Frederic Nursing and Rehab Community — nursing home in Frederic, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 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: 50.5 CMS, MDS-derived
CMS Certification Number: 525665
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 25, 2002
Ownership type: For profit - Corporation
Operator (legal business name): Orion Frederic LLC
CMS chain: Atrium Centers 26 facilities
Phone: (715) 327-4297
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest May 19, 2026

Citations

39

28 health · 11 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D22	E7	F9
Minimal	A·	B·	C1

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: 525665
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: May 25, 2002
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
May 19, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 19, 2026	Health	Health Standard	14	Potential harm	—	Open →
May 5, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jul 1, 2025	Health	Health Complaint	4	Potential harm	—	Open →
Apr 7, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Feb 18, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 18, 2025	Health	Health Standard	2	Potential harm	—	Open →
Jan 23, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Jan 23, 2024	Health	Health Standard	6	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	D22	E7	F9
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 19, 2026	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jun 22, 2026
May 19, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 22, 2026
May 19, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 22, 2026
May 19, 2026	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 22, 2026
May 19, 2026	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 Jun 22, 2026
May 19, 2026	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 22, 2026
May 19, 2026	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 22, 2026
May 19, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 22, 2026
May 19, 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 Jun 22, 2026
May 19, 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 Jun 22, 2026
May 19, 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 Jun 22, 2026
May 19, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 22, 2026
May 19, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 22, 2026
May 19, 2026	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jun 22, 2026
May 19, 2026	F-0838	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Jun 22, 2026
May 19, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 22, 2026
May 19, 2026	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 22, 2026
May 5, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 28, 2026	Complaint
Jul 1, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 18, 2025	Complaint
Jul 1, 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 Jul 18, 2025	Complaint
Jul 1, 2025	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 18, 2025	Complaint
Jul 1, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Jul 18, 2025	Complaint
Apr 7, 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 Apr 17, 2025	Complaint
Feb 18, 2025	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 18, 2025
Feb 18, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 18, 2025
Feb 18, 2025	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 Mar 18, 2025
Feb 18, 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	E · Potential harm Pattern	Corrected Mar 18, 2025
Feb 18, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 18, 2025
Jan 23, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 16, 2024
Jan 23, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 16, 2024
Jan 23, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 16, 2024
Jan 23, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 16, 2024
Jan 23, 2024	K-0919	Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 16, 2024
Jan 23, 2024	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 16, 2024
Jan 23, 2024	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 16, 2024
Jan 23, 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 Feb 16, 2024
Jan 23, 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 Feb 16, 2024
Jan 23, 2024	F-0851	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Feb 16, 2024
Jan 23, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 16, 2024

“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 staffing3.18

State avg 4.25US avg 3.90

Registered nurse (RN)0.68

State avg 0.98US avg 0.69

Licensed practical nurse0.36

State avg 0.65US avg 0.86

Nurse aide2.14

State avg 2.61US avg 2.35

Weekend total nurse2.75

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.50 (case-mix index 1.27).

Staff turnover

Total nursing staff turnover50.0%

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: May 19, 2026
Cycle 1 health score: 92
Total weighted score: 76

Operating entity

Orion Frederic LLC

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

VerifiedLinked by exact legal name

CMS chain

Atrium Centers

26 facilities in 4 states. CMS chain ID 54.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

10

Organizations

2

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Orion Operating Services LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2007
Essel Bailey	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	74%	Dec 27, 2012
Donald Finney	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Dec 27, 2012

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
Orion Operating Services LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Dec 1, 2007
Essel Bailey	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	74%	Dec 27, 2012
Donald Finney	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Dec 27, 2012
Atrium Centers Management LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 1, 2007
Susan Albright Ross	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2018
Dennis Lockhart	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2018
Essel Bailey	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2007
Donald Finney	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 1, 2007
James Ferkany	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2018
Patricia Linehan	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Dec 1, 2007

Same chain in Wisconsin

All 25 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Mulder Health Care Facility 713 Leonard St. N, West Salem, WI 54669 CCN 525209Abuse icon	87	Jul 9, 2026	723 IJ4 harm	$201k
Prescott Nursing and Rehab Community 1505 Orrin Rd, Prescott, WI 54021 CCN 525398	65	Jul 13, 2026	451 IJ	$31k
Tomah Nursing and Rehab 1505 Butts Ave., Tomah, WI 54660 CCN 525442Abuse icon	74	Aug 10, 2026	572 IJ1 open	—

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: 205 United Way, Frederic, WI 54837
ZIP: 54837
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
United Pioneer Home 623 S Second St, Luck, WI 54853 CCN 525680	8.2 km	50		Sep 24, 2025	301 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525665	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525665	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 525665

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