Federal inspection record · CMS data as of October 1, 2026
Masonic Center for Health & Rehab Inc.
400 N Main St, Dousman, WI · (262) 965-7245
- CMS high-performer trophy
- Certified beds
- 50
- Residents per day
- 45
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1995
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Masonic Center for Health & Rehab Inc. carries 8 inspection points. That is fewer than 92% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
3 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation1D
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-06-17
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-06-04
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-04-11
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 5 h 13 min of nursing staff time a day, 1 h 6 min of it from a registered nurse.
This home
5 h 13 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 25% of nursing staff and 18% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.2 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts better | 97.1% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 97.3% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 4.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.4 pts better | 1.6% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 2.8% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.5 pts worse | 17.3% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts worse | 21.1% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.8 pts worse | 25.8% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.8 pts worse | 30.6% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.6% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 3.8% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts better | 21.4% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts better | 1.3% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 91.9% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.5 pts better | 7.1% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 82.4% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better | 17.7% | 22.5% | 23.4% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Wisconsin Masonic Home, Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Chapman, Carly | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Chapman, Carly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Freuck, Jean | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Freuck, Jean | Corporate Director · Individual | 0% | 1 facilities |
| Freuck, Jean | Corporate Officer · Individual | 0% | 1 facilities |
| Freuck, Jean | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gervais, Lisa | Contracted Managing Employee · Individual | 0% | 2 facilities |
| Mcleer, James | Corporate Director · Individual | 0% | 1 facilities |
| Strautman, Mark | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Strautman, Mark | Corporate Director · Individual | 0% | 1 facilities |
| Strautman, Mark | Corporate Officer · Individual | 0% | 1 facilities |
| Strautman, Mark | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vandenberg, Josh | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Vandenberg, Josh | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wisconsin Masonic Home, Inc | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Wisconsin Masonic Home, Inc | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness2F
- F
Develop Emergency Preparedness policies and procedures.
- F
Conduct testing and exercise requirements.
Smoke2E
- E
Install an approved automatic sprinkler system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress1D
- D
Have properly located and lighted "Exit" signs.
Miscellaneous1D
- D
Have restrictions on the use of highly flammable decorations.
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Other homes nearby
-
Lake Country Health Services
Oconomowoc, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 43 min
- Fines
- $120,868
-
Shorehaven HLTH & Rehab CTR
Oconomowoc, WI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 27 min
- Fines
- $0
-
Lindengrove Waukesha
Waukesha, WI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 1 min
- Fines
- $204,321