Barron Care and Rehabilitation — nursing home in Barron, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 50 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: 46.4 CMS, MDS-derived
CMS Certification Number: 525648
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 1, 1999
Ownership type: For profit - Corporation
Operator (legal business name): Senior Management Inc
CMS chain: Care & Rehab 6 facilities
Phone: (715) 537-5643
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jan 7, 2026

Citations

42

36 health · 6 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D30	E6	F5
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

Staffingfn 25

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

1

Latest

Oct 9, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525648
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 50
First approved: Jun 1, 1999
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
Jan 7, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jan 7, 2026	Health	Health Complaint, Health Standard	16	Potential harm	—	Open →
Oct 9, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 9, 2024	Health	Health Standard	11	Actual harm	—	Open →
Oct 25, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 25, 2023	Health	Health Standard	9	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.

Date	Type	Amount	Payment denial	Record
Oct 9, 2024	Denial of payment for new admissions	—	Nov 7, 2024 · 11 days	525648\|Payment Denial\|2024-11-07

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D30	E6	F5
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 7, 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 Feb 7, 2026
Jan 7, 2026	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 Feb 7, 2026
Jan 7, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 7, 2026
Jan 7, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 7, 2026
Jan 7, 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 Feb 7, 2026	Complaint
Jan 7, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 7, 2026	Complaint
Jan 7, 2026	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2026
Jan 7, 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	D · Potential harm Isolated	Corrected Feb 7, 2026
Jan 7, 2026	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 Feb 7, 2026
Jan 7, 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 Feb 7, 2026
Jan 7, 2026	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 Feb 7, 2026
Jan 7, 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	E · Potential harm Pattern	Corrected Feb 7, 2026	Complaint
Jan 7, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2026
Jan 7, 2026	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2026
Jan 7, 2026	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 7, 2026
Jan 7, 2026	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Feb 7, 2026
Jan 7, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 7, 2026
Jan 7, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 7, 2026
Jan 7, 2026	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Feb 7, 2026
Oct 9, 2024	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Nov 18, 2024
Oct 9, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 4, 2024
Oct 9, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 4, 2024
Oct 9, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 4, 2024
Oct 9, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 9, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 9, 2024	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	E · Potential harm Pattern	Corrected Nov 18, 2024
Oct 9, 2024	F-0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 18, 2024
Oct 9, 2024	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 Nov 18, 2024
Oct 9, 2024	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	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 9, 2024	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 Nov 18, 2024
Oct 9, 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	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 9, 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	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 9, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 18, 2024
Oct 25, 2023	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 Nov 24, 2023
Oct 25, 2023	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	D · Potential harm Isolated	Corrected Nov 24, 2023
Oct 25, 2023	F-0693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 24, 2023
Oct 25, 2023	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 Nov 24, 2023
Oct 25, 2023	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 24, 2023
Oct 25, 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	E · Potential harm Pattern	Corrected Nov 24, 2023
Oct 25, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Nov 24, 2023
Oct 25, 2023	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 24, 2023
Oct 25, 2023	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 Nov 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 QM

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 staffingNot reported

State avg 4.25US avg 3.90

Registered nurse (RN)Not reported

State avg 0.98US avg 0.69

Licensed practical nurseNot reported

State avg 0.65US avg 0.86

Nurse aideNot reported

State avg 2.61US avg 2.35

Weekend total nurseNot reported

State avg 3.75US avg 3.43

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

Staff turnover

Total nursing staff turnover36.1%

State avg 46.7%US avg 45.3%

Registered nurse turnover40.0%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 7, 2026
Cycle 1 health score: 96
Total weighted score: 89

Operating entity

Senior Management Inc

CMS legal business name of the certified provider. Operates 5 facilities.

VerifiedLinked by exact legal name

CMS chain

Care & Rehab

6 facilities in 2 states. CMS chain ID 673.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.7

Ownership disclosures

Disclosures

15

Organizations

1

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Grant Thayer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2007

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
Grant Thayer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Oct 1, 2007
Jessica Bechtel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 10, 2025
Ferrin Fast	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2007
Terri Moen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 23, 2024
Timothy Sadowska	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 10, 2025
Richard Sampson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Grant Thayer	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2007
Grant Thayer	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2007
660 East Birch LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2007
Jessica Bechtel	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 10, 2025
Ferrin Fast	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 23, 2007
Terri Moen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 23, 2024
Timothy Sadowska	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 10, 2025
Richard Sampson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Grant Thayer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2007

Other facilities operated by Senior Management Inc

All 4 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Care and Rehab - Boscobel 207 Parker St., Boscobel, WI 53805 CCN 525373	50		Jul 16, 2026	221 IJ	$158k
Care & Rehab - Ladysmith 1 1001 E 11th St N, Ladysmith, WI 54848 CCN 525592	32		Jun 24, 2026	29	—
Care & Rehab - Ladysmith 2 1001 E 11th St N, Ladysmith, WI 54848 CCN 525710	30		May 5, 2026	5	—
Pinecrest Gardens 1984 Old US 421, Lillington, NC 27546 Adult care home	60	3/4 state	—	State-inspected · reports not yet indexed	—

Same chain in Wisconsin

All 5 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Care and Rehab - Boscobel 207 Parker St., Boscobel, WI 53805 CCN 525373	50	Jul 16, 2026	221 IJ	$158k
Care & Rehab - Ladysmith 1 1001 E 11th St N, Ladysmith, WI 54848 CCN 525592	32	Jun 24, 2026	29	—
Care & Rehab - Ladysmith 2 1001 E 11th St N, Ladysmith, WI 54848 CCN 525710	30	May 5, 2026	5	—
Care and Rehab - Cumberland 1100 7th Ave, Cumberland, WI 54829 CCN 525712	50	Feb 18, 2026	441 harm	—

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: 660 E Birch Ave, Barron, WI 54812
ZIP: 54812
County: Barron County FIPS 55005
State: Wisconsin
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Dove Healthcare - Rice Lake 910 Bear Paw Ave, Rice Lake, WI 54868 CCN 525715	13.6 km	50	Jul 2, 2026	121 harm	—
Heritage Lakeside 1016 Lakeshore Dr, Rice Lake, WI 54868 CCN 525654Abuse icon	14.8 km	50	Apr 8, 2026	773 IJ3 harm	$267k
Care and Rehab - Cumberland 1100 7th Ave, Cumberland, WI 54829 CCN 525712	19.6 km	50	Feb 18, 2026	441 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525648	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525648	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 525648

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