Federal inspection record · CMS data as of October 1, 2026
Pride Tlc Therapy And Living Campus
7805 Birch St, Weston, WI · (715) 298-3833
- CMS high-performer trophy
- Certified beds
- 25
- Residents per day
- 22
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- June 18, 2013
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Pride Tlc Therapy And Living Campus carries 11 inspection points. That is fewer than 89% 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
9 health citations on record since 2024. 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
Quality of Life and Care4D
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-04-21
1 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2025-07-16
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-05-08
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 4 min of nursing staff time a day, 1 h 56 min of it from a registered nurse.
This home
5 h 4 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 42% 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. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.9 pts better | 97.8% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better | 11.5% | 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 vaccine17.2 pts better | 99.4% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts better | 20.4% | 22.5% | 23.4% |
·
Who owns and runs it
2 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 |
|---|---|---|---|
| Wanxiang America Real Estate Group, LLC | 5% Or Greater Direct Ownership Interest · Organization | 99% | 1 facilities |
| Johnson Conway, Sally | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness3F
- F
Create arrangements with other facilities to receive patients.
- F
Conduct testing and exercise requirements.
- F
Establish procedures for tracking staff and patients during an emergency.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Rennes Health And Rehab Center-Weston
Weston, WI · Rennes Group
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 6 min
- Fines
- $0
-
North Central Health Care
Wausau, WI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 32 min
- Fines
- $56,244
-
Amethyst Health Of Wausau
Wausau, WI · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 15 min
- Fines
- $21,496