Federal inspection record · CMS data as of October 1, 2026
Three Oaks Health Services
209 Wilderness View Drive, Marshfield, WI · (715) 389-6000
- Certified beds
- 75
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- North Shore Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 30, 2005
1
How this home got 2 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
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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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Three Oaks Health Services carries 78.75 inspection points. That is fewer than 40% 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
20 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)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights4E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nutrition and Dietary3F
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care3D
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
Pharmacy Service2D
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Inspection history
2026-03-05
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-12-12
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-11-01
3 health deficiencies · 5 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 45 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
3 h 45 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 53% 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
$31,778 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-11 | Fine | $17,345 |
| 2024-03-04 | Fine | $14,433 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.3 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better | 0.8 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12 pts worse | 84.0% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts worse | 93.5% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse | 5.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.3 pts better | 2.7% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.6 pts better | 1.3% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts better | 10.2% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.6 pts better | 2.3% | 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 worsened6.9 pts worse | 23.9% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.6 pts worse | 21.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.5% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 2.8% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse | 26.5% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 5.7% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine37.4 pts worse | 49.5% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4 pts worse | 19.6% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.5% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.1 pts worse | 70.1% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts better | 19.9% | 22.5% | 23.4% |
·
Who owns and runs it
38 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 |
|---|---|---|---|
| North Shore Healthcare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 55 facilities |
| Nshc Wisconsin LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 14 facilities |
| Baumann, Troy | Indirect Ownership Interest · Individual | 0% | 56 facilities |
| Baumann, Troy | Corporate Officer · Individual | 0% | 56 facilities |
| Baumann, Troy | Operational/Managerial Control · Individual | 0% | 56 facilities |
| Baumann, Troy | Adp Of The SNF · Individual | 0% | 56 facilities |
| Belongia, Christina | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Belongia, Christina | Adp Of The SNF · Individual | 0% | 45 facilities |
| Beverly Enterprises - Wisconsin Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Cibc Bank Usa | 5% Or Greater Security Interest · Organization | 0% | 208 facilities |
| Cibc Bank Usa | Operational/Managerial Control · Organization | 0% | 208 facilities |
| Cliftonlarsonallen | Operational/Managerial Control · Organization | 0% | 124 facilities |
| Cliftonlarsonallen | Adp Of The SNF · Organization | 0% | 124 facilities |
| Continuum Therapy Partners LLC | Operational/Managerial Control · Organization | 0% | 45 facilities |
| Continuum Therapy Partners LLC | Adp Of The SNF · Organization | 0% | 45 facilities |
| Gee, Darren | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Gee, Darren | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 45 facilities |
| Gee, Darren | Adp Of The SNF · Individual | 0% | 45 facilities |
| Greer, Lauren | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Greer, Lauren | Adp Of The SNF · Individual | 0% | 46 facilities |
| Hoehn, Jeffrey | Corporate Officer · Individual | 0% | 57 facilities |
| Hoehn, Jeffrey | Operational/Managerial Control · Individual | 0% | 57 facilities |
| Hoehn, Jeffrey | Adp Of The SNF · Individual | 0% | 57 facilities |
| North Shore Healthcare LLC | Operational/Managerial Control · Organization | 0% | 55 facilities |
| North Shore Healthcare LLC | Adp Of The SNF · Organization | 0% | 55 facilities |
| Nsh Rehab LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Nsh Rehab LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Nshc Wisconsin LLC | Adp Of The SNF · Organization | 0% | 14 facilities |
| Patzer, Colleen | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Patzer, Colleen | Adp Of The SNF · Individual | 0% | 45 facilities |
| Purtell, Brian | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Purtell, Brian | Adp Of The SNF · Individual | 0% | 46 facilities |
| Ramnanan, Keshni | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Ramnanan, Keshni | Adp Of The SNF · Individual | 0% | 18 facilities |
| Wipfli Llp | Operational/Managerial Control · Organization | 0% | 102 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
| Woller, Kristin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Woller, Kristin | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have power receptacles that are properly grounded.
Egress2E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Norwood Health Ctr-Central
Marshfield, WI
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 31 min
- Fines
- $0
-
North Shore Healthcare at Marshfield
Marshfield, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 43 min
- Fines
- $0
-
Colonial Health Services
Colby, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 41 min
- Fines
- $22,191