Federal inspection record · CMS data as of October 1, 2026
Care & Rehab - Ladysmith 1
1001 E 11th St N, Ladysmith, WI · (715) 532-5546
- Certified beds
- 32
- Residents per day
- 30
- Ownership
- For-Profit
- Chain
- Care & Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 15, 1996
1
How this home got 4 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Care & Rehab - Ladysmith 1 carries 69 inspection points. That is fewer than 46% of Wisconsin's 321 rated homes.
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
21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Freedom from Abuse, Neglect, and Exploitation8D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights2D
- D
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
- D
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.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service1E
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspection history
2026-02-24
15 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2024-11-13
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2023-10-25
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 22 min of nursing staff time a day, 1 h 17 min of it from a registered nurse.
This home
4 h 22 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 30% of registered nurses left in the past year, along with 1 administrator.
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 100.0% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 5.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6 pts better | 0.0% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 4.8% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.3 pts better | 7.5% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.8 pts worse | 22.7% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11 pts worse | 28.0% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts worse | 22.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2 pts worse | 3.9% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 2.6% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts worse | 29.6% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts better | 0.6% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts worse | 79.3% | 86.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Thayer, Grant | 5% Or Greater Direct Ownership Interest · Individual | 100% | 6 facilities |
| Bechtel, Jessica | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Bechtel, Jessica | Adp Of The SNF · Individual | 0% | 6 facilities |
| Hanson, Tori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hanson, Tori | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ladysmith Campus LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Novak, Annmarie | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Novak, Annmarie | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sadowska, Timothy | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Sadowska, Timothy | Adp Of The SNF · Individual | 0% | 6 facilities |
| Thayer, Grant | Corporate Director · Individual | 0% | 6 facilities |
| Thayer, Grant | Corporate Officer · Individual | 0% | 6 facilities |
| Thayer, Grant | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Thayer, Grant | Trustee Of The SNF · Individual | 0% | 6 facilities |
| Thayer, Grant | Adp Of The SNF · Individual | 0% | 6 facilities |
| Winiarczyk, Katherine | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Winiarczyk, Katherine | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress3F
- F
Have properly located and lighted "Exit" signs.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke2E
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness1F
- F
Develop Emergency Preparedness policies and procedures.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Care & Rehab - Ladysmith 2
Ladysmith, WI · Care & Rehab
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 34 min
- Fines
- $0
-
Cornell Health Services
Cornell, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0
-
Meadowbrook At Chetek
Chetek, WI · Synergy Senior Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 5 min
- Fines
- $0