Willow Ridge Healthcare — nursing home in Amery, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 83 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: 21.8 CMS, MDS-derived
CMS Certification Number: 525402
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 1986
Ownership type: For profit - Corporation
Operator (legal business name): Willow Ridge Healthcare Facilities, LLC
CMS chain: Real Property Health Facilities 9 facilities
Phone: (715) 268-8171
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Jul 30, 2025

Citations

28

19 health · 9 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D14	E3	F5
Minimal	A·	B·	C4

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: 525402
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 83
First approved: Jul 1, 1986
Located in a hospital: No
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
Jul 30, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Jul 30, 2025	Health	Health Standard	8	Potential harm	—	Open →
Jun 24, 2025	Health	Health Complaint	1	Potential harm	—	Open →
May 30, 2024	Fire safety	Fire Safety Standard	1	Minimal	—	Open →
May 30, 2024	Health	Health Standard	5	Potential harm	—	Open →
Jan 24, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Nov 20, 2023	Health	Health Complaint	2	Actual harm	—	Open →
May 24, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 24, 2023	Health	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	G2	H·	I·
Potential harm	D14	E3	F5
Minimal	A·	B·	C4

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 30, 2025	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 22, 2025
Jul 30, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 20, 2025
Jul 30, 2025	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 1, 2025
Jul 30, 2025	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 21, 2025
Jul 30, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2025
Jul 30, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2025
Jul 30, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2025
Jul 30, 2025	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 Aug 21, 2025
Jul 30, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2025
Jul 30, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Aug 21, 2025
Jul 30, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 21, 2025
Jul 30, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Aug 20, 2025
Jul 30, 2025	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	No revisit needed
Jun 24, 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 7, 2025	Complaint
May 30, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 30, 2024
May 30, 2024	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2024
May 30, 2024	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 30, 2024
May 30, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 30, 2024
May 30, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 30, 2024
May 30, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Jun 30, 2024
Jan 24, 2024	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 Feb 19, 2024	Complaint
Jan 24, 2024	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 19, 2024	Complaint
Nov 20, 2023	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	G · Actual harm Isolated	Corrected Dec 14, 2023	Complaint
Nov 20, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Dec 14, 2023	Complaint
May 24, 2023	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 24, 2023
May 24, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 24, 2023
May 24, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Jun 21, 2023
May 24, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted May 24, 2023

“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 staffing4.62

State avg 4.25US avg 3.90

Registered nurse (RN)0.83

State avg 0.98US avg 0.69

Licensed practical nurse1.26

State avg 0.65US avg 0.86

Nurse aide2.53

State avg 2.61US avg 2.35

Weekend total nurse4.15

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.59 (case-mix index 1.41).

Staff turnover

Total nursing staff turnover42.9%

State avg 46.7%US avg 45.3%

Registered nurse turnover42.9%

State avg 40.1%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 30, 2025
Cycle 1 health score: 44
Total weighted score: 55

Operating entity

Willow Ridge Healthcare Facilities, LLC

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

VerifiedLinked by exact legal name

CMS chain

Real Property Health Facilities

9 facilities in 3 states. CMS chain ID 605.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

7

Organizations

2

Individuals

5

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Christina Jayne Penn Management Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 1, 2010
Christina Penn	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Jun 1, 2015

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
Christina Jayne Penn Management Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 1, 2010
Christina Penn	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Jun 1, 2015
Real Property Health Facilities Corp	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 1989
Albert Haworth	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2021
Albert Haworth	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2021
Dawn Marsh	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 15, 1994
Dennis De Costa	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	May 9, 2022

Same chain in Wisconsin

All 8 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Pine View Care Center 400 County Rd R, Black River Falls, WI 54615 CCN 525409	95	Jul 16, 2026	36	—
Clairidge House 1519 60th St, Kenosha, WI 53140 CCN 525431	87	Jul 23, 2026	641 harm	—
Plum City Care Ctr 301 Cherry Avenue West, Plum City, WI 54761 CCN 525440	50	Apr 22, 2026	24	—
Oakbrook Health and Rehabilitation 206 W Prospect St, Thorp, WI 54771 CCN 525472Abuse icon	58	May 27, 2026	14	—

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: 400 Deronda St, Amery, WI 54001
ZIP: 54001
County: Polk County FIPS 55095
State: Wisconsin
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Golden Age Manor 220 Scholl Ct, Amery, WI 54001 CCN 525507	0.3 km	85		Jun 24, 2026	471 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525402	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525402	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 525402

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