Onalaska, WI

Onalaska Care Center

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

1600 Main St, Onalaska, WI

(608) 783-4681

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

54

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-11-01

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

0.67

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.51

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

4.28

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.77

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

3.68

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.76

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

1.28

CMS adjusted RN staffing hours

Adjusted total hours

4.97

CMS adjusted total nurse staffing hours

Case-mix index

1.18

Higher values indicate more complex resident acuity

RN turnover

21%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,005

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

Performance score

52.35

Composite VBP score used to determine payment impact.

Payment multiplier

1.0069

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.10

Performance 18.61% · Measure score 6.10 · Achievement 6.10 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.70

Performance 6.43% · Measure score 4.70 · Achievement 4.70 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

5.14

Baseline 34.21% · Performance 42.68% · Measure score 5.14 · Achievement 5.14 · Improvement 0

Adjusted total nurse staffing

5

Baseline 4.38 hours · Performance 4.50 hours · Measure score 5 · Achievement 5 · Improvement 0.34

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.24%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 90 · Observed rate 7.78% · Lower 95% interval 6.87%
Discharge to community	52.37%	50.57% 1.8 pts better	No Different than the National Rate · Eligible stays 84 · Observed rate 52.38% · Lower 95% interval 43.64%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	99.27%	95.27% 4 pts better	Numerator 136 · Denominator 137
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 137
Discharge self-care score	31.86%	53.69% 21.8 pts worse	Numerator 36 · Denominator 113
Discharge mobility score	27.43%	50.94% 23.5 pts worse	Numerator 31 · Denominator 113
Pressure ulcers or injuries, new or worsened	0.73%	2.29% 1.6 pts better	Numerator 1 · Denominator 137 · Adjusted rate 1.15%
Healthcare-associated infections requiring hospitalization	6.43%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 66 · Observed rate 3.03% · Lower 95% interval 3.39%
Staff COVID-19 vaccination coverage	3.16%	8.2% 5 pts worse	Numerator 6 · Denominator 190
Staff flu vaccination coverage	59.01%	42% 17 pts better	Numerator 95 · Denominator 161
Discharge function score	41.59%	56.45% 14.9 pts worse	Numerator 47 · Denominator 113
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 20 · Denominator 20
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 81 · Denominator 81
Resident COVID-19 vaccinations up to date	53.01%	25.2% 27.8 pts better	Numerator 44 · Denominator 83

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.6 0.1 pts worse	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	2.2 1.1 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.5 · 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	39.1%	95.0% 55.9 pts worse	95.5% 56.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 39.1%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	3.2% About the same	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.6% · Q3 2.6% · Q4 2.6% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.3%	5.0% 1.7 pts better	11.4% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.9% · Q3 2.7% · Q4 0.0% · 4Q avg 3.3%
Percentage of long-stay residents who lose too much weight	2.9%	4.9% 2 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 6.1% · Q3 0.0% · Q4 3.1% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.3%	16.6% 4.3 pts better	19.6% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 12.1% · Q3 8.8% · Q4 9.4% · 4Q avg 12.3%
Percentage of long-stay residents who received an antipsychotic medication	10.7%	16.7% 6 pts better	16.7% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 14.8% · Q3 7.7% · Q4 8.0% · 4Q avg 10.7% · 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	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	19.8%	17.3% 2.5 pts worse	14.9% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 16.1% · Q3 12.9% · Q4 25.0% · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	2.3% 2.3 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.2%	3.0% 0.2 pts worse	1.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 5.3% · Q3 2.6% · Q4 2.6% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.8%	25.5% 4.7 pts better	19.8% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 26.4% · Q3 24.7% · Q4 21.9% · 4Q avg 20.8%
Percentage of long-stay residents with pressure ulcers	2.3%	5.5% 3.2 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 5.9% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	86.8% 13 pts better	81.7% 18.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of short-stay residents who had an outpatient emergency department visit	15.9%	15.0% 0.9 pts worse	12.0% 3.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.9% · Observed 14.9% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.3% 0.1 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 0.0% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.2%	82.2% 9 pts better	79.7% 11.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.5%	22.7% 2.8 pts worse	23.9% 1.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 22.8% · Expected 21.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-29 · Fire 2025-01-29

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-12-06 · Fire 2023-12-06

3 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-10-05 · Fire 2022-10-05

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-01

F · Potential for more than minimal harm 2025-01-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-01

F · Potential for more than minimal harm 2025-01-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-03-01

D · Potential for more than minimal harm 2025-01-29

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-03-01

D · Potential for more than minimal harm 2025-01-29

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-03-01

E · Potential for more than minimal harm 2023-12-06

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 2024-01-06

F · Potential for more than minimal harm 2022-10-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-05

F · Potential for more than minimal harm 2022-10-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-05

D · Potential for more than minimal harm 2022-10-05

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2022-11-05

D · Potential for more than minimal harm 2022-10-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-05

D · Potential for more than minimal harm 2022-10-05

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-11-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-12

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 2025-06-12

D · Potential for more than minimal harm 2025-05-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-12

F · Potential for more than minimal harm 2025-01-29

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 2025-03-01

F · Potential for more than minimal harm 2025-01-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-01

C · Minimal harm 2025-01-29

F620 · Resident Rights Deficiencies

Health

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Corrected 2025-03-01

F · Potential for more than minimal harm 2023-12-06

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 2024-01-05

D · Potential for more than minimal harm 2023-12-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-12-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-05

D · Potential for more than minimal harm 2022-10-05

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-11-05

D · Potential for more than minimal harm 2022-10-05

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-11-05

Penalties and ownership