6 health deficiencies
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Laona, WI
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
3576A Nu Roc Ln, Laona, WI
(715) 674-4477
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
50
Certified beds
Average residents
37
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Champion Care
Operator or chain grouping
Approved since
1997-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 2 overall / 2 health / 2 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
RN hours / resident day
0.51
Registered nurse staffing · state 0.97 · national 0.68
LPN hours / resident day
0.85
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
1.82
Nurse aide staffing · state 2.59 · national 2.35
Total nurse hours
3.18
All reported nurse hours · state 4.20 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.60 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.72 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.66 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.32
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
76%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
12,627
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
1.66
Baseline 79.55% · Performance 67.74% · Measure score 1.66 · Achievement 0 · Improvement 1.66
Adjusted total nurse staffing
0.62
Baseline 2.97 hours · Performance 3.25 hours · Measure score 0.62 · Achievement 0.62 · Improvement 0.50
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.39% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 0% · Lower 95% interval 5.9% |
| Discharge to community | 38.77% |
50.57%
11.8 pts worse
|
No Different than the National Rate · Eligible stays 32 · Observed rate 28.13% · Lower 95% interval 28.84% |
| Medicare spending per beneficiary | 1.46 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 29 · Denominator 29 |
| Falls with major injury | 3.45% |
0.77%
2.7 pts worse
|
Numerator 1 · Denominator 29 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 6.9% |
2.29%
4.6 pts worse
|
Numerator 2 · Denominator 29 · Adjusted rate 6.65% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 4.44% |
8.2%
3.8 pts worse
|
Numerator 2 · Denominator 45 |
| Staff flu vaccination coverage | 30.19% |
42%
11.8 pts worse
|
Numerator 16 · Denominator 53 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| 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 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 5 · Denominator 20 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.6
0.6 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.2
0.3 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 75.6% |
95.7%
20.1 pts worse
|
93.4%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 80.6% · Q2 80.0% · Q3 72.7% · Q4 68.8% · 4Q avg 75.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 80.6% |
95.0%
14.4 pts worse
|
95.5%
14.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 80.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
3.2%
2.4 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
5.0%
4.2 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 6.5% |
4.9%
1.6 pts worse
|
5.4%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 7.7% · Q3 9.7% · Q4 7.4% · 4Q avg 6.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.8% |
16.6%
3.2 pts worse
|
19.6%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 20.7% · Q3 22.6% · Q4 18.5% · 4Q avg 19.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.7% |
16.7%
7 pts worse
|
16.7%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 25.0% · Q3 26.9% · Q4 24.0% · 4Q avg 23.7% · 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 | 15.1% |
21.1%
6 pts better
|
16.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.5% |
17.3%
4.8 pts better
|
14.9%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 15.4% · Q3 10.3% · Q4 12.0% · 4Q avg 12.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
2.3%
1.3 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
3.0%
0.7 pts better
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 3.0% · Q4 3.1% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.2% |
25.5%
0.3 pts better
|
19.8%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.3% · Q2 28.2% · Q3 22.7% · Q4 15.3% · 4Q avg 25.2% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
5.5%
0.4 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 9.6% · Q3 0.0% · Q4 3.1% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.4% |
86.8%
55.4 pts worse
|
81.7%
50.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 32.0% · Q3 34.6% · Q4 30.0% · 4Q avg 31.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 0.0% |
15.0%
15 pts better
|
12.0%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.3%
2 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 23.1% |
82.2%
59.1 pts worse
|
79.7%
56.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 23.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 8.2% |
22.7%
14.5 pts better
|
23.9%
15.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 10.0% · Expected 29.0% · Used in QM five-star |
Survey summary
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Administration (1 deficiency)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2025-07-11
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-07-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-08-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-15
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-06-03
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-06-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-03
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-16
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-07-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-16
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-16
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-16
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-07-16
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-01-31
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-03
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-06-03
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-02-23
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-06
Health
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2023-03-06
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-03-06
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-03-06
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-03-06
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
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