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

Columbus Health and Rehab

825 Western Ave., Columbus, WI · (920) 623-2520

CMS overall rating

2 of 5

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Certified beds
50
Residents per day
36
Ownership
For-Profit
Chain
Mission Health Communities
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 1, 1989

1

How this home got 2 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

    no change

    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

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

Columbus Health and Rehab carries 78 inspection points. That is fewer than 40% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 78 pts · 2★

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

22 health citations on record since 2024. 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 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 2 8 pts
F 6 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.

Harm and immediate-jeopardy citations (1)

  1. G

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

    March 12, 2025 · Standard inspection · Quality of Life and Care · F686 · Corrected April 2, 2025

Everything else, by area of care

Quality of Life and Care6D
  1. D

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

    May 21, 2026 · Complaint · F689 · Corrected June 15, 2026

  2. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    March 12, 2025 · Standard · F690 · Corrected April 2, 2025

  3. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    March 12, 2025 · Complaint · F694 · Corrected April 2, 2025

  4. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 7, 2024 · Complaint · F677 · Corrected April 5, 2024

  5. D

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

    March 7, 2024 · Complaint · F684 · Corrected April 5, 2024

  6. D

    Provide safe, appropriate pain management for a resident who requires such services.

    March 7, 2024 · Complaint · F697 · Corrected April 5, 2024

Nutrition and Dietary4F
  1. F

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

    May 21, 2026 · Complaint · F804 · Corrected June 15, 2026

  2. F

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

    May 21, 2026 · Complaint · F812 · Corrected June 15, 2026

  3. F

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

    March 12, 2025 · Standard · F812 · Corrected April 2, 2025

  4. F

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

    March 7, 2024 · Complaint · F812 · Corrected April 5, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

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

    May 21, 2026 · Complaint · F607 · Corrected June 15, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    May 21, 2026 · Complaint · F609 · Corrected June 15, 2026

  3. D

    Respond appropriately to all alleged violations.

    May 21, 2026 · Complaint · F610 · Corrected June 15, 2026

Resident Rights2E
  1. E

    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.

    May 21, 2026 · Complaint · F585 · Corrected June 15, 2026

  2. D

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

    March 12, 2025 · Standard · F580 · Corrected April 2, 2025

Pharmacy Service2E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    May 21, 2026 · Complaint · F759 · Corrected June 15, 2026

  2. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    March 7, 2024 · Complaint · F758 · Corrected April 5, 2024

Administration2F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    March 12, 2025 · Standard · F838 · Corrected April 2, 2025

  2. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    March 12, 2025 · Standard · F849 · Corrected April 2, 2025

Infection Control1F
  1. F

    Provide and implement an infection prevention and control program.

    March 12, 2025 · Standard · F880 · Corrected April 2, 2025

Resident Assessment and Care Planning1D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 12, 2025 · Complaint · F658 · Corrected April 2, 2025

Inspection history

  1. 2026-05-21

    8 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  2. 2025-03-12

    9 health deficiencies · 9 fire-safety deficiencies

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

  3. 2024-03-07

    5 health deficiencies · 7 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 50 min of nursing staff time a day, 58 min of it from a registered nurse.

This home

3 h 50 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 44% of nursing staff and 22% 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 days0.8 pts worse2.41.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse3.32.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better100.0%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts better96.8%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse4.3%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms6 pts better0.0%6.0%13.5%
Percentage of long-stay residents who lose too much weight7.8 pts worse12.7%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.4 pts better7.4%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.4 pts better14.5%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 worsened4 pts worse21.0%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.7 pts better9.1%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better0.6%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts worse3.5%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts better22.8%23.6%18.3%
Percentage of long-stay residents with pressure ulcers2.8 pts worse7.7%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts better91.8%86.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.7 pts better7.9%15.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.4%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.5 pts better88.7%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission15 pts worse37.5%22.5%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Wisconsin Operator LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Barnes, MichelleOperational/Managerial Control · Individual0%11 facilities
Barres, LLC5% Or Greater Indirect Ownership Interest · Organization0%34 facilities
Crino, Bryan5% Or Greater Indirect Ownership Interest · Individual0%19 facilities
Feuer, Scott5% Or Greater Indirect Ownership Interest · Individual0%19 facilities
Kraus, BruceCorporate Director · Individual0%1 facilities
Lindeman, Stuart5% Or Greater Indirect Ownership Interest · Individual0%34 facilities
Mission Health Communities, LLCOperational/Managerial Control · Organization0%28 facilities
Passero, Joseph5% Or Greater Indirect Ownership Interest · Individual0%18 facilities
Reierson, BrendaCorporate Director · Individual0%1 facilities
T And C Capital Assets, LLC5% Or Greater Indirect Ownership Interest · Organization0%33 facilities
Windward Health Partners LLC5% Or Greater Indirect Ownership Interest · Organization0%34 facilities
Wisconsin Operator LLCOperational/Managerial Control · Organization0%1 facilities

·

Fire safety

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

Smoke10F
  1. E

    Install an approved automatic sprinkler system.

    May 21, 2026 · K351 · Corrected June 15, 2026

  2. E

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

    March 12, 2025 · K321 · Corrected April 2, 2025

  3. E

    Install an approved automatic sprinkler system.

    March 12, 2025 · K351 · Corrected April 2, 2025

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    March 12, 2025 · K353 · Corrected April 2, 2025

  5. E

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

    March 12, 2025 · K372 · Corrected April 2, 2025

  6. D

    Construct fire resistant interior walls.

    March 12, 2025 · K331 · Corrected April 2, 2025

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 7, 2024 · K353 · Corrected April 5, 2024

  8. E

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

    March 7, 2024 · K321 · Corrected April 5, 2024

  9. E

    Install corridor and hallway doors that block smoke.

    March 7, 2024 · K363 · Corrected April 5, 2024

  10. E

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

    March 7, 2024 · K372 · Corrected April 5, 2024

Gas, Vacuum, and Electrical Systems5F
  1. D

    Have power receptacles that are properly grounded.

    May 21, 2026 · K912 · Corrected June 15, 2026

  2. D

    Ensure proper usage of power strips and extension cords.

    May 21, 2026 · K920 · Corrected June 15, 2026

  3. E

    Ensure proper usage of power strips and extension cords.

    March 12, 2025 · K920 · Corrected April 2, 2025

  4. D

    Have proper medical gas storage and administration areas.

    March 12, 2025 · K923 · Corrected April 2, 2025

  5. F

    Meet requirements for the installation and maintenance of electrical systems.

    March 7, 2024 · K911 · Corrected April 5, 2024

Miscellaneous2F
  1. F

    Provide a written emergency evacuation plan.

    March 7, 2024 · K711 · Corrected April 5, 2024

  2. F

    Have simulated fire drills held at unexpected times.

    March 7, 2024 · K712 · Corrected April 5, 2024

Egress1D
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    March 12, 2025 · K211 · Corrected April 2, 2025

Services1D
  1. D

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

    March 12, 2025 · K521 · Corrected April 2, 2025

·

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