C78

MARYHILL MANOR

Grade C 78/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
5/5
Health Insp.
3/5
Quality
5/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

50

Ownership

Non profit - Church related

Total Fines

$50,606

Last Survey

N/A

501 MADISON AVE, NIAGARA, WI 54151
7152513172

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.14h
LPN
0.28h
CNA
3.25h
Total
4.67h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

BAIER, PATRICIA

IndividualCORPORATE DIRECTORSince Jan 2016

CROCKFORD, LYNNE

IndividualCORPORATE DIRECTORSince Jan 2020

FRANTZ, LANA

IndividualCORPORATE DIRECTORSince Jan 2016

FREDRICK, AUDREY

IndividualCORPORATE DIRECTORSince Jan 2024

HERRIGES, ROSEMARY

IndividualCORPORATE DIRECTORSince Jan 2016

MATTSON, ANN

IndividualCORPORATE DIRECTORSince Jan 2024

PULTZ, ROBERT

IndividualCORPORATE DIRECTORSince Jan 2016

BRASURE, ANN

IndividualCORPORATE OFFICERSince Jan 2024

DECKER, DAN

IndividualCORPORATE OFFICERSince Jan 2024

EBLI, JIM

IndividualCORPORATE OFFICERSince Jan 2024

HAYES, PAUL

IndividualCONTRACTED MANAGING EMPLOYEESince Jan 2024

CROCKFORD, LYNNE

IndividualW-2 MANAGING EMPLOYEESince Jan 2020

Penalties & Fines (1)

$50,606total fines
DateTypeDescriptionAmount
Jun 25, 2024Fine$50,606

Health Inspection Deficiencies (16)

March 10, 2025Health2 deficiencies
0580DMinimal harm, Isolated

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

Corrected Mar 24, 2025
0657DMinimal harm, Isolated

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

Corrected Mar 24, 2025
December 18, 2024Health1 deficiency
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jan 7, 2025
November 6, 2024Health2 deficiencies
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 18, 2024
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Nov 18, 2024
June 25, 2024Health3 deficiencies1 severe
0600JImmediate jeopardy, Isolated

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

Corrected Jul 10, 2024
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 10, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 10, 2024
September 27, 2023Health4 deficiencies
0580DMinimal harm, Isolated

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

Corrected Oct 20, 2023
0803FMinimal harm, Widespread

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.

Nutrition and Dietary Deficiencies

Corrected Oct 20, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 20, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 11, 2023
August 31, 2022Health4 deficiencies
0551DMinimal harm, Isolated

Give the resident's representative the ability to exercise the resident's rights.

Resident Rights Deficiencies

Corrected Oct 14, 2022
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Sep 30, 2022
0640EMinimal harm, Pattern

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2022
0690DMinimal harm, Isolated

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

Corrected Sep 1, 2022

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Frequently Asked Questions

What is the CareGrader rating for MARYHILL MANOR?

MARYHILL MANOR in NIAGARA, Wisconsin has a CareGrader grade of C (Average), with a composite score of 78.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for MARYHILL MANOR?

MARYHILL MANOR has an overall CMS star rating of 5 out of 5, a health inspection rating of 3/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does MARYHILL MANOR have?

MARYHILL MANOR has 16 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has MARYHILL MANOR been fined?

Yes. MARYHILL MANOR has $50,606 in total fines from CMS enforcement actions across 1 penalty.

How many beds does MARYHILL MANOR have?

MARYHILL MANOR has 50 certified beds with approximately 46 current residents (92% occupancy). The facility is located at 501 MADISON AVE, NIAGARA, Wisconsin 54151. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.