Rhinelander, WI

Friendly Village Nursing And Rehab Center

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

900 Boyce Dr, Rhinelander, WI

(715) 365-6832

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

75

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Eden Senior Care

Operator or chain grouping

Approved since

1989-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 3 overall / 3 health / 3 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

0.90

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.48

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.07

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.57

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.93

CMS adjusted RN staffing hours

Adjusted total hours

3.62

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,992

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

46.53

Composite VBP score used to determine payment impact.

Payment multiplier

0.9999

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.69

Baseline 18.77% · Performance 18.33% · Measure score 6.69 · Achievement 6.69 · Improvement 2.03

Healthcare-associated infections

7.11

Baseline 5.31% · Performance 5.71% · Measure score 7.11 · Achievement 7.11 · Improvement 0

Total nurse turnover

3.85

Baseline 45.59% · Performance 47.95% · Measure score 3.85 · Achievement 3.85 · Improvement 0

Adjusted total nurse staffing

0.96

Baseline 3.07 hours · Performance 3.35 hours · Measure score 0.96 · Achievement 0.96 · Improvement 0.53

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.43%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 79 · Observed rate 6.33% · Lower 95% interval 6.64%
Discharge to community	59.33%	50.57% 8.8 pts better	No Different than the National Rate · Eligible stays 76 · Observed rate 51.32% · Lower 95% interval 47.02%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 50 · Denominator 50
Falls with major injury	4%	0.77% 3.2 pts worse	Numerator 2 · Denominator 50
Discharge self-care score	48.39%	53.69% 5.3 pts worse	Numerator 15 · Denominator 31
Discharge mobility score	54.84%	50.94% 3.9 pts better	Numerator 17 · Denominator 31
Pressure ulcers or injuries, new or worsened	4%	2.29% 1.7 pts worse	Numerator 2 · Denominator 50 · Adjusted rate 3.75%
Healthcare-associated infections requiring hospitalization	5.71%	7.12% 1.4 pts better	No Different than the National Rate · Eligible stays 56 · Observed rate 1.79% · Lower 95% interval 2.85%
Staff COVID-19 vaccination coverage	7.14%	8.2% 1.1 pts worse	Numerator 7 · Denominator 98
Staff flu vaccination coverage	53.19%	42% 11.2 pts better	Numerator 50 · Denominator 94
Discharge function score	58.06%	56.45% 1.6 pts better	Numerator 18 · Denominator 31
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 27 · Denominator 27
Resident COVID-19 vaccinations up to date	40.91%	25.2% 15.7 pts better	Numerator 9 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	1.6 1 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.4 · Used in QM five-star
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 · Adjusted 0.8 · Observed 0.7 · Expected 1.4 · 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	97.1%	95.0% 2.1 pts better	95.5% 1.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury	5.3%	3.2% 2.1 pts worse	3.3% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.5% · Q3 6.1% · Q4 4.5% · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	13.9%	5.0% 8.9 pts worse	11.4% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 16.9% · Q3 15.5% · Q4 12.3% · 4Q avg 13.9%
Percentage of long-stay residents who lose too much weight	6.0%	4.9% 1.1 pts worse	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 5.1% · Q3 6.8% · Q4 5.3% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.0%	16.6% 9.4 pts worse	19.6% 6.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 27.1% · Q3 23.3% · Q4 29.8% · 4Q avg 26.0%
Percentage of long-stay residents who received an antipsychotic medication	17.6%	16.7% 0.9 pts worse	16.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 17.3% · Q3 17.6% · Q4 15.4% · 4Q avg 17.6% · 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	27.0%	21.1% 5.9 pts worse	16.3% 10.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 25.1% · Q3 33.5% · Q4 29.1% · 4Q avg 27.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.1%	17.3% 8.8 pts worse	14.9% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 32.7% · Q3 27.6% · Q4 24.5% · 4Q avg 26.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.1%	2.3% 0.8 pts worse	1.0% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.5% · Q3 1.2% · Q4 2.6% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	3.0% 2.6 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	37.7%	25.5% 12.2 pts worse	19.8% 17.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 44.0% · Q2 34.9% · Q3 39.0% · Q4 32.8% · 4Q avg 37.7%
Percentage of long-stay residents with pressure ulcers	6.3%	5.5% 0.8 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 11.2% · Q3 4.5% · Q4 3.5% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.4%	86.8% 4.6 pts better	81.7% 9.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 86.0% · Q2 83.3% · Q3 94.7% · Q4 100.0% · 4Q avg 91.4%
Percentage of short-stay residents who had an outpatient emergency department visit	12.4%	15.0% 2.6 pts better	12.0% 0.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 11.4% · Expected 10.3% · 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% · Q4 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	100.0%	82.2% 17.8 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.3%	22.7% 7.4 pts better	23.9% 8.6 pts better	Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 14.3% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

5 health deficiencies

Top issue: Administration (1 deficiency)

6 fire-safety deficiencies

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

Cycle 2 Health 2024-01-11 · Fire 2024-01-11

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-01-19 · Fire 2023-01-19

6 health deficiencies

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

8 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 2025-02-06

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 2025-02-28

F · Potential for more than minimal harm 2025-02-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-28

F · Potential for more than minimal harm 2025-02-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-28

E · Potential for more than minimal harm 2025-02-06

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 2025-02-28

D · Potential for more than minimal harm 2025-02-06

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-02-28

D · Potential for more than minimal harm 2025-02-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-28

F · Potential for more than minimal harm 2024-01-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-01-31

F · Potential for more than minimal harm 2024-01-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-31

F · Potential for more than minimal harm 2024-01-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-31

E · Potential for more than minimal harm 2024-01-11

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-01-31

D · Potential for more than minimal harm 2024-01-11

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-01-31

C · Minimal harm 2024-01-11

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-01-31

F · Potential for more than minimal harm 2023-01-19

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-02-13

F · Potential for more than minimal harm 2023-01-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-02-13

F · Potential for more than minimal harm 2023-01-19

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-02-13

F · Potential for more than minimal harm 2023-01-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-02-13

E · Potential for more than minimal harm 2023-01-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-13

E · Potential for more than minimal harm 2023-01-19

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2023-02-13

E · Potential for more than minimal harm 2023-01-19

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-02-13

D · Potential for more than minimal harm 2023-01-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-02-13

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-02-06

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 2025-03-04

F · Potential for more than minimal harm 2025-02-06

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-03-04

E · Potential for more than minimal harm 2025-02-06

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-02-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-02-06

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-03-04

F · Potential for more than minimal harm 2024-01-11

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 2024-01-31

E · Potential for more than minimal harm 2024-01-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-31

D · Potential for more than minimal harm 2024-01-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-01-31

D · Potential for more than minimal harm 2024-01-11

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-31

D · Potential for more than minimal harm 2024-01-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-31

D · Potential for more than minimal harm 2024-01-11

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 2024-01-31

D · Potential for more than minimal harm 2023-08-14

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 2023-09-14

E · Potential for more than minimal harm 2023-03-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-06

F · Potential for more than minimal harm 2023-01-19

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 2023-02-13

D · Potential for more than minimal harm 2023-01-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-02-13

D · Potential for more than minimal harm 2023-01-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-02-13

D · Potential for more than minimal harm 2023-01-19

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-02-13

Penalties and ownership