New London, WI

St Joseph Residence

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

107 E Beckert Rd, New London, WI

(920) 982-5354

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

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

44

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-09-01

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

0.83

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

4.11

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

5.88

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

5.17

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.88

CMS adjusted RN staffing hours

Adjusted total hours

6.26

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

543

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

Performance score

67.97

Composite VBP score used to determine payment impact.

Payment multiplier

1.0213

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.81

Performance 18.74% · Measure score 5.81 · Achievement 5.81 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

5.72

Performance 6.13% · Measure score 5.72 · Achievement 5.72 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

5.66

Baseline 60.00% · Performance 40.54% · Measure score 5.66 · Achievement 5.66 · Improvement 5.04

Adjusted total nurse staffing

10

Baseline 5.03 hours · Performance 6.21 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.29%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 65 · Observed rate 3.08% · Lower 95% interval 5.6%
Discharge to community	58.33%	50.57% 7.8 pts better	No Different than the National Rate · Eligible stays 60 · Observed rate 61.67% · Lower 95% interval 50.29%
Medicare spending per beneficiary	0.68	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 37 · Denominator 37
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 37
Discharge self-care score	50%	53.69% 3.7 pts worse	Numerator 16 · Denominator 32
Discharge mobility score	46.88%	50.94% 4.1 pts worse	Numerator 15 · Denominator 32
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 37 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.13%	7.12% 1 pts better	No Different than the National Rate · Eligible stays 34 · Observed rate 0% · Lower 95% interval 3.02%
Staff COVID-19 vaccination coverage	7.59%	8.2% 0.6 pts worse	Numerator 12 · Denominator 158
Staff flu vaccination coverage	64.89%	42% 22.9 pts better	Numerator 183 · Denominator 282
Discharge function score	71.88%	56.45% 15.4 pts better	Numerator 23 · Denominator 32
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 25 · Denominator 25
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

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 · 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	100.0%	95.0% 5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.2%	3.2% 1 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.0% · Q3 2.9% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.4%	5.0% 2.6 pts better	11.4% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.2% · Q3 3.0% · Q4 0.0% · 4Q avg 2.4%
Percentage of long-stay residents who lose too much weight	3.2%	4.9% 1.7 pts better	5.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 4.0% · Q4 4.3% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.2%	16.6% 10.4 pts better	19.6% 13.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 8.7% · Q3 3.8% · Q4 8.7% · 4Q avg 6.2%
Percentage of long-stay residents who received an antipsychotic medication	15.0%	16.7% 1.7 pts better	16.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.0% · Q3 20.0% · 4Q avg 15.0% · 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	12.9%	21.1% 8.2 pts better	16.3% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.2%	17.3% 4.1 pts better	14.9% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 9.1% · Q3 8.0% · Q4 23.8% · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	5.2%	2.3% 2.9 pts worse	1.0% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.0% · Q3 5.3% · Q4 9.5% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.8%	3.0% 0.8 pts worse	1.7% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.0% · Q3 2.9% · Q4 6.2% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.1%	25.5% 2.6 pts worse	19.8% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 37.1% · Q3 29.6% · Q4 24.9% · 4Q avg 28.1%
Percentage of long-stay residents with pressure ulcers	2.0%	5.5% 3.5 pts better	5.1% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.8% · Q3 1.9% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.9%	86.8% 5.1 pts better	81.7% 10.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 95.3% · Q3 95.9% · Q4 89.3% · 4Q avg 91.9%
Percentage of short-stay residents who had an outpatient emergency department visit	13.2%	15.0% 1.8 pts better	12.0% 1.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 12.5% · Expected 10.6% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.5%	82.2% 16.3 pts better	79.7% 18.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.6%	22.7% 0.9 pts worse	23.9% 0.3 pts better	Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 20.8% · Expected 21.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-10-01 · Fire 2025-10-01

4 health deficiencies

Top issue: Administration (1 deficiency)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 2 Health 2024-08-07 · Fire 2024-08-07

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-07-12 · Fire 2023-07-12

4 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-10-01

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Not marked corrected

F · Potential for more than minimal harm 2025-10-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

F · Potential for more than minimal harm 2025-10-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Not marked corrected

F · Potential for more than minimal harm 2024-08-07

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-08-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-11

F · Potential for more than minimal harm 2023-07-12

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-07-12

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-02-20

F · Potential for more than minimal harm 2023-07-12

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-07-14

F · Potential for more than minimal harm 2023-07-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-28

E · Potential for more than minimal harm 2023-07-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-07-26

D · Potential for more than minimal harm 2023-07-12

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 2023-07-25

C · Minimal harm 2023-07-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-27

C · Minimal harm 2023-07-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-10-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-10-01

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-10-01

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-08-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-12

D · Potential for more than minimal harm 2024-11-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-08-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-08-07

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-08-08

D · Potential for more than minimal harm 2024-08-07

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-09-03

D · Potential for more than minimal harm 2024-08-07

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-09-03

D · Potential for more than minimal harm 2023-07-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-07-31

D · Potential for more than minimal harm 2023-07-12

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-08-09

D · Potential for more than minimal harm 2023-07-12

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 2023-08-09

Penalties and ownership