Kenosha, WI
4-star overall rating with 3-star inspections with $33,800 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
3506 Washington Rd, Kenosha, WI
(262) 653-3800
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
154
Certified beds
Average residents
143
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
1.22
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.16
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
4.96
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
4.53
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
0.92
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.14
CMS adjusted RN staffing hours
Adjusted total hours
4.63
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
1,554
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.75
Composite VBP score used to determine payment impact.
Payment multiplier
1.0108
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.11
Baseline 22.77% · Performance 20.70% · Measure score 3.11 · Achievement 1.58 · Improvement 3.11
Healthcare-associated infections
3.73
Baseline 6.14% · Performance 6.72% · Measure score 3.73 · Achievement 3.73 · Improvement 0
Total nurse turnover
10
Baseline 27.46% · Performance 24.43% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
5.47
Baseline 4.91 hours · Performance 4.63 hours · Measure score 5.47 · Achievement 5.47 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.41% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 385 · Observed rate 11.17% · Lower 95% interval 8.53% |
| Discharge to community | 64.45% |
50.57%
13.9 pts better
|
Better than the National Rate · Eligible stays 374 · Observed rate 59.63% · Lower 95% interval 59.37% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 84.74% |
95.27%
10.5 pts worse
|
Numerator 161 · Denominator 190 |
| Falls with major injury | 0.53% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 190 |
| Discharge self-care score | 59.54% |
53.69%
5.9 pts better
|
Numerator 78 · Denominator 131 |
| Discharge mobility score | 66.41% |
50.94%
15.5 pts better
|
Numerator 87 · Denominator 131 |
| Pressure ulcers or injuries, new or worsened | 4.21% |
2.29%
1.9 pts worse
|
Numerator 8 · Denominator 190 · Adjusted rate 3.53% |
| Healthcare-associated infections requiring hospitalization | 6.72% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 197 · Observed rate 6.09% · Lower 95% interval 4.44% |
| Staff COVID-19 vaccination coverage | 16.67% |
8.2%
8.5 pts better
|
Numerator 56 · Denominator 336 |
| Staff flu vaccination coverage | 99.15% |
42%
57.2 pts better
|
Numerator 352 · Denominator 355 |
| Discharge function score | 67.18% |
56.45%
10.7 pts better
|
Numerator 88 · Denominator 131 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 46 · Denominator 46 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 108 · Denominator 108 |
| Resident COVID-19 vaccinations up to date | 35.71% |
25.2%
10.5 pts better
|
Numerator 35 · Denominator 98 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
1.6
0.6 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.9 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.4 |
2.2
1.2 pts worse
|
1.8
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.7 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
95.7%
3.9 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 100.0% · Q3 99.2% · Q4 100.0% · 4Q avg 99.6% |
| 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 | 4.6% |
3.2%
1.4 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.4% · Q3 5.0% · Q4 4.0% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.2% |
5.0%
4.8 pts better
|
11.4%
11.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents who lose too much weight | 9.9% |
4.9%
5 pts worse
|
5.4%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.7% · Q3 9.9% · Q4 6.4% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.2% |
16.6%
8.6 pts worse
|
19.6%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 27.4% · Q3 25.0% · Q4 23.9% · 4Q avg 25.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.0% |
16.7%
4.3 pts worse
|
16.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 21.2% · Q3 22.3% · Q4 21.3% · 4Q avg 21.0% · 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 | 25.6% |
21.1%
4.5 pts worse
|
16.3%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 25.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.7% |
17.3%
6.6 pts better
|
14.9%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 12.0% · Q3 13.0% · Q4 6.0% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7% |
2.3%
0.4 pts worse
|
1.0%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 1.7% · Q3 1.4% · Q4 1.3% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 10.6% |
3.0%
7.6 pts worse
|
1.7%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 9.6% · Q3 15.0% · Q4 6.5% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.1% |
25.5%
0.4 pts better
|
19.8%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 27.9% · Q3 26.8% · Q4 18.2% · 4Q avg 25.1% |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
5.5%
3.4 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.0% · Q3 2.2% · Q4 1.1% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.9% |
86.8%
1.1 pts better
|
81.7%
6.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 88.6% · Q3 91.4% · Q4 92.3% · 4Q avg 87.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 28.2% |
15.0%
13.2 pts worse
|
12.0%
16.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 26.1% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.3%
0.7 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.7% · Q3 0.9% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.4% |
82.2%
4.2 pts better
|
79.7%
6.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
22.7%
4.1 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 27.3% · Expected 24.3% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Quality of Life and Care (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-05
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-12-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-04-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-05-03
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-04-26
Fire Safety
Construct fire resistant interior walls.
Corrected 2022-05-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-04-15
Inspection history
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-08-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-24
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-24
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-12-14
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-14
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-12-14
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-14
Penalties and ownership
Fine · fine $33,800
Fine
Payment Denial · denial start 2025-03-04 · 20 days
20 day denial
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
Kenosha, WI
2-star overall rating with 2-star inspections with $33,989 in total fines with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Kenosha, WI
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $54,055 in total fines with 31 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Kenosha, WI
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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