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

Water's Edge

11040 North State Rd 77, Hayward, WI · (715) 934-4300

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
50
Residents per day
40
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 1, 1997

1

How this home got 4 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

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

Water's Edge carries 40 inspection points. That is fewer than 64% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 40 pts · 3★

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

13 health citations on record since 2024. 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 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 1 8 pts
F 2 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.

Harm and immediate-jeopardy citations (1)

  1. G

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

    August 8, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected September 4, 2025

Everything else, by area of care

Resident Rights3D
  1. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    July 1, 2026 · Standard · F561 · Corrected July 31, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    July 1, 2026 · Standard · F580 · Corrected July 31, 2026

  3. D

    Keep residents' personal and medical records private and confidential.

    July 1, 2026 · Standard · F583 · Corrected July 31, 2026

Infection Control3F
  1. D

    Provide and implement an infection prevention and control program.

    July 1, 2026 · Standard · F880 · Corrected July 31, 2026

  2. F

    Provide and implement an infection prevention and control program.

    May 14, 2025 · Standard · F880 · Corrected June 14, 2025

  3. F

    Provide and implement an infection prevention and control program.

    April 24, 2024 · Standard · F880 · Corrected May 16, 2024

Quality of Life and Care2D
  1. D

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

    July 1, 2026 · Standard · F689 · Corrected July 31, 2026

  2. D

    Provide care or services that was trauma informed and/or culturally competent.

    May 14, 2025 · Standard · F699 · Corrected June 14, 2025

Pharmacy Service2D
  1. D

    Ensure that residents are free from significant medication errors.

    July 1, 2026 · Standard · F760 · Corrected July 31, 2026

  2. 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.

    July 1, 2026 · Standard · F761 · Corrected July 31, 2026

Nutrition and Dietary1E
  1. E

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

    July 1, 2026 · Standard · F812 · Corrected July 31, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    July 1, 2026 · Standard · F604 · Corrected July 31, 2026

Inspection history

  1. 2026-07-01

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  2. 2025-05-14

    3 health deficiencies · 4 fire-safety deficiencies

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

  3. 2024-04-24

    1 health deficiencies · 1 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 7 min of nursing staff time a day, 58 min of it from a registered nurse.

This home

4 h 7 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 43% of nursing staff and 0% 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.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts better1.01.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse3.02.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts worse94.4%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better97.4%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse4.9%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms0.8 pts better5.2%6.0%13.5%
Percentage of long-stay residents who lose too much weight3.8 pts worse8.7%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.8 pts better13.0%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.1 pts better10.8%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 worsened3.8 pts better13.2%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts worse24.6%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better0.6%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection3.1 pts worse5.8%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts worse23.7%23.6%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better3.9%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts better93.4%86.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.0%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.5 pts worse67.7%82.2%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Regional Enterprises Inc5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Actualmeds CorporationAdp Of The SNF · Organization0%3 facilities
Amergis Healthcare Staffing, Inc.Adp Of The SNF · Organization0%1 facilities
Beirl, LukeManaging Control - Governing Body · Individual0%1 facilities
Beirl, LukeCorporate Officer · Individual0%1 facilities
Beirl, LukeOperational/Managerial Control · Individual0%1 facilities
Bowman, AlanOperational/Managerial Control · Individual0%1 facilities
Bowman, AlanAdp Of The SNF · Individual0%1 facilities
Courtright, MarthaOperational/Managerial Control · Individual0%1 facilities
Courtright, MarthaAdp Of The SNF · Individual0%1 facilities
Dumonseau, KentCorporate Officer · Individual0%1 facilities
Dumonseau, KentOperational/Managerial Control · Individual0%1 facilities
Dumonseau, KentAdp Of The SNF · Individual0%1 facilities
Dunlap, SabrinaManaging Control - Governing Body · Individual0%1 facilities
Dunlap, SabrinaCorporate Director · Individual0%1 facilities
Eckes, KylahManaging Control - Governing Body · Individual0%1 facilities
Eckes, KylahCorporate Director · Individual0%1 facilities
Frandsen Bank And TrustAdp Of The SNF · Organization0%1 facilities
Gardner, KatrinaManaging Control - Governing Body · Individual0%1 facilities
Gardner, KatrinaCorporate Director · Individual0%1 facilities
Garrett, JohnManaging Control - Governing Body · Individual0%1 facilities
Garrett, JohnCorporate Director · Individual0%1 facilities
Health Dimensions Consulting IncAdp Of The SNF · Organization0%20 facilities
Helenius, HilaryOperational/Managerial Control · Individual0%1 facilities
Helenius, HilaryAdp Of The SNF · Individual0%1 facilities
Henck, AnnaOperational/Managerial Control · Individual0%1 facilities
Henck, AnnaAdp Of The SNF · Individual0%1 facilities
Hoban, RichardManaging Control - Governing Body · Individual0%1 facilities
Hoban, RichardCorporate Director · Individual0%1 facilities
Iverson, ChristineManaging Control - Governing Body · Individual0%1 facilities
Iverson, ChristineCorporate Director · Individual0%1 facilities
Jokinen, ThomasManaging Control - Governing Body · Individual0%1 facilities
Jokinen, ThomasCorporate Director · Individual0%1 facilities
Keller, JoyOperational/Managerial Control · Individual0%1 facilities
Keller, JoyAdp Of The SNF · Individual0%1 facilities
Kuchinka, SamManaging Control - Governing Body · Individual0%1 facilities
Kuchinka, SamCorporate Director · Individual0%1 facilities
Leadingchoice Network LLCOperational/Managerial Control · Organization0%4 facilities
Leadingchoice Network LLCAdp Of The SNF · Organization0%4 facilities
Lindsay, AindreaOperational/Managerial Control · Individual0%1 facilities
Lindsay, AindreaAdp Of The SNF · Individual0%1 facilities
Maanum, ScottOperational/Managerial Control · Individual0%1 facilities
Maanum, ScottAdp Of The SNF · Individual0%1 facilities
Manning, AmandaOperational/Managerial Control · Individual0%1 facilities
Manning, AmandaAdp Of The SNF · Individual0%1 facilities
Medical Solutions LLCAdp Of The SNF · Organization0%16 facilities
Mikula, DaniManaging Control - Governing Body · Individual0%1 facilities
Mikula, DaniCorporate Director · Individual0%1 facilities
Miller, DebraOperational/Managerial Control · Individual0%1 facilities
Miller, DebraAdp Of The SNF · Individual0%1 facilities
Pearson, TaylorManaging Control - Governing Body · Individual0%1 facilities
Pearson, TaylorCorporate Director · Individual0%1 facilities
Piecuch, DebraOperational/Managerial Control · Individual0%1 facilities
Piecuch, DebraAdp Of The SNF · Individual0%1 facilities
Regional Enterprises IncAdp Of The SNF · Organization0%1 facilities
Schraufnagel, PatriciaManaging Control - Governing Body · Individual0%1 facilities
Schraufnagel, PatriciaCorporate Director · Individual0%1 facilities
Setzke, RichardManaging Control - Governing Body · Individual0%1 facilities
Setzke, RichardCorporate Director · Individual0%1 facilities
Sheehan, HeatherOperational/Managerial Control · Individual0%1 facilities
Sheehan, HeatherAdp Of The SNF · Individual0%1 facilities
Signorelli, JosephManaging Control - Governing Body · Individual0%1 facilities
Signorelli, JosephCorporate Director · Individual0%1 facilities
Skar, AnnaOperational/Managerial Control · Individual0%1 facilities
Skar, AnnaAdp Of The SNF · Individual0%1 facilities
Stangret, AmandaOperational/Managerial Control · Individual0%1 facilities
Stangret, AmandaAdp Of The SNF · Individual0%1 facilities
Thompson, DodsonManaging Control - Governing Body · Individual0%1 facilities
Thompson, DodsonCorporate Director · Individual0%1 facilities
Thrasher, MichelleOperational/Managerial Control · Individual0%1 facilities
Thrasher, MichelleAdp Of The SNF · Individual0%1 facilities
Tumas, AistisManaging Control - Governing Body · Individual0%1 facilities
Tumas, AistisCorporate Director · Individual0%1 facilities
Wegener, DavidOperational/Managerial Control · Individual0%1 facilities
Wegener, DavidAdp Of The SNF · Individual0%1 facilities
Wickman, TylerManaging Control - Governing Body · Individual0%1 facilities
Wickman, TylerCorporate Director · Individual0%1 facilities

·

Fire safety

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

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    July 1, 2026 · K712 · Corrected July 31, 2026

  2. C

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    May 14, 2025 · K761 · Corrected June 30, 2025

Smoke2F
  1. F

    Provide properly protected cooking facilities.

    May 14, 2025 · K324 · Corrected June 30, 2025

  2. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    April 24, 2024 · K355 · Corrected May 10, 2024

Gas, Vacuum, and Electrical Systems1E
  1. E

    Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

    July 1, 2026 · K927 · Corrected July 31, 2026

Construction1F
  1. F

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

    May 14, 2025 · K132 · Corrected June 30, 2025

Services1F
  1. F

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

    May 14, 2025 · K521 · Corrected June 30, 2025

·

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