars

Ownership

Snj Wisconsin LLC

5% Or Greater Direct Ownership Interest · Organization

60% 3 facilities 2018-06-01
Eef Capital LLC

5% Or Greater Direct Ownership Interest · Organization

40% 17 facilities 2018-06-01
Helman, Yosef

5% Or Greater Indirect Ownership Interest · Individual

0% 22 facilities 2018-06-01
Schlaff, Benny

5% Or Greater Indirect Ownership Interest · Individual

0% 17 facilities 2018-06-01
Schlaff, Nachum

5% Or Greater Indirect Ownership Interest · Individual

0% 17 facilities 2018-06-01
Silverberg, Nisanel

5% Or Greater Indirect Ownership Interest · Individual

0% 24 facilities 2018-06-01
Silverberg, Nisanel

W-2 Managing Employee · Individual

0% 24 facilities 2018-06-01
Stein, Shalom

5% Or Greater Indirect Ownership Interest · Individual

0% 83 facilities 2018-06-01

Nearby options

Other facilities in reach

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Mauston, WI

4-star overall rating with 4-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#2

Crest View Nursing Home

New Lisbon, WI

5-star overall rating with 5-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
5 / 5
Fines
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#3

Wisconsin Dells Health Services

Wisconsin Dells, WI

3-star overall rating with 2-star inspections with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$0

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