Door County Memorial Hospital SNF — nursing home in Sturgeon Bay, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 32 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 30.9 CMS, MDS-derived
CMS Certification Number: 525377
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 1, 1984
Ownership type: Non profit - Corporation
Operator (legal business name): Door County Memorial Hospital
CMS chain: Not part of a CMS-reported chain
Phone: (920) 743-5566
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Apr 28, 2026

Citations

23

9 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E8	F6
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525377
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 32
First approved: Oct 1, 1984
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Wisconsin.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Apr 28, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 28, 2026	Health	Health Standard	1	Potential harm	—	Open →
Jul 2, 2025	Health	Health Complaint	4	Potential harm	—	Open →
Feb 19, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 19, 2025	Health	Health Standard	3	Potential harm	—	Open →
Jan 4, 2024	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
Jan 4, 2024	Health	Health Complaint, Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E8	F6
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Apr 28, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 22, 2026
Apr 28, 2026	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 8, 2026
Apr 28, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 8, 2026
Jul 2, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 23, 2025	Complaint
Jul 2, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 27, 2025	Complaint
Jul 2, 2025	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 25, 2025	Complaint
Jul 2, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 23, 2025	Complaint
Feb 19, 2025	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 11, 2025
Feb 19, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 26, 2025
Feb 19, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 6, 2025
Feb 19, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 22, 2025
Feb 19, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 12, 2025
Feb 19, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 27, 2025
Jan 4, 2024	K-0200	Meet other general requirements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 8, 2024
Jan 4, 2024	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted Jun 11, 2024
Jan 4, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 16, 2024
Jan 4, 2024	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 8, 2024
Jan 4, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 31, 2024
Jan 4, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 8, 2024
Jan 4, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 31, 2024
Jan 4, 2024	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 8, 2024
Jan 4, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Waiver granted Jun 11, 2024
Jan 4, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 12, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.2

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.97

State avg 4.25US avg 3.90

Registered nurse (RN)1.52

State avg 0.98US avg 0.69

Licensed practical nurse0.69

State avg 0.65US avg 0.86

Nurse aide2.76

State avg 2.61US avg 2.35

Weekend total nurse4.55

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.37 (case-mix index 1.30).

Staff turnover

Total nursing staff turnover61.3%

State avg 46.7%US avg 45.3%

Registered nurse turnover47.1%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Apr 28, 2026
Cycle 1 health score: 4
Total weighted score: 14

Operating entity

Door County Memorial Hospital

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

65

Organizations

1

Individuals

63

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
St Vincent Hospital-Hospital Sisters-Third Order of St Francis	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 28, 2016
Jamie Alberts	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2021
Bradley Andreae	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Maria Chona Antonio	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2024
Nancy Bohrman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2024
Edgar Collison	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 14, 2025
Corwin Dahl	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2021
Robert Erickson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 15, 2024
Erin Helgeson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Pauline Helm	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2023
Jonathan Jarosh	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Joel Kitchens	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2021
Andrew Laluzerne	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 29, 2018
Jeffrey Rabas	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Joseph Rebhan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2026
Andrew Richmond	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2017
Pamela Seiler	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 27, 2026
Michael St Jean	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Brian Stephens	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 6, 2019
Tammy Sternard	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2025
Caroline Urban	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2024
Patricia Vickman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2017
Martha Ziegelbauer	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Jamie Alberts	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Bradley Andreae	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Edgar Collison	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 14, 2025
Corwin Dahl	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Robert Erickson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 15, 2024
Erin Helgeson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Pauline Helm	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Jonathan Jarosh	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Joel Kitchens	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Jeffrey Rabas	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2022
Joseph Rebhan	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2026
Andrew Richmond	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2017
Pamela Seiler	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	May 27, 2026
Michael St Jean	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2025
Tammy Sternard	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2025
Patricia Vickman	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2017
Martha Ziegelbauer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2022
Andrew Laluzerne	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 29, 2018
Brian Stephens	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 6, 2019
St Vincent Hospital-Hospital Sisters-Third Order of St Francis	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 14, 2025
Jamie Alberts	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Bradley Andreae	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024
Maria Chona Antonio	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2024
Nancy Bohrman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2024
Edgar Collison	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 14, 2025
Corwin Dahl	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Robert Erickson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 15, 2024
Erin Helgeson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024
Pauline Helm	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2023
Jonathan Jarosh	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024
Joel Kitchens	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2021
Andrew Laluzerne	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 29, 2018
Jeffrey Rabas	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Joseph Rebhan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2026
Andrew Richmond	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2017
Pamela Seiler	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 27, 2026
Michael St Jean	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Brian Stephens	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 6, 2019
Tammy Sternard	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025
Caroline Urban	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2024
Patricia Vickman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2017
Martha Ziegelbauer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 323 S 18th Ave, Sturgeon Bay, WI 54235
ZIP: 54235
County: Door County FIPS 55029
State: Wisconsin
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Sturgeon Bay Health Services 200 N Seventh Ave, Sturgeon Bay, WI 54235 CCN 525306	1.8 km	50		Mar 4, 2026	401 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525377	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525377	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 525377

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction