Galesville, WI

Marinuka Manor

5-star overall rating with 4-star inspections with 8 fire-safety deficiencies in the latest cycle

19475 Silver Creek Rd, Galesville, WI

(608) 582-2211

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

50

Certified beds

Average residents

30

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-08-01

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

1.10

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.49

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.63

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

4.22

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.71

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.64

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.27

CMS adjusted RN staffing hours

Adjusted total hours

4.85

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

17%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

295

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

Performance score

74.25

Composite VBP score used to determine payment impact.

Payment multiplier

1.0242

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

10

Baseline 25.71% · Performance 17.14% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

4.85

Baseline 3.94 hours · Performance 4.46 hours · Measure score 4.85 · Achievement 4.85 · Improvement 2.32

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	8.6%	8.2% 0.4 pts better	Numerator 8 · Denominator 93
Staff flu vaccination coverage	60.95%	42% 19 pts better	Numerator 64 · Denominator 105
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 13 · 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	3.3	1.6 1.7 pts worse	1.9 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.5 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	2.2 0.1 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.3 · 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	4.1%	3.2% 0.9 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 6.5% · Q3 3.0% · Q4 3.8% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.5%	5.0% 1.5 pts better	11.4% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.4% · Q3 3.1% · Q4 4.0% · 4Q avg 3.5%
Percentage of long-stay residents who lose too much weight	5.7%	4.9% 0.8 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.7% · Q3 6.7% · Q4 4.5% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.5%	16.6% 1.9 pts worse	19.6% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 14.3% · Q3 23.3% · Q4 22.7% · 4Q avg 18.5%
Percentage of long-stay residents who received an antipsychotic medication	9.1%	16.7% 7.6 pts better	16.7% 7.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.8% · Q3 11.1% · Q4 15.0% · 4Q avg 9.1% · 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	24.4%	21.1% 3.3 pts worse	16.3% 8.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 24.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.0%	17.3% 7.7 pts worse	14.9% 10.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 20.0% · Q3 14.8% · Q4 45.0% · 4Q avg 25.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	8.1%	2.3% 5.8 pts worse	1.0% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.5% · Q3 4.2% · Q4 4.0% · 4Q avg 8.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.7%	3.0% 1.3 pts better	1.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 3.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.1%	25.5% 1.4 pts better	19.8% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 31.4% · Q3 21.0% · Q4 27.5% · 4Q avg 24.1%
Percentage of long-stay residents with pressure ulcers	1.5%	5.5% 4 pts better	5.1% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	86.8% 13.2 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	10.7%	15.0% 4.3 pts better	12.0% 1.3 pts better	Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 10.0% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.7%	1.3% 1.4 pts worse	1.6% 1.1 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 2.7% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	34.9%	22.7% 12.2 pts worse	23.9% 11 pts worse	Short Stay · 20240701-20250630 · Adjusted 34.9% · Observed 30.0% · Expected 20.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-06 · Fire 2024-11-06

0 health deficiencies

No concentrated health issue counts in this cycle.

8 fire-safety deficiencies

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

Cycle 2 Health 2023-11-01 · Fire 2023-11-01

9 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-09-28 · Fire 2022-09-28

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-06

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-11-06

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-11-06

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-11-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-11-06

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-12-06

E · Potential for more than minimal harm 2023-11-01

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-11-01

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 2023-11-17

E · Potential for more than minimal harm 2023-11-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-11-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-17

E · Potential for more than minimal harm 2022-09-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-24

D · Potential for more than minimal harm 2022-09-28

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2022-10-24

D · Potential for more than minimal harm 2022-09-28

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 2022-10-24

D · Potential for more than minimal harm 2022-09-28

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-10-24

D · Potential for more than minimal harm 2022-09-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-10-24

Inspection history

Recent health citations

F · Potential for more than minimal harm 2023-11-01

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-11-01

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 2023-12-01

F · Potential for more than minimal harm 2023-11-01

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-11-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-01

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-01

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-01

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-01

D · Potential for more than minimal harm 2023-11-01

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 2023-12-01

C · Minimal harm 2023-11-01

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 2023-12-01

F · Potential for more than minimal harm 2022-09-28

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2022-10-14

F · Potential for more than minimal harm 2022-09-28

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 2022-10-14

Penalties and ownership