ANALYSIS

The 10 Worst Nursing Homes in Wisconsin

A list of the ten worst skilled nursing homes in Wisconsin. Based on the Weighted Health Inspection Score developed by the Centers for Medicare and Medicaid Services.

Compare the Worst Nursing Homes in Wisconsin

Every year, thousands of seniors, their families, and friends are faced with the difficult decision of choosing a skilled nursing facility, either because someone is recuperating after a hospital visit or for end-of-life care. This is usually an issue that arises suddenly, and the decision makers are not equipped with the right knowledge and information to make a good decision. Not knowing how to decide, they turn to others for recommendations. Word of mouth, along with geography, are constantly cited as the most important factors in choosing a skilled nursing facility. Choosing a facility with such limited information can lead to significant problems. Not all skilled nursing facilities are the same and the people that you trust to recommend a facility may not know enough about the facility and the alternatives to be a competent guide.

Providing the type of care that residents of skilled nursing facilities require is very difficult. The range of issues that are being treated is vast and the needs cover both people recuperating and recovering as well as those facing end-of-life issues. Residents require significant help with basic daily activities as well as supplemental needs like oxygen and 24/7 monitoring.

To help people who are facing this difficult situation, we have compiled a list of the worst Wisconsin skilled nursing facilities and the the best skilled nursing facilities. (We have also compiled the best and worst nursing homes by city for most cities in the United States, links are shown at the bottom on this page.) The lists are based on data provided by The Centers for Medicare & Medicaid (“CMS”) and include information gathered from detailed annual inspections, monthly reporting, complaint histories, deficiency reports and much more.

The list below calls out the worst skilled nursing facilities in Wisconsin. For the most part these facilities should be avoided. All the facilities have issues with cleanliness and safety and a large number of the facilities have been flagged by CMS as locations where abuse has either occurred or is highly likely.

Avoiding these facilities may not always be an option either because of geographic, monetary, or occupancy constraints. However, being in a bad nursing home does not mean that the resident will not improve. If you have a loved one in one of these facilities, we encourage you to visit often and to ask that friends and other family visit too. It is well documented that positive outcomes for skilled nursing residents is highly correlated with the number and diversity of people visiting the resident. Being there, getting to know the staff, showing the staff that the resident has people that care about him or her is critical. There may not always be a better option, but your direct involvement can make a difference.

To see a more detailed analysis of the performance on skilled nursing facilities in Wisconsin, including staffing, COVID-19 infections, historical occupancy levels and recent trends, look at our detailed analysis page.

Nursing Home Rating
The Medical Suites at Oak Creek
2700 HONADEL BOULEVARD
OAK CREEK, WI
763.33
/
Bradley Estates Nursing and Rehab LLC
6735 W BRADLEY RD
MILWAUKEE, WI
683.17
Madison Health and Rehabilitation Center
110 BELMONT RD
MADISON, WI
564.00
Rating Not Available /
Waterfall Health of Brown Deer
7500 W DEAN RD
MILWAUKEE, WI
539.00
Silver Springs Health Care Center
1300 WEST SILVER SPRING DR
GLENDALE, WI
503.67
Burlington Health and Rehabilitation Center
677 E STATE ST
BURLINGTON, WI
443.50
Aria of Brookfield
18740 W BLUEMOUND RD
BROOKFIELD, WI
412.50
Beaver Dam Health Care Center
410 ROEDL CT
BEAVER DAM, WI
388.33
Fort Atkinson Care Center
430 WILCOX ST
FORT ATKINSON, WI
359.33
Southpointe Care and Rehab Center LLC
4500 W LOOMIS RD
GREENFIELD, WI
347.33

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

How We Compile Nursing Home Ratings in Wisconsin

Every month, we rank all of the skilled nursing facilities in Wisconsin. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Wisconsin is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Wisconsin nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

  • Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
  • Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
  • Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
  • Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Wisconsin nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!

Skilled Nursing Home Abuse in Wisconsin

Abuse is always going to be an issue with skilled nursing facilities. Skilled nursing facility residents need help with so many basic things and they are suffering, confused, and frustrated. If you are the friend or relative of a nursing home resident, we guarantee that you will be constantly fretting about whether your loved one is receiving proper and timely care. Abuse feels like a violation of your trust, but it happens. CMS actively monitors nursing homes not just for actual abuse but also for indicators that suggest that abuse might be occurring. Homes where abuse has either occurred or might be occurring are flagged. A very high percentage of the worst skilled nursing facilities in Wisconsin have been flagged for abuse. We have marked these facilities both on the list of the worst skilled nursing facilities and on the detailed page for each of the facilities.

How to Report a Nursing Homes in Wisconsin

If you run into an issue at a Wisconsin nursing home, there are a few steps you can take to make sure the issue is reported. First, speak with the immediate staff. If the problem is not solved, speak with a director or administrator, doctor, or any other employee of a high level.

As required by Medicare and Medicaid, reports and complaints must go through a grievance procedure. Per the Center for Medicare & Medicaid Services, a grievance is “an expression of dissatisfaction (other than an organization determination) with any aspect of the operations, activities, or behavior of a Medicare health plan, or its providers, regardless of whether remedial action is requested”. All grievances must be filed in writing or verbally within 60 days of the event prompting the grievance.

To report a Wisconsin nursing home for quality of care, go through a grievance procedure through your Medicare or Medicaid plan. You can also go through the Beneficiary and Family Centered Care-Quality Improvement Organizations (BFCC-QIO). These groups serve to help with complaints made regarding the quality of care by Medicare providers. You can also choose to go through both Medicare and a BFCC-QIO.

Worst Nursing Homes in the Largest Wisconsin Cities

All of the following nursing homes have been given a Weighted Health Inspection Score by the Centers for Medicare and Medicaid Services. Every year, nursing homes in Wisconsin go through an unannounced inspection performed by independent state examiners. These examiners look at factors such as cleanliness, hazards, and safety to perform the inspection. Points are given to nursing homes based on their deficiency in a certain category. Thus, a higher Weighted All Cycles Score means more problems and lower quality of care.

The list below ranks the homes with the highest (worst) weighted scores. The score is shown next to the facility name. The list also shows the two most recent deficiencies for each of the nursing homes.

Worst Nursing Homes in Milwaukee

  • Bradley Estates Nursing and Rehab LLC (683.167)
    • Respond appropriately to all alleged violations. (2024-07-17)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-07-17)
  • Waterfall Health of Brown Deer (539)
    • 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. (2024-06-30)
    • Install a fire alarm system that can be heard throughout the facility. (2024-05-01)
  • Wheaton Franciscan Hc - Terrace at St Francis (273.5)
    • Provide safe, appropriate pain management for a resident who requires such services. (2024-09-20)
    • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (2024-08-19)
  • St Anne's Salvatorian Campus (238.5)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-08-24)
    • Respond appropriately to all alleged violations. (2024-08-24)
  • Crossroads Care Center of Milwaukee (199.5)
    • Have exits that are accessible at all times. (2024-09-19)
    • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2024-08-23)
  • Autumn Lake Healthcare at Greenfield (190)
    • Ensure medication error rates are not 5 percent or greater. (2024-03-06)
    • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (2024-03-01)
  • Alexian Village of Milwaukee (163.5)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-08-21)
    • Keep residents' personal and medical records private and confidential. (2024-08-06)
  • Mercy Health Services (162.167)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-09-04)
    • Respond appropriately to all alleged violations. (2024-09-04)
  • Edenbrook Lakeside (149.667)
    • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-03-29)
    • Ensure that residents are free from significant medication errors. (2024-03-29)
  • Sunrise Health Services (128.333)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2024-06-12)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-05-29)

Worst Nursing Homes in Madison

  • Madison Health and Rehabilitation Center (564)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-09-18)
    • Provide safe, appropriate pain management for a resident who requires such services. (2024-08-01)
  • Ssm Health St Mary's Care Center (202.333)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-10-10)
    • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (2024-10-10)
  • Cardinal Woods Skilled Nursing and Rehab Ctr (179)
    • Provide enough food/fluids to maintain a resident's health. (2024-09-30)
    • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (2024-09-30)
  • Autumn Lake Healthcare at Madison (132)
    • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (2024-04-15)
    • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2024-04-15)
  • Madison Health Care (107.5)
    • Ensure that residents are free from significant medication errors. (2024-06-18)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-06-18)
  • Jacob's Creek Nursing and Rehabilitation Center (96)
    • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (2024-08-05)
    • Keep aisles, corridors, and exits free of obstruction in case of emergency. (2023-07-05)
  • Madison Healthcare Services (78)
    • Provide properly protected cooking facilities. (2024-04-19)
    • Develop and implement policies and procedures for flu and pneumonia vaccinations. (2024-03-29)
  • The Waters of Clifty Falls (69.333)
    • Protect each resident from the wrongful use of the resident's belongings or money. (2024-09-19)
    • 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. (2024-09-19)
  • Maplecrest Rehab and Living Center (68.667)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2024-05-30)
    • Reasonably accommodate the needs and preferences of each resident. (2024-05-30)
  • Oak Park Nursing and Rehab Ctr (58)
    • Have generator or other power source capable of supplying service within 10 seconds. (2024-08-28)
    • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. (2024-08-19)

Worst Nursing Homes in Appleton

  • Meadowbrook at Appleton (129.333)
    • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2024-07-05)
    • Have approved installation, maintenance and testing program for fire alarm systems. (2024-06-28)
  • Appleton Area Health (44.5)
    • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (2023-12-29)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2023-12-29)
  • Peabody Manor (42.667)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-07-01)
    • Respond appropriately to all alleged violations. (2024-07-01)
  • Edenbrook of Appleton North (27.333)
    • Meet requirements for the installation and maintenance of electrical systems. (2024-09-05)
    • Have properly installed electrical wiring and gas equipment. (2024-08-09)
  • Rennes Health and Rehab Center- Appleton (12)
    • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-06-26)
    • Reasonably accommodate the needs and preferences of each resident. (2024-06-26)
  • Brewster Village (8.667)
    • Meet other general requirements. (2023-12-26)
    • 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. (2023-12-26)

Worst Nursing Homes in Green Bay

  • Ccc of West Green Bay (168.167)
    • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2024-10-21)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-10-02)
  • Odd Fellow Home (101.333)
    • Respond appropriately to all alleged violations. (2024-04-12)
    • Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. (2024-04-12)
  • Edenbrook of Green Bay (45.333)
    • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-08-16)
    • Allow residents to self-administer drugs if determined clinically appropriate. (2024-08-16)
  • Woodside Lutheran Home (31.5)
    • Have restrictions on the use of highly flammable decorations. (2024-08-19)
    • Provide a written emergency evacuation plan. (2024-08-19)
  • Green Bay Health Services (30.667)
    • Provide properly protected cooking facilities. (2024-06-27)
    • PASARR screening for Mental disorders or Intellectual Disabilities (2024-06-25)
  • Brown Cty Comm Treatment Ctr-Bayshore Village (28.667)
    • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (2023-09-30)
    • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2023-09-30)
  • Grancare Nursing Center (18.667)
    • Use approved construction type or materials. (2024-10-25)
    • Inspect, test, and maintain automatic sprinkler systems. (2024-10-10)

Worst Nursing Homes in Racine

  • Lincoln Park Nursing and Rehab LLC (112)
    • Respond appropriately to all alleged violations. (2024-03-06)
    • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2024-03-06)
  • Ridgewood Care Ctr (53.333)
    • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2024-06-30)
    • Provide family notifications of emergency plan. (2024-06-01)
  • Ascension Living - Lakeshore at Siena (42)
    • 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. (2024-05-14)
    • Provide care and assistance to perform activities of daily living for any resident who is unable. (2024-05-14)

Worst Skilled Nursing Homes in Other States

See the worst skilled nursing homes in other states:

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