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

Willow Ridge Healthcare

400 Deronda St, Amery, WI · (715) 268-8171

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
83
Residents per day
22
Ownership
For-Profit
Chain
Real Property Health Facilities
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1986

1

How this home got 3 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

    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.

  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

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wisconsin homes

Willow Ridge Healthcare carries 55 inspection points. That is fewer than 53% of Wisconsin's 321 rated homes.

5★4★3★2★1★+10 homes above 397.2505102550100200inspection points → fewer is better on the leftThis home · 55 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

19 health citations on record since 2023. 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 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 1 8 pts
F 3 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 (2)

  1. G

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

    November 20, 2023 · Complaint inspection · Resident Rights · F580 · Corrected December 14, 2023

  2. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 20, 2023 · Complaint inspection · Quality of Life and Care · F684 · Corrected December 14, 2023

Everything else, by area of care

Quality of Life and Care6E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 30, 2025 · Standard · F684 · Corrected August 21, 2025

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    July 30, 2025 · Standard · F686 · Corrected August 21, 2025

  3. D

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

    July 30, 2025 · Standard · F689 · Corrected August 21, 2025

  4. D

    Provide safe and appropriate respiratory care for a resident when needed.

    July 30, 2025 · Standard · F695 · Corrected August 21, 2025

  5. E

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    May 30, 2024 · Standard · F688 · Corrected June 30, 2024

  6. D

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

    January 24, 2024 · Complaint · F689 · Corrected February 19, 2024

Nutrition and Dietary3F
  1. F

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

    July 30, 2025 · Standard · F812 · Corrected August 21, 2025

  2. F

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

    May 30, 2024 · Standard · F812 · Corrected June 30, 2024

  3. F

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

    May 24, 2023 · Standard · F812 · Corrected June 21, 2023

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    July 30, 2025 · Standard · F607 · Corrected August 21, 2025

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    June 24, 2025 · Complaint · F609 · Corrected July 7, 2025

  3. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    May 30, 2024 · Standard · F607 · Corrected June 30, 2024

Resident Assessment and Care Planning2D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 30, 2025 · Standard · F656 · Corrected August 21, 2025

  2. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    May 30, 2024 · Standard · F636 · Corrected June 30, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    July 30, 2025 · Standard · F880 · Corrected August 21, 2025

  2. D

    Provide and implement an infection prevention and control program.

    May 30, 2024 · Standard · F880 · Corrected June 30, 2024

Pharmacy Service1D
  1. 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.

    January 24, 2024 · Complaint · F758 · Corrected February 19, 2024

Inspection history

  1. 2025-07-30

    8 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2024-05-30

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  3. 2023-05-24

    5 health deficiencies · 3 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 4 h 37 min of nursing staff time a day, 50 min of it from a registered nurse.

This home

4 h 37 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 43% 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.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4 pts better100.0%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts better96.0%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better1.0%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms3.6 pts better2.4%6.0%13.5%
Percentage of long-stay residents who lose too much weight2.2 pts better2.7%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts worse18.9%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.1 pts worse26.0%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 worsened3.1 pts better13.9%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse17.5%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts better0.0%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better2.1%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.6 pts better9.0%23.6%18.3%
Percentage of long-stay residents with pressure ulcers2.9 pts worse7.8%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.4 pts better95.3%86.9%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.0%1.2%1.5%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Christina Jayne Penn Management Trust5% Or Greater Direct Ownership Interest · Organization100%6 facilities
Penn, Christina5% Or Greater Indirect Ownership Interest · Individual100%9 facilities
De Costa, DennisW-2 Managing Employee · Individual0%2 facilities
Haworth, AlbertCorporate Officer · Individual0%7 facilities
Haworth, AlbertOperational/Managerial Control · Individual0%7 facilities
Marsh, DawnCorporate Officer · Individual0%9 facilities
Real Property Health Facilities CorpOperational/Managerial Control · Organization0%9 facilities

·

Fire safety

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

Services4F
  1. F

    Have properly installed electrical wiring and gas equipment.

    July 30, 2025 · K511 · Corrected August 20, 2025

  2. C

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

    July 30, 2025 · K521 · Not yet marked corrected

  3. C

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

    May 30, 2024 · K521 · Corrected June 30, 2024

  4. C

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

    May 24, 2023 · K521 · Corrected May 24, 2023

Egress2E
  1. 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.

    July 30, 2025 · K222 · Corrected August 22, 2025

  2. 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.

    May 24, 2023 · K222 · Corrected May 24, 2023

Smoke2D
  1. C

    Inspect, test, and maintain automatic sprinkler systems.

    July 30, 2025 · K353 · Corrected August 20, 2025

  2. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 24, 2023 · K321 · Corrected May 24, 2023

Gas, Vacuum, and Electrical Systems1F
  1. F

    Meet requirements for the installation and maintenance of electrical systems.

    July 30, 2025 · K911 · Corrected October 1, 2025

·

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