Federal inspection record · CMS data as of October 1, 2026
Waunakee Valley Senior Living
801 Klein Dr, Waunakee, WI · (608) 849-5016
- Certified beds
- 84
- Residents per day
- 59
- Ownership
- For-Profit
- Chain
- Trilogy Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
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.
-
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
Waunakee Valley Senior Living carries 93.75 inspection points. That is fewer than 33% 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
24 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.
Harm and immediate-jeopardy citations (4)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide safe and appropriate respiratory care for a resident when needed.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care8D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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 the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Pharmacy Service3D
- D
Ensure that residents are free from significant medication errors.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary3F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning1D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Nursing and Physician Services1E
- E
Observe each nurse aide's job performance and give regular training.
Inspection history
2026-04-09
5 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-01-23
9 health deficiencies · 13 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-01-08
10 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 38 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 64% 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
Fines and payment denials
$70,676 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-09 | Fine | $37,820 |
| 2024-11-11 | Fine | $16,055 |
| 2024-08-06 | Fine | $16,801 |
| 2024-08-06 | Payment Denial · 44 day denial | $0 |
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 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 injury0.4 pts better | 2.9% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.8 pts better | 3.2% | 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 medication6 pts better | 10.8% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.3 pts worse | 19.2% | 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 worsened17 pts better | 0.0% | 17.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.7 pts better | 8.1% | 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 infection2.7 pts better | 0.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts worse | 24.2% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.3 pts better | 0.6% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.9 pts better | 99.8% | 86.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts worse | 17.0% | 15.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.7% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.9 pts better | 98.1% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts worse | 25.8% | 22.5% | 23.4% |
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Who owns and runs it
22 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 |
|---|---|---|---|
| Continental Merger Sub LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 100 facilities |
| Barney, Leigh | Managing Control - Governing Body · Individual | 0% | 127 facilities |
| Barney, Leigh | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 127 facilities |
| Conner, Gregory | Managing Control - Governing Body · Individual | 0% | 52 facilities |
| Corbin, Kathy | Operational/Managerial Control · Individual | 0% | 79 facilities |
| Davis, David | Managing Control - Governing Body · Individual | 0% | 127 facilities |
| Fightmaster, Lisa | Operational/Managerial Control · Individual | 0% | 58 facilities |
| Gahc3 Trilogy Jv LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Gahc4 Trilogy Jv LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Hoekstra, Ryan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hoekstra, Ryan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kuehn, Lucas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mehaffey, Todd | Managing Control - Governing Body · Individual | 0% | 44 facilities |
| Pietrowski, Cristina | Managing Control - Governing Body · Individual | 0% | 42 facilities |
| Pietrowski, Cristina | Operational/Managerial Control · Individual | 0% | 42 facilities |
| Prosky, Danny | Managing Control - Governing Body · Individual | 0% | 65 facilities |
| Trilogy Investors LLC | Adp Of The SNF · Organization | 0% | 77 facilities |
| Trilogy Management Services LLC | Adp Of The SNF · Organization | 0% | 124 facilities |
| Trilogy Property Holdings LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Trilogy Real Estate Investment Trust | Adp Of The SNF · Organization | 0% | 78 facilities |
| Trilogy Reit Holdings LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Willhite, Gabriel | Managing Control - Governing Body · Individual | 0% | 23 facilities |
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Fire safety
32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke18F
- E
Construct fire resistant interior walls.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install an approved automatic sprinkler system.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 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 that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D
Construct fire resistant interior walls.
- D
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Construct fire resistant interior walls.
Gas, Vacuum, and Electrical Systems7E
- E
Meet requirements for the use of electrical equipment.
- D
Have power receptacles that are properly grounded.
- D
Ensure proper usage of power strips and extension cords.
- E
Have power receptacles that are properly grounded.
- E
Ensure proper usage of power strips and extension cords.
- E
Ensure proper usage of power strips and extension cords.
- D
Have power receptacles that are properly grounded.
Services3D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction2E
- D
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- E
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1F
- F
Conduct risk assessment and an All-Hazards approach.
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Other homes nearby
-
Middleton Village Nursing And Rehab
Middleton, WI · Shlomo Hoffman
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 57 min
- Fines
- $67,772
-
Capitol Lakes Health Center
Madison, WI · Pacific Retirement Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 6 h 13 min
- Fines
- $0
-
Oakwood Village East Health And Rehab Center
Madison, WI
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 43 min
- Fines
- $212,069