Cycle 1
Health 2024-11-13 · Fire 2024-11-13
3 health deficiencies
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
La Crosse, WI
Hillview Health Care Ctr
4-star overall rating with 3-star inspections with $15,593 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3501 Park Lane Dr, La Crosse, WI
(608) 789-4800
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
40
Certified beds
Average residents
36
Average occupied residents
Ownership
Government
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
1.62
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
0.01
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.74
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
4.37
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
3.94
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
1.03
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.95
CMS adjusted RN staffing hours
Adjusted total hours
5.28
CMS adjusted total nurse staffing hours
Case-mix index
1.13
Higher values indicate more complex resident acuity
RN turnover
12%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,156
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.38
Composite VBP score used to determine payment impact.
Payment multiplier
1.0146
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.05
Baseline 19.87% · Performance 18.63% · Measure score 6.05 · Achievement 6.05 · Improvement 3.86
Healthcare-associated infections
4.75
Baseline 5.44% · Performance 6.42% · Measure score 4.75 · Achievement 4.75 · Improvement 0
Total nurse turnover
7.56
Baseline 57.39% · Performance 32.79% · Measure score 7.56 · Achievement 7.56 · Improvement 7.06
Adjusted total nurse staffing
5.40
Baseline 4.39 hours · Performance 4.61 hours · Measure score 5.40 · Achievement 5.40 · Improvement 1.09
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.31% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 5.19% · Lower 95% interval 6.2% |
| Discharge to community | 49.61% |
50.57%
1 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 45.45% · Lower 95% interval 40.08% |
| Medicare spending per beneficiary | 0.63 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 96.97% |
95.27%
1.7 pts better
|
Numerator 32 · Denominator 33 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 33 |
| Discharge self-care score | 34.78% |
53.69%
18.9 pts worse
|
Numerator 8 · Denominator 23 |
| Discharge mobility score | 21.74% |
50.94%
29.2 pts worse
|
Numerator 5 · Denominator 23 |
| Pressure ulcers or injuries, new or worsened | 6.06% |
2.29%
3.8 pts worse
|
Numerator 2 · Denominator 33 · Adjusted rate 6.1% |
| Healthcare-associated infections requiring hospitalization | 6.41% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 4% · Lower 95% interval 3.56% |
| Staff COVID-19 vaccination coverage | 13.89% |
8.2%
5.7 pts better
|
Numerator 25 · Denominator 180 |
| Staff flu vaccination coverage | 42.7% |
42%
0.7 pts better
|
Numerator 76 · Denominator 178 |
| Discharge function score | 30.43% |
56.45%
26 pts worse
|
Numerator 7 · Denominator 23 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.6
0.4 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
2.2
1.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · 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 | 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 | 0.7% |
3.2%
2.5 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.1% |
5.0%
8.1 pts worse
|
11.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 13.2% · Q3 12.1% · Q4 14.8% · 4Q avg 13.1% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
4.9%
1.7 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 12.5% · Q3 3.3% · Q4 7.4% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.9% |
16.6%
2.3 pts worse
|
19.6%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 21.9% · Q3 16.7% · Q4 14.8% · 4Q avg 18.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
16.7%
4.7 pts better
|
16.7%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 12.0% · Q3 12.5% · Q4 10.0% · 4Q avg 12.0% · 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 | 10.8% |
21.1%
10.3 pts better
|
16.3%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.3% |
17.3%
2 pts worse
|
14.9%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 19.4% · Q3 10.0% · Q4 15.4% · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
2.3%
0.3 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.1% · Q3 3.8% · Q4 2.2% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
3.0%
0.2 pts better
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 11.4% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.5% |
25.5%
9 pts better
|
19.8%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 20.3% · Q3 9.2% · Q4 13.7% · 4Q avg 16.5% |
| Percentage of long-stay residents with pressure ulcers | 11.8% |
5.5%
6.3 pts worse
|
5.1%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 12.2% · Q3 12.1% · Q4 10.4% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
86.8%
12.4 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 98.1% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 25.4% |
15.0%
10.4 pts worse
|
12.0%
13.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 25.0% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.3% |
1.3%
3 pts worse
|
1.6%
2.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.6% · Q3 7.1% · Q4 6.9% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
82.2%
13.2 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.1% |
22.7%
12.4 pts worse
|
23.9%
11.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.1% · Observed 29.2% · Expected 19.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-27 · Fire 2023-09-27
5 health deficiencies
Top issue: Infection Control (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2022-07-14 · Fire 2022-07-14
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-05
F · Potential for more than minimal harm
2024-11-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-05
F · Potential for more than minimal harm
2024-11-13
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-05
F · Potential for more than minimal harm
2024-11-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-05
F · Potential for more than minimal harm
2023-09-27
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-09-28
E · Potential for more than minimal harm
2023-09-27
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 2023-09-28
E · Potential for more than minimal harm
2023-09-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-28
E · Potential for more than minimal harm
2023-09-27
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-09-27
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-09-28
D · Potential for more than minimal harm
2023-09-27
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-09-28
E · Potential for more than minimal harm
2022-07-14
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 2022-08-04
E · Potential for more than minimal harm
2022-07-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-08-04
E · Potential for more than minimal harm
2022-07-14
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-08-04
E · Potential for more than minimal harm
2022-07-14
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-08-04
D · Potential for more than minimal harm
2022-07-14
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-08-04
D · Potential for more than minimal harm
2022-07-14
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2022-08-04
D · Potential for more than minimal harm
2022-07-14
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-04
D · Potential for more than minimal harm
2022-07-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-08-04
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-02
F · Potential for more than minimal harm
2024-11-13
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 2024-12-04
F · Potential for more than minimal harm
2024-11-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-04
E · Potential for more than minimal harm
2023-09-27
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-10-26
E · Potential for more than minimal harm
2023-09-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-26
D · Potential for more than minimal harm
2023-09-27
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-10-26
D · Potential for more than minimal harm
2023-09-27
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 2023-10-26
D · Potential for more than minimal harm
2023-09-27
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-26
J · Immediate jeopardy
2023-05-04
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-17
G · Actual harm
2022-07-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-05
F · Potential for more than minimal harm
2022-07-14
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 2022-08-03
E · Potential for more than minimal harm
2022-07-14
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-07-14
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 2022-08-05
Penalties and ownership
What sits behind the stars
$15,593
2023-05-04
Fine
Fine · fine $15,593
Fine
Ownership
County Of La Crosse
5% Or Greater Direct Ownership Interest · Organization
Briseno, Jennifer
Operational/Managerial Control · Individual
Cogbill, Elizabeth
Operational/Managerial Control · Individual
Haskey, Kimberly
Operational/Managerial Control · Individual
Hurlbert, Karlie
Operational/Managerial Control · Individual
Kramer, Kelly
Operational/Managerial Control · Individual
Plachecki, Wanda
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Bethany St Joseph Care Ctr
La Crosse, WI
4-star overall rating with 3-star inspections with $3,145 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Benedictine Manor Of Lacrosse
La Crosse, WI
3-star overall rating with 3-star inspections with $78,346 in total fines with 4 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
Riverside
La Crosse, WI
5-star overall rating with 4-star inspections with $21,645 in total fines with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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