Federal inspection record · CMS data as of October 1, 2026

St Marys Home for the Aged

1635 S 21st Street, Manitowoc, WI · (920) 684-7171

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
84
Residents per day
43
Ownership
Non-Profit
Chain
Felician Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 1, 1996

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

St Marys Home for the Aged carries 20 inspection points. That is fewer than 81% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 20 pts · 4★

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

12 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 0 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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

Resident Assessment and Care Planning3D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    December 3, 2025 · Standard · F658 · Corrected January 3, 2026

  2. D

    Assess the resident when there is a significant change in condition

    April 30, 2025 · Complaint · F637 · Corrected May 30, 2025

  3. D

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

    June 22, 2023 · Standard · F656 · Corrected July 22, 2023

Quality of Life and Care3D
  1. 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.

    December 3, 2025 · Complaint · F688 · Corrected January 3, 2026

  2. D

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

    December 3, 2025 · Standard · F689 · Corrected January 3, 2026

  3. D

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

    December 3, 2025 · Standard · F695 · Corrected January 3, 2026

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    December 3, 2025 · Standard · F880 · Corrected January 3, 2026

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    August 14, 2024 · Standard · F883 · Corrected September 14, 2024

Pharmacy Service2D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 22, 2023 · Standard · F755 · Corrected July 22, 2023

  2. D

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

    June 22, 2023 · Standard · F757 · Corrected July 22, 2023

Resident Rights1D
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    December 3, 2025 · Complaint · F628 · Corrected January 3, 2026

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    June 22, 2023 · Standard · F812 · Corrected July 22, 2023

Inspection history

  1. 2025-12-03

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2024-08-14

    2 health deficiencies · 8 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2023-06-22

    4 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 14 min of nursing staff time a day, 1 h 2 min of it from a registered nurse.

This home

5 h 14 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 48% of nursing staff and 25% of registered nurses left in the past year.

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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1.1 pts better0.51.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better1.12.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better100.0%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts worse94.3%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts better0.0%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms6 pts better0.0%6.0%13.5%
Percentage of long-stay residents who lose too much weight1.8 pts better3.1%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.6 pts better11.2%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1.3 pts better14.6%15.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.2 pts better14.8%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts worse17.2%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder3.1 pts worse5.0%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection4.9 pts worse7.6%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts better17.7%23.6%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts better4.8%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.9 pts better98.8%86.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts worse21.7%15.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same1.2%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.8 pts better93.0%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.6 pts worse33.1%22.5%23.4%

·

Who owns and runs it

34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Felician Services Inc5% Or Greater Direct Ownership Interest · Organization100%3 facilities
Bruckschen, MeganW-2 Managing Employee · Individual0%1 facilities
Bruckschen, MeganCorporate Director · Individual0%1 facilities
Corbeil, LindseyW-2 Managing Employee · Individual0%1 facilities
Corbeil, LindseyCorporate Director · Individual0%1 facilities
Denor, JeremyW-2 Managing Employee · Individual0%1 facilities
Denor, JeremyCorporate Director · Individual0%1 facilities
Donlon, MarciaCorporate Director · Individual0%1 facilities
Etheridge, MichaelCorporate Director · Individual0%1 facilities
Felician Services Inc5% Or Greater Mortgage Interest · Organization0%3 facilities
Goetz, CameronCorporate Director · Individual0%1 facilities
Hillmer, MichaelW-2 Managing Employee · Individual0%1 facilities
Hillmer, MichaelCorporate Director · Individual0%1 facilities
Jacobi, RoselleW-2 Managing Employee · Individual0%1 facilities
Jacobi, RoselleCorporate Director · Individual0%1 facilities
Maurer, MaryCorporate Director · Individual0%1 facilities
Miller, MichaelW-2 Managing Employee · Individual0%11 facilities
Miller, MichaelCorporate Director · Individual0%11 facilities
Otten, ShannonW-2 Managing Employee · Individual0%1 facilities
Otten, ShannonCorporate Director · Individual0%1 facilities
Otten, ShannonCorporate Officer · Individual0%1 facilities
Sauer, MatthewCorporate Director · Individual0%1 facilities
Schubert, LukeW-2 Managing Employee · Individual0%1 facilities
Schubert, LukeCorporate Director · Individual0%1 facilities
Sidhu, SarfrazContracted Managing Employee · Individual0%28 facilities
Soltys, FrankCorporate Director · Individual0%3 facilities
Spies, BarbaraW-2 Managing Employee · Individual0%1 facilities
Spies, BarbaraCorporate Director · Individual0%1 facilities
Swetlik, DennisCorporate Director · Individual0%1 facilities
Thompson, ReneeW-2 Managing Employee · Individual0%15 facilities
Thompson, ReneeCorporate Director · Individual0%15 facilities
Veeser, ThomasCorporate Director · Individual0%1 facilities
Wech, DarcyW-2 Managing Employee · Individual0%1 facilities
Wech, DarcyCorporate Director · Individual0%1 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. F

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

    December 3, 2025 · K345 · Corrected February 6, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 3, 2025 · K353 · Corrected January 3, 2026

  3. F

    Provide properly protected cooking facilities.

    August 14, 2024 · K324 · Corrected September 17, 2024

  4. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    August 14, 2024 · K374 · Corrected September 11, 2024

  5. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 14, 2024 · K321 · Corrected September 11, 2024

Egress3F
  1. F

    Have exits that are accessible at all times.

    December 3, 2025 · K271 · Corrected January 3, 2026

  2. E

    Have properly located and lighted "Exit" signs.

    August 14, 2024 · K293 · Corrected September 11, 2024

  3. D

    Have properly located and lighted "Exit" signs.

    June 22, 2023 · K293 · Corrected July 22, 2023

Emergency Preparedness2F
  1. F

    Provide emergency officials' contact information.

    August 14, 2024 · E31 · Corrected September 11, 2024

  2. F

    Provide primary/alternate means for communication.

    August 14, 2024 · E32 · Corrected September 3, 2024

Services1E
  1. E

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

    December 3, 2025 · K521 · Corrected January 3, 2026

Gas, Vacuum, and Electrical Systems1F
  1. F

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

    August 14, 2024 · K918 · Corrected September 30, 2024

Miscellaneous1E
  1. E

    Have restrictions on the use of highly flammable decorations.

    August 14, 2024 · K753 · Corrected September 11, 2024

·

Other homes nearby

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    G
    Nursing / resident / day
    5 h 15 min
    Fines
    $0
  2. River's Bend Health Services

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    Worst citation, 3 yrs
    E
    Nursing / resident / day
    3 h 42 min
    Fines
    $0
  3. North Ridge Health and Rehabilitation Center

    Manitowoc, WI · Champion Care

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 55 min
    Fines
    $8,281