Federal inspection record · CMS data as of October 1, 2026
The Pines Post Acute and Memory Care
1625 E Main St, Clintonville, WI · (715) 823-3135
- Certified beds
- 50
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- The Ensign Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1992
1
How this home got 3 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
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
The Pines Post Acute and Memory Care carries 46 inspection points. That is fewer than 60% 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
19 health citations on record since 2023. 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.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Everything else, by area of care
Quality of Life and Care4D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service3E
- E
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.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Resident Rights2D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-07-17
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-15
9 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2023-05-10
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 24 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 75% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$11,960 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-19 | Fine | $11,960 |
6
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 long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 97.5% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts worse | 93.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts worse | 6.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts better | 5.5% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 7.6% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts worse | 20.9% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.7 pts worse | 23.6% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.6 pts better | 10.4% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better | 13.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts better | 0.0% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.9 pts worse | 5.6% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts better | 20.8% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.4 pts better | 0.5% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.5 pts worse | 68.4% | 86.9% | 82.3% |
| 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 vaccine8 pts worse | 74.2% | 82.2% | 80.1% |
·
Who owns and runs it
19 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 |
|---|---|---|---|
| Bell, Cody | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Bell, Cody | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Bell, Cody | Adp Of The SNF · Individual | 0% | 2 facilities |
| Burnam, Soon | Corporate Officer · Individual | 0% | 353 facilities |
| Ensign Services Inc | Adp Of The SNF · Organization | 0% | 299 facilities |
| Gateway Healthcare LLC | Direct Ownership Interest · Organization | 0% | 14 facilities |
| J Thompson Staffing Inc | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Jorgensen, David | Corporate Officer · Individual | 0% | 56 facilities |
| Kamin, Shayna | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Kamin, Shayna | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Kamin, Shayna | Adp Of The SNF · Individual | 0% | 2 facilities |
| Keetch, Chad | Corporate Officer · Individual | 0% | 301 facilities |
| Kelstar LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Legend Lake Health Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Port, Barry | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 203 facilities |
| Prn Health Services, Inc. | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Standard Bearer Healthcare Op, LP | Adp Of The SNF · Organization | 0% | 78 facilities |
| The Ensign Group Inc | Indirect Ownership Interest · Organization | 0% | 135 facilities |
| The Ensign Group Inc | Adp Of The SNF · Organization | 0% | 135 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems2E
- D
Meet requirements for the use of electrical equipment.
- E
Have proper medical gas storage and administration areas.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Create arrangements with other facilities to receive patients.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
·
Other homes nearby
-
Greentree Health and Rehabilitation Center
Clintonville, WI · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Shawano Health Services
Shawano, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 32 min
- Fines
- $0
-
Evergreen Health Services
Shawano, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 28 min
- Fines
- $14,020