Cycle 1
Health 2024-12-05 · Fire 2024-12-05
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Mauston, WI
Fair View Nursing And Rehabilitation Center
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1050 Division St, Mauston, WI
(608) 847-1290
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
1.51
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
0.18
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
0.98
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.47
CMS adjusted RN staffing hours
Adjusted total hours
3.91
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,000
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.81
Composite VBP score used to determine payment impact.
Payment multiplier
0.9947
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.50
Baseline 18.47% · Performance 18.88% · Measure score 5.50 · Achievement 5.50 · Improvement 0
Healthcare-associated infections
0
Baseline 6.87% · Performance 9.23% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
7.05
Baseline 55.26% · Performance 34.88% · Measure score 7.05 · Achievement 7.05 · Improvement 6.20
Adjusted total nurse staffing
4.18
Baseline 3.63 hours · Performance 4.27 hours · Measure score 4.18 · Achievement 4.18 · Improvement 2.46
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.26% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 73 · Observed rate 4.11% · Lower 95% interval 6.52% |
| Discharge to community | 53.27% |
50.57%
2.7 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 50.67% · Lower 95% interval 44.49% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 42 · Denominator 42 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 42 |
| Discharge self-care score | 57.89% |
53.69%
4.2 pts better
|
Numerator 22 · Denominator 38 |
| Discharge mobility score | 60.53% |
50.94%
9.6 pts better
|
Numerator 23 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 7.14% |
2.29%
4.8 pts worse
|
Numerator 3 · Denominator 42 · Adjusted rate 6.77% |
| Healthcare-associated infections requiring hospitalization | 9.23% |
7.12%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 35 · Observed rate 17.14% · Lower 95% interval 5.29% |
| Staff COVID-19 vaccination coverage | 11.11% |
8.2%
2.9 pts better
|
Numerator 5 · Denominator 45 |
| Staff flu vaccination coverage | 53.23% |
42%
11.2 pts better
|
Numerator 33 · Denominator 62 |
| Discharge function score | 71.05% |
56.45%
14.6 pts better
|
Numerator 27 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 24 · Denominator 24 |
| Resident COVID-19 vaccinations up to date | 48% |
25.2%
22.8 pts better
|
Numerator 12 · Denominator 25 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.6
0.2 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
2.2
0.5 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.1 · Expected 2.0 · Used in QM five-star |
| 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 | 90.0% |
95.0%
5 pts worse
|
95.5%
5.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.2%
3.2 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.9% |
5.0%
2.1 pts better
|
11.4%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 4.0% · Q3 3.8% · Q4 0.0% · 4Q avg 2.9% |
| Percentage of long-stay residents who lose too much weight | 4.1% |
4.9%
0.8 pts better
|
5.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 12.0% · Q4 4.0% · 4Q avg 4.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% |
16.6%
6.7 pts better
|
19.6%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 16.0% · Q3 7.7% · Q4 3.7% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.5% |
16.7%
0.8 pts worse
|
16.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 22.7% · Q4 19.0% · 4Q avg 17.5% · 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 | 31.9% |
21.1%
10.8 pts worse
|
16.3%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
17.3%
1.3 pts worse
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 13.0% · Q3 28.0% · Q4 19.2% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
2.3%
0.6 pts better
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 3.1% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.9% |
3.0%
4.9 pts worse
|
1.7%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 14.3% · Q3 6.9% · Q4 3.3% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.1% |
25.5%
3.6 pts worse
|
19.8%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 35.6% · Q3 26.2% · Q4 30.2% · 4Q avg 29.1% |
| Percentage of long-stay residents with pressure ulcers | 8.3% |
5.5%
2.8 pts worse
|
5.1%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 8.6% · Q3 10.1% · Q4 10.6% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.2% |
86.8%
4.4 pts better
|
81.7%
9.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.8% · Q3 87.5% · Q4 81.6% · 4Q avg 91.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
15.0%
2.3 pts better
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 12.8% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.3%
1.3 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.5% |
82.2%
11.3 pts better
|
79.7%
13.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 5.6% |
22.7%
17.1 pts better
|
23.9%
18.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.1% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-05 · Fire 2023-10-05
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-07-12 · Fire 2022-07-12
8 health deficiencies
Top issue: Infection Control (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-12-05
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-01-27
E · Potential for more than minimal harm
2024-12-05
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-27
E · Potential for more than minimal harm
2024-12-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-27
E · Potential for more than minimal harm
2024-12-05
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-27
D · Potential for more than minimal harm
2024-12-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-27
D · Potential for more than minimal harm
2024-12-05
K927 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2025-01-27
E · Potential for more than minimal harm
2022-07-12
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-08-07
E · Potential for more than minimal harm
2022-07-12
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-08-15
E · Potential for more than minimal harm
2022-07-12
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-08-03
D · Potential for more than minimal harm
2022-07-12
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-08-15
D · Potential for more than minimal harm
2022-07-12
K927 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
Corrected 2022-07-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-24
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-25
D · Potential for more than minimal harm
2025-09-24
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-25
D · Potential for more than minimal harm
2025-09-03
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 2025-09-19
D · Potential for more than minimal harm
2024-12-05
F687 · Quality of Life and Care Deficiencies
Health
Provide appropriate foot care.
Corrected 2024-12-26
D · Potential for more than minimal harm
2024-12-05
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-12-26
D · Potential for more than minimal harm
2024-12-05
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2024-12-26
E · Potential for more than minimal harm
2023-10-05
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-19
D · Potential for more than minimal harm
2023-10-05
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-10-19
D · Potential for more than minimal harm
2023-10-05
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-19
G · Actual harm
2022-07-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-02
F · Potential for more than minimal harm
2022-07-12
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 2022-08-15
E · Potential for more than minimal harm
2022-07-12
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-15
E · Potential for more than minimal harm
2022-07-12
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-08-15
D · Potential for more than minimal harm
2022-07-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-08-15
D · Potential for more than minimal harm
2022-07-12
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2022-08-15
D · Potential for more than minimal harm
2022-07-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-08-15
D · Potential for more than minimal harm
2022-07-12
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-08-15
Penalties and ownership
What sits behind the stars
Ownership
Bartels, Dara
Corporate Director · Individual
Bartels, Dara
W-2 Managing Employee · Individual
Buss, Robert
Corporate Director · Individual
Gatzke Plamann, Angela
Corporate Director · Individual
Hoffman, Ann
Corporate Director · Individual
Kattenbraker, Daniel
Corporate Director · Individual
Kovach, Cassondra
Corporate Director · Individual
Leski, Arianne
Corporate Director · Individual
Leski, Arianne
W-2 Managing Employee · Individual
Linsmeyer, Sandy
Corporate Director · Individual
Loging, Dennis
Corporate Director · Individual
Miller, Edward
Corporate Director · Individual
Murphy, Lori
Corporate Director · Individual
Okeefe, James
Corporate Officer · Individual
Okeefe, James
W-2 Managing Employee · Individual
Scott, Randy
Corporate Director · Individual
Willer, Larry
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Crest View Nursing Home
New Lisbon, WI
5-star overall rating with 5-star inspections with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Elroy Health Services
Elroy, WI
1-star overall rating with 1-star inspections with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Ridgeview Terrace Long Term Care
Reedsburg, WI
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
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