Cycle 1
Health 2025-04-17 · Fire 2025-04-17
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Eau Claire, WI
Dove Healthcare - South Eau Claire
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
3656 Mall Drive, Eau Claire, WI
(715) 552-1035
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
46
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Dove Healthcare
Operator or chain grouping
Approved since
2009-10-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 3 overall / 3 health / 4 staffing / 3 quality stars
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
Hours and turnover
RN hours / resident day
1.88
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.08
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
5.36
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
2.27
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
4.59
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
1.16
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.99
CMS adjusted RN staffing hours
Adjusted total hours
5.68
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
552
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
67.74
Composite VBP score used to determine payment impact.
Payment multiplier
1.0211
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.48
Baseline 15.72% · Performance 17.04% · Measure score 9.48 · Achievement 9.48 · Improvement 0
Healthcare-associated infections
7.42
Baseline 5.34% · Performance 5.62% · Measure score 7.42 · Achievement 7.42 · Improvement 0
Total nurse turnover
2.23
Baseline 41.07% · Performance 54.55% · Measure score 2.23 · Achievement 2.23 · Improvement 0
Adjusted total nurse staffing
7.95
Baseline 5.29 hours · Performance 5.34 hours · Measure score 7.95 · Achievement 7.95 · Improvement 0.62
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.94% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 292 · Observed rate 7.53% · Lower 95% interval 7.38% |
| Discharge to community | 69.53% |
50.57%
19 pts better
|
Better than the National Rate · Eligible stays 289 · Observed rate 73.36% · Lower 95% interval 63.74% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.38% |
95.27%
2.1 pts better
|
Numerator 223 · Denominator 229 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 229 |
| Discharge self-care score | 70.62% |
53.69%
16.9 pts better
|
Numerator 137 · Denominator 194 |
| Discharge mobility score | 71.13% |
50.94%
20.2 pts better
|
Numerator 138 · Denominator 194 |
| Pressure ulcers or injuries, new or worsened | 1.31% |
2.29%
1 pts better
|
Numerator 3 · Denominator 229 · Adjusted rate 2.47% |
| Healthcare-associated infections requiring hospitalization | 5.62% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 158 · Observed rate 2.53% · Lower 95% interval 3.46% |
| Staff COVID-19 vaccination coverage | 23.5% |
8.2%
15.3 pts better
|
Numerator 47 · Denominator 200 |
| Staff flu vaccination coverage | 60.22% |
42%
18.2 pts better
|
Numerator 112 · Denominator 186 |
| Discharge function score | 70.62% |
56.45%
14.2 pts better
|
Numerator 137 · Denominator 194 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 31 · Denominator 31 |
| Transfer of health information to patient | 99.41% |
96.28%
3.1 pts better
|
Numerator 169 · Denominator 170 |
| Resident COVID-19 vaccinations up to date | 44.04% |
25.2%
18.8 pts better
|
Numerator 48 · Denominator 109 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
95.7%
4.3 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 9.2% |
3.2%
6 pts worse
|
3.3%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.7% · Q3 13.6% · Q4 13.0% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
5.0%
1.6 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.0% · Q4 0.0% · 4Q avg 3.4% |
| Percentage of long-stay residents who lose too much weight | 1.2% |
4.9%
3.7 pts better
|
5.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q4 0.0% · 4Q avg 1.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.4% |
16.6%
0.8 pts worse
|
19.6%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 21.7% · Q3 15.0% · Q4 8.7% · 4Q avg 17.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
16.7%
1.5 pts better
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 19.0% · Q4 5.0% · 4Q avg 15.2% · 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 | 14.0% |
21.1%
7.1 pts better
|
16.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.9% |
17.3%
1.6 pts worse
|
14.9%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 13.0% · Q3 15.0% · Q4 22.7% · 4Q avg 18.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
2.3%
1.4 pts better
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
3.0%
0.8 pts better
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q4 9.1% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.4% |
25.5%
2.1 pts better
|
19.8%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 35.7% · 4Q avg 23.4% |
| Percentage of long-stay residents with pressure ulcers | 9.2% |
5.5%
3.7 pts worse
|
5.1%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 11.3% · Q4 11.8% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% |
86.8%
3.7 pts better
|
81.7%
8.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 87.2% · Q3 88.7% · Q4 94.3% · 4Q avg 90.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
15.0%
4.4 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 9.2% · Expected 9.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.3%
1.1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.4% |
82.2%
9.2 pts better
|
79.7%
11.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.3% |
22.7%
3.4 pts better
|
23.9%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.3% · Observed 15.3% · Expected 18.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-14 · Fire 2024-03-14
1 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2023-01-26 · Fire 2023-01-26
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-17
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-05-09
F · Potential for more than minimal harm
2025-04-17
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-04-17
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 2025-05-09
E · Potential for more than minimal harm
2024-03-14
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 2024-03-18
C · Minimal harm
2024-03-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-03-18
F · Potential for more than minimal harm
2023-01-26
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-26
F · Potential for more than minimal harm
2023-01-26
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-24
Inspection history
Recent health citations
G · Actual harm
2025-04-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-14
F · Potential for more than minimal harm
2024-03-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-14
F · Potential for more than minimal harm
2023-01-26
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-26
Penalties and ownership
What sits behind the stars
Ownership
Dove 8 Opco Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Dickson, Erik
Contracted Managing Employee · Individual
Divine Hc Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Goldner, David
Corporate Officer · Individual
Goldstar Capital Partners LLC
5% Or Greater Indirect Ownership Interest · Organization
Goldstar Wisconsin Associates, LLC
5% Or Greater Indirect Ownership Interest · Organization
Goldstar-Divine Holdings Dove 8 LLC
5% Or Greater Indirect Ownership Interest · Organization
Kiley, Jeremy
W-2 Managing Employee · Individual
Markovits, Isaak
5% Or Greater Indirect Ownership Interest · Individual
Markovits, Isaak
Corporate Officer · Individual
Richland, Ilan
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Oakwood Health Services
Altoona, WI
2-star overall rating with 2-star inspections with $36,552 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Grace Lutheran Communities - River Pines
Altoona, WI
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Dove Healthcare - West Eau Claire
Eau Claire, WI
5-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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