Maryhill Manor
Non profit - Church related · 501 Madison Ave, Niagara, WI 54151 · See home’s Medicare page
3.96
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 4.2
43.1%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 47.4%
50
Certified beds
Qualifying beds in the certified provider or supplier facility.
47
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
No direct owner information
Indirect owners
No indirect owner information
Managerial control
Health Direct Institutional Pharmacy Services INC since Jun, 2018
Prime Time Healthcare LLC since Nov, 2019
Up Rehab Services LLC since Jun, 2018
Wipfli LLP since Jan, 1999
Patricia Baier since Jan, 2016
Ann Brasure since Jan, 2024
Lynne Crockford since Jan, 2020
Dan Decker since Jan, 2024
Jim Ebli since Jan, 2024
Lana Frantz since Jan, 2016
Audrey Fredrick since Jan, 2024
Paul Hayes since Jan, 2021
Rosemary Herriges since Jan, 2021
Carrie Kaldor since Jan, 1999
Ann Mattson since Jan, 2024
Robert Pultz since Jan, 2016
Christy Sikora since May, 2021
Prime Time Healthcare LLC since Nov, 2019
Up Rehab Services LLC since Jun, 2018
Wipfli LLP since Jan, 1999
Patricia Baier since Jan, 2016
Ann Brasure since Jan, 2024
Lynne Crockford since Jan, 2020
Dan Decker since Jan, 2024
Jim Ebli since Jan, 2024
Lana Frantz since Jan, 2016
Audrey Fredrick since Jan, 2024
Paul Hayes since Jan, 2021
Rosemary Herriges since Jan, 2021
Carrie Kaldor since Jan, 1999
Ann Mattson since Jan, 2024
Robert Pultz since Jan, 2016
Christy Sikora since May, 2021
Managing employee(s)
No information available
Corporate Director
Patricia Baier since Jan, 2016
Lana Frantz since Jan, 2016
Audrey Fredrick since Jan, 2024
Rosemary Herriges since Jan, 2016
Ann Mattson since Jan, 2024
Robert Pultz since Jan, 2016
Lana Frantz since Jan, 2016
Audrey Fredrick since Jan, 2024
Rosemary Herriges since Jan, 2016
Ann Mattson since Jan, 2024
Robert Pultz since Jan, 2016
Corporate Officer
Ann Brasure since Jan, 2024
Lynne Crockford since Jan, 2020
Dan Decker since Jan, 2024
Jim Ebli since Jan, 2024
Lynne Crockford since Jan, 2020
Dan Decker since Jan, 2024
Jim Ebli since Jan, 2024
5% Or Greater Mortgage Interest
First Bank Upper Michigan since Nov, 2022
Inspection Reports
Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
18
total deficiencies
3
infection-related deficiencies
This home violated federal standards protecting residents from the spread of infections.
Quality of Life and Care Deficiency — F0686
Failure to:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Infection Control Deficiency — F0880
Failure to:
Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0580
Failure to:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0657
Failure to:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0583
Failure to:
Keep residents' personal and medical records private and confidential.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Nutrition and Dietary Deficiency — F0812
Failure to:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
Infection Control Deficiency — F0883
Failure to:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Freedom from Abuse, Neglect, and Exploitation Deficiency — F0600
Failure to:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity
Immediate jeopardy to resident health or safety
Scope
Few people affected
Seriousness
Freedom from Abuse, Neglect, and Exploitation Deficiency — F0609
Failure to:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Freedom from Abuse, Neglect, and Exploitation Deficiency — F0610
Failure to:
Respond appropriately to all alleged violations.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Nutrition and Dietary Deficiency — F0803
Failure to:
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
Nutrition and Dietary Deficiency — F0812
Failure to:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Many people affected
Seriousness
Resident Rights Deficiency — F0580
Failure to:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Infection Control Deficiency — F0880
Failure to:
Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0640
Failure to:
Encode each resident's assessment data and transmit these data to the State within 7 days of assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Resident Rights Deficiency — F0551
Failure to:
Give the resident's representative the ability to exercise the resident's rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0582
Failure to:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0690
Failure to:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Penalties
A nursing home receives a penalty, either a fine or payment suspensions, when it has a serious health citation or fails to fix a citation. Fines may be imposed once per citation or regularly until the nursing home corrects the citation. Fines not associated with inspection reports can include fines for not reporting COVID-19 data or not complying with infection-control requirements. Payment suspensions are when the government stops payments to the nursing home until an issue is fixed. The Centers for Medicare and Medicaid Services releases the last three years of penalty information.
$50.6K
total fines
Jun 25, 2024
$50,606 fine