Cycle 1
Health 2025-08-06 · Fire 2025-08-06
3 health deficiencies
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Janesville, MN
Whispering Creek
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
102 East North Street, Janesville, MN
(507) 231-5113
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
35
Certified beds
Average residents
28
Average occupied residents
Ownership
Government
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.27
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.61
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
1.86
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.60
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.60
CMS adjusted RN staffing hours
Adjusted total hours
5.80
CMS adjusted total nurse staffing hours
Case-mix index
1.09
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
147
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
81.55
Composite VBP score used to determine payment impact.
Payment multiplier
1.0261
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
10
Baseline 15.79% · Performance 15.38% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
6.31
Baseline 4.52 hours · Performance 4.87 hours · Measure score 6.31 · Achievement 6.31 · Improvement 2.27
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.77% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 3.23% · Lower 95% interval 6.27% |
| Discharge to community | 56.47% |
50.57%
5.9 pts better
|
No Different than the National Rate · Eligible stays 30 · Observed rate 53.33% · Lower 95% interval 42.21% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 23 · Denominator 23 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 23 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 12 · Denominator 21 |
| Discharge mobility score | 76.19% |
50.94%
25.2 pts better
|
Numerator 16 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 23 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 8.33% |
8.2%
0.1 pts better
|
Numerator 5 · Denominator 60 |
| Staff flu vaccination coverage | 36.21% |
42%
5.8 pts worse
|
Numerator 21 · Denominator 58 |
| Discharge function score | 80.95% |
56.45%
24.5 pts better
|
Numerator 17 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.3%
2.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.1% |
96.1%
14 pts worse
|
95.5%
13.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.9%
3.9 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
4.3%
3.3 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.8% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
4.1%
0.6 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.8% · Q4 9.1% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.0% |
12.4%
5.4 pts better
|
19.6%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 8.7% · Q3 4.5% · Q4 4.5% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 34.3% |
17.5%
16.8 pts worse
|
16.7%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 34.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.2% |
22.5%
4.3 pts better
|
16.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.9% |
18.6%
1.7 pts better
|
14.9%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 19.0% · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.3%
2.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% |
24.8%
3.3 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 40.9% · Q3 29.3% · Q4 23.6% · 4Q avg 28.1% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
5.4%
1.7 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 4.8% · Q3 0.0% · Q4 5.2% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
88.6%
10.2 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q3 100.0% · 4Q avg 98.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.9% |
1.9%
3 pts worse
|
1.6%
3.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.0% |
82.7%
57.7 pts worse
|
79.7%
54.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 25.0% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-16 · Fire 2024-07-16
1 health deficiencies
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Electrical (1 deficiency)
Cycle 3
Health 2023-08-23 · Fire 2023-08-23
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-06
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-08-18
F · Potential for more than minimal harm
2025-08-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-20
C · Minimal harm
2025-08-06
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-05
F · Potential for more than minimal harm
2024-07-16
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-02
C · Minimal harm
2024-07-16
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-07-16
E · Potential for more than minimal harm
2023-08-23
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-09-15
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-06
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-09-02
D · Potential for more than minimal harm
2025-08-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-08-06
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-01
F · Potential for more than minimal harm
2024-07-16
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-08-02
B · Minimal harm
2023-08-23
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-09-15
Penalties and ownership
What sits behind the stars
Ownership
City Of Janesville
5% Or Greater Direct Ownership Interest · Organization
King, Katherine
Corporate Director · Individual
Lsi Consulting
Operational/Managerial Control · Organization
Madel, Raymond
Operational/Managerial Control · Individual
Milow, Larry
Corporate Director · Individual
Sack, Berndette
Corporate Director · Individual
Santo, Michael
Corporate Director · Individual
Westpahl, Robert
Corporate Director · Individual
Nearby options
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#3
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2-star overall rating with 2-star inspections with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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