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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E13 | F7 |
| Minimal | A· | B· | C3 |
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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 24, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 21, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Apr 21, 2026 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Sep 29, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 12, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 19, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Feb 19, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Dec 6, 2023 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Dec 6, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E13 | F7 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 24, 2026 | 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 20, 2026 | Complaint |
| Jun 24, 2026 | 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 Jul 20, 2026 | 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.
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.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Joseph Carlson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2021 |
| Sheri Katzer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Jonathan Kirkegaard | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Patrick O' Connor | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Charles Omeara | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Thomas Ross | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2018 |
| Michael Wisnefske | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2021 |
| Christopher Zwygart | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2021 |
| Tracy Blaubach | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 27, 2018 |
| Kelli Deruyter | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2024 |
| Jennifer Fullhart | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 3, 2022 |
| Alok Goyal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Sarah Malchow | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 13, 2019 |
| Todd Miller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 4, 2019 |
| James Karls | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 11, 2024 |
| Nicole Pretre | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 15, 2021 |
| Kelli Deruyter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2024 |
| Alok Goyal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pavilion at Glacier Valley 1900 American Eagle Drive, Slinger, WI 53086 CCN 525461 | 9.6 km | 106 | Jun 11, 2026 | 66 | — | |
| Samaritan Nursing and Rehab 531 E Washington St, West Bend, WI 53095 CCN 525165Abuse icon | 10.6 km | 131 | Aug 18, 2026 | 914 IJ | $237k | |
| Lasata Care Center W76 N677 Wauwatosa Rd, Cedarburg, WI 53012 CCN 525537 | 13.1 km | 106 | Jan 7, 2026 | 37 | — | |
| Cedarburg Health Services N27 W5707 Lincoln Blvd, Cedarburg, WI 53012 CCN 525578 | 13.1 km | 50 | Apr 29, 2026 | 36 | — | |
| Complete Care at Germantown W173 N10915 Bernies Way, Germantown, WI 53022 CCN 525653 | 18.5 km | 121 | May 29, 2026 | 35 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525465 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525465 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 21, 2026 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 9, 2026 |
| Apr 21, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2026 |
| Apr 21, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 4, 2026 |
| Apr 21, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2026 |
| Apr 21, 2026 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 12, 2026 |
| Apr 21, 2026 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 6, 2026 |
| Apr 21, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 12, 2026 |
| Apr 21, 2026 | K-0927 | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 9, 2026 |
| Apr 21, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 18, 2026 |
| Sep 29, 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 Dec 17, 2025 | Complaint |
| Sep 29, 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 Dec 17, 2025 | Complaint |
| Jun 12, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 30, 2025 | Complaint |
| Jun 12, 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 Jun 30, 2025 | Complaint |
| Feb 19, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 19, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Feb 19, 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 Mar 12, 2025 |
| Feb 19, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 3, 2025 |
| Feb 19, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2025 |
| Feb 19, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 7, 2025 |
| Feb 19, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 6, 2025 |
| Feb 19, 2025 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 6, 2025 |
| Feb 19, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Feb 19, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 19, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 19, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 19, 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 Mar 19, 2025 |
| Feb 19, 2025 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Dec 6, 2023 | K-0132 | Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Mar 28, 2024 |
| Dec 6, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 16, 2024 |
| Dec 6, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 2, 2024 |
| Dec 6, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 23, 2023 |
| Dec 6, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 22, 2023 |
| Dec 6, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 21, 2023 |
| Dec 6, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 15, 2023 |
| Dec 6, 2023 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 22, 2023 |
| Dec 6, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 22, 2023 |
| Dec 6, 2023 | 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 Jan 3, 2024 |
| Dec 6, 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 Dec 22, 2023 |
| Dec 6, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 7, 2023 |
| Dec 6, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 13, 2023 |
| Dec 6, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 6, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.34 (case-mix index 1.37).