Peshtigo, WI

Rennes Health and Rehab Center-West

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

501 N Lake St, Peshtigo, WI

(715) 582-3906

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

90

Certified beds

Average residents

79

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Rennes Group

Operator or chain grouping

Approved since

1989-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.84

Registered nurse staffing

LPN hours / resident day

0.57

Licensed practical nurse staffing

Aide hours / resident day

2.35

Nurse aide staffing

Weekend hours

3.29

Weekend nurse staffing

RN turnover

47%

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
1.6
0.4 pts worse
1.9
0.1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
2.2
0.2 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630
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
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
Percentage of long-stay residents experiencing one or more falls with major injury 5.2%
3.2%
2 pts worse
3.3%
1.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.4%
5.0%
4.6 pts better
11.4%
11 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.7%
4.9%
1.8 pts worse
5.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.2%
16.6%
3.4 pts better
19.6%
6.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 14.1%
16.7%
2.6 pts better
16.7%
2.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 21.5%
21.1%
0.4 pts worse
16.3%
5.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 22.6%
17.3%
5.3 pts worse
14.9%
7.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.1%
2.3%
0.2 pts better
1.0%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.6%
3.0%
0.4 pts better
1.7%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.5%
25.5%
2 pts better
19.8%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.6%
5.5%
4.9 pts better
5.1%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.2%
86.8%
10.4 pts better
81.7%
15.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.9%
15.0%
2.1 pts better
12.0%
0.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.2%
1.3%
0.9 pts worse
1.6%
0.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.0%
82.2%
15.8 pts better
79.7%
18.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.2%
22.7%
0.5 pts better
23.9%
1.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-02 · Fire 2024-10-02

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-08-23 · Fire 2023-08-23

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

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

Cycle 3 Health 2022-07-27 · Fire 2022-07-27

3 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-02

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-11-01

F · Potential for more than minimal harm 2024-10-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-10-02

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2023-08-23

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 2023-08-25

D · Potential for more than minimal harm 2023-08-23

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-08-22

D · Potential for more than minimal harm 2023-08-23

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-08-25

E · Potential for more than minimal harm 2022-07-27

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-07-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-07-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-10-02

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-10-30

E · Potential for more than minimal harm 2022-07-27

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 2022-08-23

E · Potential for more than minimal harm 2022-07-27

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-08-23

D · Potential for more than minimal harm 2022-07-27

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-08-23

Penalties and ownership

What sits behind the stars

Ownership

Rennes, Debra

5% Or Greater Direct Ownership Interest · Individual

50% 6 facilities 1988-01-26
Rennes, Timothy

5% Or Greater Direct Ownership Interest · Individual

50% 6 facilities 1988-01-26
Lange, Robert

W-2 Managing Employee · Individual

0% 6 facilities 2022-03-30
Oestreich, Shawn

Operational/Managerial Control · Individual

0% 1 facilities 2019-12-22
Oestreich, Shawn

Corporate Officer · Individual

0% 1 facilities 2019-12-22
Rennes Group, Inc.

Operational/Managerial Control · Organization

0% 1 facilities 1988-01-26
Schingick, Nicole

Corporate Director · Individual

0% 6 facilities 2019-12-22
Schingick, Nicole

Corporate Officer · Individual

0% 6 facilities 2019-12-22

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Staffing
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Health
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Staffing
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Fines
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