Colby, WI

Colonial Health Services

2-star overall rating with 2-star inspections with $34,140 in total fines with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

702 W Dolf St, Colby, WI

(715) 223-2352

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

60

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Twin Rivers Health & Rehabilitation

Operator or chain grouping

Approved since

1984-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.74

Registered nurse staffing

LPN hours / resident day

0.55

Licensed practical nurse staffing

Aide hours / resident day

2.24

Nurse aide staffing

Weekend hours

3.15

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.6 0.6 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	2.2 1.4 pts better	1.8 1 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	87.8%	95.7% 7.9 pts worse	93.4% 5.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.7%	95.0% 1.7 pts better	95.5% 1.2 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	5.6%	3.2% 2.4 pts worse	3.3% 2.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	2.6%	5.0% 2.4 pts better	11.4% 8.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	4.3%	4.9% 0.6 pts better	5.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.8%	16.6% 6.8 pts better	19.6% 9.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	29.1%	16.7% 12.4 pts worse	16.7% 12.4 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	30.7%	21.1% 9.6 pts worse	16.3% 14.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	26.0%	17.3% 8.7 pts worse	14.9% 11.1 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection	7.3%	3.0% 4.3 pts worse	1.7% 5.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.0%	25.5% 2.5 pts better	19.8% 3.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	8.0%	5.5% 2.5 pts worse	5.1% 2.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.6%	86.8% 7.2 pts worse	81.7% 2.1 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	0.0%	15.0% 15 pts better	12.0% 12 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.3% 0.6 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	87.9%	82.2% 5.7 pts better	79.7% 8.2 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.8%	22.7% 6.1 pts worse	23.9% 4.9 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-21 · Fire 2025-05-21

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-03-14 · Fire 2024-03-14

4 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-02-16 · Fire 2023-02-16

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-21

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-06-21

D · Potential for more than minimal harm 2025-05-21

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 2025-06-21

C · Minimal harm 2025-05-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-21

C · Minimal harm 2025-05-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-06-21

D · Potential for more than minimal harm 2024-03-14

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-03

C · Minimal harm 2024-03-14

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-03

F · Potential for more than minimal harm 2023-02-16

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-13

F · Potential for more than minimal harm 2023-02-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-13

E · Potential for more than minimal harm 2023-02-16

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 2023-03-13

D · Potential for more than minimal harm 2023-02-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-03-13

Inspection history

Recent health citations

J · Immediate jeopardy 2025-08-19

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-09-15

J · Immediate jeopardy 2025-08-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-15

D · Potential for more than minimal harm 2025-05-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-13

D · Potential for more than minimal harm 2025-05-21

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-13

D · Potential for more than minimal harm 2025-05-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-13

D · Potential for more than minimal harm 2025-05-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-13

D · Potential for more than minimal harm 2024-10-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-03-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-03-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-03-14

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-03

D · Potential for more than minimal harm 2023-02-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-10

D · Potential for more than minimal harm 2023-02-16

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-03-10

D · Potential for more than minimal harm 2023-02-16

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-03-10

D · Potential for more than minimal harm 2023-02-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-03-10

Penalties and ownership

What sits behind the stars

$34,140 2025-08-19

Fine

Fine · fine $34,140

Fine

Ownership

Baumann, Troy

Operational/Managerial Control · Individual

0% 59 facilities 2025-02-01

Belongia, Christina

Operational/Managerial Control · Individual

0% 16 facilities 2025-02-01

Cibc Bank Usa

Operational/Managerial Control · Organization

0% 121 facilities 2025-02-01

Cibc Bank Usa

5% Or Greater Security Interest · Organization

0% 121 facilities 2025-02-01

Cibc Bank Usa

5% Or Greater Mortgage Interest · Organization

0% 121 facilities 2025-02-01

Cliftonlarsonallen Llp

Operational/Managerial Control · Organization

0% 23 facilities 2025-02-01

Continuum Therapy Partners

Operational/Managerial Control · Organization

0% 16 facilities 2025-02-01

Decker, Dana

Operational/Managerial Control · Individual

0% 1 facilities 2025-04-11

Gee, Darren

Operational/Managerial Control · Individual

0% 16 facilities 2025-02-01

Greer, Lauren

Operational/Managerial Control · Individual

0% 16 facilities 2025-02-01

Hoehn, Jeffrey

Operational/Managerial Control · Individual

0% 59 facilities 2025-02-01

North Shore Healthcare LLC

Operational/Managerial Control · Organization

0% 56 facilities 2025-02-01

Patzer, Colleen

Operational/Managerial Control · Individual

0% 16 facilities 2023-02-14

Purtell, Brian

Operational/Managerial Control · Individual

0% 16 facilities 2025-02-01

Umland, Michael

Operational/Managerial Control · Individual

0% 1 facilities 2025-02-01

Wipfli Llp

Operational/Managerial Control · Organization

0% 32 facilities 2025-02-01

Nearby options

Other facilities in reach

#1

Abbotsford Health Care Center

Abbotsford, WI

2-star overall rating with 2-star inspections with $15,939 in total fines with 14 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall: 2 / 5
Health: 2 / 5
Staffing: 2 / 5
Fines: $15,939

#2