Federal inspection record · CMS data as of October 1, 2026
Villa Marina Health and Rehabilitation Center
35 N 28th St, Superior, WI · (715) 392-3300
- CMS high-performer trophy
- Certified beds
- 72
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1997
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.
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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
★★★★★+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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Villa Marina Health and Rehabilitation Center carries 23 inspection points. That is fewer than 78% 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
17 health citations on record since 2024. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation5D
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Nutrition and Dietary2F
- 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 Control2F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Rights2E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
Keep residents' personal and medical records private and confidential.
Quality of Life and Care2D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Inspection history
2026-07-07
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2025-09-18
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-07-24
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 58 min of nursing staff time a day, 1 h 6 min of it from a registered nurse.
This home
3 h 58 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 6% of registered nurses left in the past year, along with 1 administrator.
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.8 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.8 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better | 100.0% | 96.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better | 2.7% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6 pts better | 0.0% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 1.6% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.7 pts better | 14.1% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.8 pts better | 5.1% | 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 worsened6.1 pts better | 10.9% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.5 pts better | 12.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 1.1% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 2.3% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts better | 20.6% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts better | 2.2% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 98.2% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts better | 15.3% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.8 pts worse | 4.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.3 pts better | 96.5% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6 pts better | 16.5% | 22.5% | 23.4% |
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Who owns and runs it
14 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 |
|---|---|---|---|
| Kutz, Lawrence | 5% Or Greater Direct Ownership Interest · Individual | 100% | 2 facilities |
| Holm, Margo | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Holm, Margo | Adp Of The SNF · Individual | 0% | 2 facilities |
| Johnstad, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Johnstad, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kleinschmidt, Timothy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kutz, Lawrence | Corporate Director · Individual | 0% | 2 facilities |
| Kutz, Lawrence | Corporate Officer · Individual | 0% | 2 facilities |
| Kutz, Lawrence | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Kutz, Lawrence | Trustee Of The SNF · Individual | 0% | 2 facilities |
| Kutz, Lawrence | Adp Of The SNF · Individual | 0% | 2 facilities |
| Randa, Lori | Adp Of The SNF · Individual | 0% | 1 facilities |
| Simonich, Joseph | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Simonich, Joseph | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems1D
- D
Have power receptacles that are properly grounded.
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Other homes nearby
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Twin Ports Health Services
Superior, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 34 min
- Fines
- $0
-
Franciscan Health Center
Duluth, MN · St. Francis Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 59 min
- Fines
- $0
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Dove Healthcare - Superior
Superior, WI · Dove Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 9 min
- Fines
- $0