Manitowoc, WI

Shady Lane Nursing Care Center

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

1235 S 24th St, Manitowoc, WI

(920) 682-8254

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

50

Certified beds

Average residents

43

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.14

Registered nurse staffing

LPN hours / resident day

0.81

Licensed practical nurse staffing

Aide hours / resident day

2.89

Nurse aide staffing

Weekend hours

4.39

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

37%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
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 1.5%
3.2%
1.7 pts better
3.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.6%
5.0%
3.4 pts better
11.4%
9.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.9%
4.9%
4 pts better
5.4%
4.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.3%
16.6%
7.7 pts worse
19.6%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 11.5%
16.7%
5.2 pts better
16.7%
5.2 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 61.9%
21.1%
40.8 pts worse
16.3%
45.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 31.4%
17.3%
14.1 pts worse
14.9%
16.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.7%
2.3%
0.6 pts better
1.0%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.4%
3.0%
2.4 pts worse
1.7%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 38.0%
25.5%
12.5 pts worse
19.8%
18.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.8%
5.5%
0.3 pts worse
5.1%
0.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
86.8%
12.4 pts better
81.7%
17.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.4%
15.0%
1.4 pts worse
12.0%
4.4 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 96.8%
82.2%
14.6 pts better
79.7%
17.1 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.4%
22.7%
7.3 pts better
23.9%
8.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-16 · Fire 2025-04-16

3 health deficiencies

Top issue: Infection Control (1 deficiency)

7 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 2 Health 2024-02-28 · Fire 2024-02-28

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-02-08 · Fire 2023-02-08

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-16

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-05-07

F · Potential for more than minimal harm 2025-04-16

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-17

F · Potential for more than minimal harm 2025-04-16

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2025-05-08

F · Potential for more than minimal harm 2025-04-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-04-16

K132 · Construction Deficiencies

Fire Safety

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-04-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-17

E · Potential for more than minimal harm 2025-04-16

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-04-17

E · Potential for more than minimal harm 2024-02-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-27

D · Potential for more than minimal harm 2024-02-28

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 2024-03-27

D · Potential for more than minimal harm 2023-02-08

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2023-02-20

Inspection history

Recent health citations

G · Actual harm 2025-04-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-16

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-05-15

D · Potential for more than minimal harm 2023-11-30

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 2023-12-28

Penalties and ownership

What sits behind the stars

Ownership

Avci, Kay

Corporate Director · Individual

0% 1 facilities 2019-12-01
Garcia, Heather

Corporate Director · Individual

0% 1 facilities 2020-12-01
Goetz, Dayna

Corporate Director · Individual

0% 1 facilities 2019-12-01
Herzog, Chris

Corporate Director · Individual

0% 1 facilities 2022-12-01
Less, David

Corporate Director · Individual

0% 1 facilities 2015-12-16
Meerdink, Todd

Operational/Managerial Control · Individual

0% 1 facilities 1993-08-16
Meerdink, Todd

Corporate Officer · Individual

0% 1 facilities 1993-08-16
Neilson, Jody

Corporate Director · Individual

0% 1 facilities 2021-12-08
Neu, Matthew

Corporate Director · Individual

0% 1 facilities 2018-12-01
Nichter, Monica

Corporate Director · Individual

0% 1 facilities 2019-12-01
Sconzert, Aaron

Operational/Managerial Control · Individual

0% 1 facilities 2024-08-05
Sconzert, Aaron

Corporate Officer · Individual

0% 1 facilities 2024-08-05
Tienor, Dennis

Corporate Director · Individual

0% 1 facilities 2023-12-01
Verlinden, Laurence

Operational/Managerial Control · Individual

0% 1 facilities 2014-10-01
Verlinden, Laurence

Corporate Director · Individual

0% 1 facilities 2014-10-01
Weigel, Amy

Corporate Director · Individual

0% 1 facilities 2022-07-01

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Health
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