CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 525262
- Facility type
- Nursing home
- Certified beds
- 87
- Ownership
- For profit - Corporation
- County or equivalent
- Jefferson
- CMS area classification
- Rural
- Phone
- (920) 563-5533
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 1 of 5
- Health inspection
- 1 of 5
- Staffing
- 2 of 5
- Quality measures
- 2 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Published CMS staffing measures
Staffing figures to ask about
CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.
- Total nurse hours per resident per day
- 4.36 hours
- RN hours per resident per day
- 0.83 hours
- Weekend nurse hours per resident per day
- 3.87 hours
- Weekend RN hours per resident per day
- 0.62 hours
- Nursing staff turnover
- 70.2%
- RN turnover
- 77.8%
- Administrators who left
- 3
Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.
These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. Open this facility's CMS source row. How Medicare explains staffing measures.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2026-05-06. Health deficiencies: 8.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- CMS lists 8 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
- CMS lists 2 fines. What were they for, and where can we read the related records?Why this question: CMS number of fines · CMS data processed 2026-08-01
- CMS lists 3 payment denials. What led to them, and what has changed since?Why this question: CMS number of payment denials · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2026-05-06. Health deficiencies: 8.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0686 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-04 · CMS scope/severity code: D
CMS tag 0688 Quality of Life and Care Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-04 · CMS scope/severity code: D
CMS tag 0689 Quality of Life and Care Deficiencies
CMS requirement: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-04 · CMS scope/severity code: D
CMS tag 0757 Pharmacy Service Deficiencies
CMS requirement: Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-04 · CMS scope/severity code: D
CMS tag 0791 Quality of Life and Care Deficiencies
CMS requirement: Provide or obtain dental services for each resident.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-04 · CMS scope/severity code: D
Show 2 more citations from this date
CMS tag 0804 Nutrition and Dietary Deficiencies
CMS requirement: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-04 · CMS scope/severity code: D
CMS tag 0849 Administration Deficiencies
CMS requirement: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-06-04 · CMS scope/severity code: D
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
From the CMS citation file
CMS citation tags seen on multiple survey dates
These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.
Topics in citations from multiple survey dates
These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.
- Medication services 4 CMS tags · 6 survey dates Tags 0755, 0757, 0758, 0759 · Most recent citation date
- Food service 2 CMS tags · 4 survey dates Tags 0804, 0812 · Most recent citation date
- Supervision and physical safety 1 CMS tag · 7 survey dates Tags 0689 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0686 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Survey dates: , , ,
-
CMS tag 0689 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Survey dates: , , , , , ,
-
CMS tag 0757 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Survey dates: ,
-
CMS tag 0804 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Survey dates: , ,
Show 24 more tags seen on multiple dates
CMS tag 0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Respond appropriately to all alleged violations.
Survey dates: , , ,
CMS tag 0745 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide medically-related social services to help each resident achieve the highest possible quality of life.
Survey dates: ,
CMS tag 0942 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Survey dates: ,
CMS tag 0943 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Survey dates: ,
CMS tag 0944 Administration Deficiencies
CMS describes the regulatory requirement as: Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Survey dates: ,
CMS tag 0949 Administration Deficiencies
CMS describes the regulatory requirement as: Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Survey dates: ,
CMS tag 0553 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Survey dates: ,
CMS tag 0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS describes the regulatory requirement as: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Survey dates: ,
CMS tag 0684 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Survey dates: , , , , ,
CMS tag 0725 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Survey dates: , ,
CMS tag 0758 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
CMS tag 0880 Infection Control Deficiencies
CMS describes the regulatory requirement as: Provide and implement an infection prevention and control program.
Survey dates: , , , ,
CMS tag 0580 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Survey dates: , , ,
CMS tag 0584 Resident Rights Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: , ,
CMS tag 0726 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Survey dates: ,
CMS tag 0755 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Survey dates: , ,
CMS tag 0759 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: Ensure medication error rates are not 5 percent or greater.
Survey dates: , ,
CMS tag 0837 Administration Deficiencies
CMS describes the regulatory requirement as: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Survey dates: ,
CMS tag 0660 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Plan the resident's discharge to meet the resident's goals and needs.
Survey dates: ,
CMS tag 0677 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide care and assistance to perform activities of daily living for any resident who is unable.
Survey dates: ,
CMS tag 0814 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Dispose of garbage and refuse properly.
Survey dates: ,
CMS tag 0585 Resident Rights Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: ,
CMS tag 0678 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Survey dates: ,
CMS tag 0812 Nutrition and Dietary Deficiencies
CMS describes the regulatory requirement as: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Survey dates: , ,
Questions you could ask on a visit
- For CMS tag 0686 listed on 2026-05-06, 2025-04-17, 2024-06-12, 2024-04-25, could you show us the relevant inspection reports and explain how the facility handles pressure-injury care today?
- For CMS tag 0689 listed on 2026-05-06, 2025-07-23, 2025-04-17, 2025-01-15, 2024-09-11, 2023-12-12, 2023-10-16, could you show us the relevant inspection reports and explain how the facility handles resident supervision and physical safety today?
These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.
Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.
Enforcement record
Fines: 2 ($136,384.00 total). Payment denials: 3.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-24
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.