Nursing Home Lookup

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

Door County Memorial Hospital SNF

323 S 18TH Ave, Sturgeon Bay, WI · (920) 743-5566

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
32
Residents per day
31
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 1984

1

How this home got 5 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

    +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.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

Door County Memorial Hospital SNF carries 14 inspection points. That is fewer than 86% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 14 pts · 4★

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

9 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 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts
E 3 8 pts
F 0 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation3E
  1. E

    Respond appropriately to all alleged violations.

    July 2, 2025 · Complaint · F610 · Corrected July 25, 2025

  2. D

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

    July 2, 2025 · Complaint · F609 · Corrected July 27, 2025

  3. E

    Respond appropriately to all alleged violations.

    January 4, 2024 · Complaint · F610 · Corrected February 12, 2024

Resident Rights2D
  1. D

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

    July 2, 2025 · Complaint · F580 · Corrected July 23, 2025

  2. D

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

    February 19, 2025 · Standard · F580 · Corrected February 22, 2025

Quality of Life and Care1D
  1. D

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

    April 28, 2026 · Standard · F689 · Corrected June 8, 2026

Resident Assessment and Care Planning1D
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    July 2, 2025 · Complaint · F842 · Corrected July 23, 2025

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    February 19, 2025 · Standard · F880 · Corrected February 27, 2025

Pharmacy Service1D
  1. D

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

    February 19, 2025 · Standard · F755 · Corrected March 12, 2025

Inspection history

  1. 2026-04-28

    1 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  2. 2025-02-19

    7 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  3. 2024-01-04

    1 health deficiencies · 9 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 58 min of nursing staff time a day, 1 h 31 min of it from a registered nurse.

This home

4 h 58 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 61% of nursing staff and 47% 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.
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 vaccine4.4 pts better100.0%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse5.0%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms3.4 pts better2.6%6.0%13.5%
Percentage of long-stay residents who lose too much weight3.8 pts better1.1%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts worse25.0%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.3 pts better8.6%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 worsened2.1 pts worse19.1%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts better12.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better1.7%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.7 pts better0.0%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse25.0%23.6%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better3.9%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better91.2%86.9%82.3%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Alberts, JamieCorporate Director · Individual0%1 facilities
Alberts, JamieOperational/Managerial Control · Individual0%1 facilities
Alberts, JamieAdp Of The SNF · Individual0%1 facilities
Andreae, BradleyCorporate Director · Individual0%1 facilities
Andreae, BradleyOperational/Managerial Control · Individual0%1 facilities
Andreae, BradleyAdp Of The SNF · Individual0%1 facilities
Antonio, Maria ChonaOperational/Managerial Control · Individual0%1 facilities
Antonio, Maria ChonaAdp Of The SNF · Individual0%1 facilities
Bohrman, NancyOperational/Managerial Control · Individual0%1 facilities
Bohrman, NancyAdp Of The SNF · Individual0%1 facilities
Collison, EdgarCorporate Director · Individual0%1 facilities
Collison, EdgarOperational/Managerial Control · Individual0%1 facilities
Collison, EdgarAdp Of The SNF · Individual0%1 facilities
Dahl, CorwinCorporate Director · Individual0%1 facilities
Dahl, CorwinOperational/Managerial Control · Individual0%1 facilities
Dahl, CorwinAdp Of The SNF · Individual0%1 facilities
Erickson, RobertCorporate Director · Individual0%1 facilities
Erickson, RobertOperational/Managerial Control · Individual0%1 facilities
Erickson, RobertAdp Of The SNF · Individual0%1 facilities
Helgeson, ErinCorporate Director · Individual0%1 facilities
Helgeson, ErinOperational/Managerial Control · Individual0%1 facilities
Helgeson, ErinAdp Of The SNF · Individual0%1 facilities
Helm, PaulineCorporate Director · Individual0%1 facilities
Helm, PaulineOperational/Managerial Control · Individual0%1 facilities
Helm, PaulineAdp Of The SNF · Individual0%1 facilities
Jarosh, JonathanCorporate Director · Individual0%1 facilities
Jarosh, JonathanOperational/Managerial Control · Individual0%1 facilities
Jarosh, JonathanAdp Of The SNF · Individual0%1 facilities
Kitchens, JoelCorporate Director · Individual0%1 facilities
Kitchens, JoelOperational/Managerial Control · Individual0%1 facilities
Kitchens, JoelAdp Of The SNF · Individual0%1 facilities
Laluzerne, AndrewCorporate Officer · Individual0%1 facilities
Laluzerne, AndrewOperational/Managerial Control · Individual0%1 facilities
Laluzerne, AndrewAdp Of The SNF · Individual0%1 facilities
Rabas, JeffreyCorporate Director · Individual0%1 facilities
Rabas, JeffreyOperational/Managerial Control · Individual0%1 facilities
Rabas, JeffreyAdp Of The SNF · Individual0%1 facilities
Rebhan, JosephCorporate Director · Individual0%1 facilities
Rebhan, JosephOperational/Managerial Control · Individual0%1 facilities
Rebhan, JosephAdp Of The SNF · Individual0%1 facilities
Richmond, AndrewCorporate Director · Individual0%1 facilities
Richmond, AndrewOperational/Managerial Control · Individual0%1 facilities
Richmond, AndrewAdp Of The SNF · Individual0%1 facilities
Seiler, PamelaCorporate Director · Individual0%1 facilities
Seiler, PamelaOperational/Managerial Control · Individual0%1 facilities
Seiler, PamelaAdp Of The SNF · Individual0%1 facilities
St Jean, MichaelCorporate Director · Individual0%1 facilities
St Jean, MichaelOperational/Managerial Control · Individual0%1 facilities
St Jean, MichaelAdp Of The SNF · Individual0%1 facilities
St Vincent Hospital-Hospital Sisters-Third Order Of St FrancisOperational/Managerial Control · Organization0%1 facilities
St Vincent Hospital-Hospital Sisters-Third Order Of St FrancisAdp Of The SNF · Organization0%1 facilities
Stephens, BrianCorporate Officer · Individual0%1 facilities
Stephens, BrianOperational/Managerial Control · Individual0%1 facilities
Stephens, BrianAdp Of The SNF · Individual0%1 facilities
Sternard, TammyCorporate Director · Individual0%1 facilities
Sternard, TammyOperational/Managerial Control · Individual0%1 facilities
Sternard, TammyAdp Of The SNF · Individual0%1 facilities
Urban, CarolineOperational/Managerial Control · Individual0%1 facilities
Urban, CarolineAdp Of The SNF · Individual0%1 facilities
Vickman, PatriciaCorporate Director · Individual0%1 facilities
Vickman, PatriciaOperational/Managerial Control · Individual0%1 facilities
Vickman, PatriciaAdp Of The SNF · Individual0%1 facilities
Ziegelbauer, MarthaCorporate Director · Individual0%1 facilities
Ziegelbauer, MarthaOperational/Managerial Control · Individual0%1 facilities
Ziegelbauer, MarthaAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Smoke7F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 28, 2026 · K345 · Corrected June 22, 2026

  2. F

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

    February 19, 2025 · K346 · Corrected March 11, 2025

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    February 19, 2025 · K353 · Corrected March 26, 2025

  4. E

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    January 4, 2024 · K362 · Corrected January 8, 2024

  5. E

    Install corridor and hallway doors that block smoke.

    January 4, 2024 · K363 · Corrected January 31, 2024

  6. D

    Inspect, test, and maintain automatic sprinkler systems.

    January 4, 2024 · K353 · Corrected February 16, 2024

  7. D

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

    January 4, 2024 · K372 · Corrected January 8, 2024

Gas, Vacuum, and Electrical Systems3F
  1. F

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

    April 28, 2026 · K916 · Corrected May 8, 2026

  2. F

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

    February 19, 2025 · K918 · Corrected March 6, 2025

  3. F

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

    January 4, 2024 · K918 · Corrected June 11, 2024

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    January 4, 2024 · K712 · Corrected January 31, 2024

  2. E

    Have restrictions on the use of highly flammable decorations.

    January 4, 2024 · K753 · Corrected January 8, 2024

Egress2E
  1. E

    Install proper backup exit lighting.

    January 4, 2024 · K281 · Corrected June 11, 2024

  2. D

    Meet other general requirements.

    January 4, 2024 · K200 · Corrected January 8, 2024

·

Other homes nearby

  1. Sturgeon Bay Health Services

    Sturgeon Bay, WI · North Shore Healthcare

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 44 min
    Fines
    $0
  2. Amethyst Health of Algoma

    Algoma, WI

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 36 min
    Fines
    $153,808
  3. Luther Home

    Marinette, WI

    Worst citation, 3 yrs
    E
    Nursing / resident / day
    4 h 17 min
    Fines
    $0

All homes in Sturgeon Bay → All of Wisconsin →