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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D1 | E12 | F8 |
| 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.
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 | |
|---|---|---|---|---|---|---|
| Sep 24, 2025 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Sep 24, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jul 31, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 31, 2024 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jun 28, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 28, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D1 | E12 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 24, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 11, 2025 | |
| Sep 24, 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 Sep 25, 2025 | |
| Sep 24, 2025 | K-0291 |
“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 |
|---|---|---|---|---|---|
| Bay Area Lutheran Homes Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 14, 2006 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bay Area Lutheran Homes Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 14, 2006 |
| Cliftonlarsonallen | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Greenfield Rehabilitation Agency, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2019 |
| Healthdirect Institutional Pharmacy Services Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 29, 2017 |
| Pinnacle Innovative Healthcare Solutions, LLC | Organization |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Rennes Health and Rehab Center-De Pere 200 S Ninth St, De Pere, WI 54115 CCN 525573 | 4.1 km | 137 | Jan 15, 2026 | 25 | — | |
| Odd Fellow Home 1229 S Jackson St, Green Bay, WI 54301 CCN 525559 | 4.8 km | 88 | Jul 22, 2026 | 667 open | $75k | |
| Green Bay Health Services 1640 Shawano Ave, Green Bay, WI 54303 CCN 525342 | 5.2 km | 125 | Aug 12, 2026 | 45 | — | |
| Serenity Spring Senior Living at Green Bay 1555 Dousman St, Green Bay, WI 54303 CCN 525486 | 5.4 km | 64 | Jan 7, 2026 | 22 | — | |
| Anna John Resident Centered Care Community 2901 South Overland Road, Oneida, WI 54155 CCN 525695 | 7.5 km | 48 | Feb 18, 2026 | 42 | — | |
| Edenbrook of Green Bay 2961 St Anthony Dr, Green Bay, WI 54311 CCN 525307 | 11.8 km | 90 | Jul 15, 2026 | 611 harm | — | |
| Brown Cty Comm Treatment Ctr-Bayshore Village 3150 Gershwin Drive, Green Bay, WI 54311 CCN 525693 | 13 km | 63 | Mar 4, 2026 | 34 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 525557 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 525557 | 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
| Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Sep 25, 2025 |
| Sep 24, 2025 | 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 | E · Potential harm Pattern | Corrected Sep 25, 2025 |
| Sep 24, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 17, 2025 |
| Sep 24, 2025 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 4, 2025 |
| Sep 24, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 25, 2025 |
| Sep 24, 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 Sep 26, 2025 |
| Sep 24, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 26, 2025 |
| Sep 24, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 29, 2025 |
| Sep 24, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 11, 2025 |
| Sep 24, 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 Dec 12, 2025 |
| Sep 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 21, 2025 |
| Jul 31, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 6, 2024 |
| Jul 31, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 13, 2024 |
| Jul 31, 2024 | 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 Aug 2, 2024 |
| Jul 31, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 19, 2024 |
| Jul 31, 2024 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 1, 2024 |
| Jul 31, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 19, 2024 |
| Jul 31, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 16, 2024 |
| Jun 28, 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 | F · Potential harm Widespread | Corrected Jul 8, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.94 (case-mix index 1.24).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 2007 |
| Wipfli LLP | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 20, 2013 |
| Pamela Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Jessica Atkinson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Andrew Bake | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Katherine Brewer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2019 |
| Sarah Cabino | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2016 |
| Larry Frazier | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| Lisa Gervais | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 28, 2023 |
| Polly Gretzinger | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Anna Lim | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2023 |
| Dean Matzke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| Susan May | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Laura Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Kathy Pletcher | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Michelle Poole | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2019 |
| Jeri Raab | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Maximilian Roth | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Norman Schroeder | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Paul Seymour | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Amy Veldt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2007 |
| Earl Vorpagel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Pamela Anderson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Andrew Bake | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Larry Frazier | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2026 |
| Dean Matzke | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2026 |
| Susan May | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Laura Nelson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Kathy Pletcher | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Jeri Raab | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Maximilian Roth | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Norman Schroeder | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Paul Seymour | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Earl Vorpagel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Jessica Atkinson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2023 |
| Polly Gretzinger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2023 |
| Bmo Bank, N.a | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Aug 12, 2021 |
| Nicolet National Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Apr 1, 2024 |
| Bmo Bank, N.a | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2026 |
| Cliftonlarsonallen | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2026 |
| Greenfield Rehabilitation Agency, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2026 |
| Healthdirect Institutional Pharmacy Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2026 |
| Nicolet National Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2026 |
| Pinnacle Innovative Healthcare Solutions, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2026 |
| Wipfli LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 30, 2026 |
| Pamela Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Jessica Atkinson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Andrew Bake | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Katherine Brewer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2019 |
| Sarah Cabino | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 23, 2016 |
| Larry Frazier | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2026 |
| Lisa Gervais | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 28, 2023 |
| Polly Gretzinger | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2023 |
| Anna Lim | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2023 |
| Dean Matzke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2026 |
| Susan May | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Laura Nelson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Kathy Pletcher | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Michelle Poole | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2019 |
| Jeri Raab | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Maximilian Roth | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Norman Schroeder | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Paul Seymour | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Amy Veldt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2007 |
| Earl Vorpagel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |