42
Department of Health Services STATE OF WISCONSIN DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY KEY TO DESCRIPTIONS: Title 18 = Title XVIII, Medicare Certification Title 19 = Title XIX, Medicaid Certifcation IMD = Institute for Mental Diseases SNF = Skilled Nursing Facility NF = Nursing Facility Wednesday, August 19, 2020 Page 1 of 42 DIVISION OF QUALITY ASSURANCE PO Box 2969 Madison, WI 53701-2969 PROVIDER/ADDRESS Contact and Phones County DQA Region License Number, Level and Beds Owner, Ownership, Certification Types, Provider Number VILLA PINES LIVING CENTER 201 PARK ST, PO BOX 130 (608) 339-3361 FAX: (608) 339-9468 Administrator: SARA HENNE ADAMS Southern Lic. 3089 Skilled Care 75 Beds COMPLETE CARE AT VILLA PINES LLC 525351 Title 18 SNF Title 19 NF FRIENDSHIP, WI 53934 LIMITED LIABILITY COMPANY ASHLAND HEALTH SERVICES 1319 BEASER AVE (715) 682-3468 FAX: (715) 682-8872 Administrator: TAMMY KURTZ ASHLAND Northern Lic. 3204 Skilled Care 117 Beds NSH ASHLAND LLC 525386 Title 18 SNF Title 19 NF ASHLAND, WI 54806 FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST WEST (715) 682-8172 FAX: (715) 682-6662 Administrator: JASON HELLEN ASHLAND Northern Lic. 2731 Skilled Care 105 Beds NSH COURT MANOR LLC 525328 Title 18 SNF Title 19 NF ASHLAND, WI 54806 LIMITED LIABILITY COMPANY MELLEN MANOR HEALTH & REHABILITATION 450 LAKE DR (715) 274-5706 FAX: (715) 274-2702 Administrator: TAWNY MCKAY ASHLAND Northern Lic. 2887 Skilled Care 34 Beds MELLEN MANOR, LLC 525697 Title 18 SNF Title 19 NF MELLEN, WI 54546 FOR PROFIT INDIVIDUAL BARRON CARE AND REHABILITATION 660 E BIRCH AVE (715) 537-5643 FAX: (715) 537-5911 Administrator: LEN FAST BARRON Western Lic. 3038 Skilled Care 50 Beds SENIOR MANAGEMENT, INC. 525648 Title 18 SNF Title 19 NF BARRON, WI 54812 FOR PROFIT CORPORATION MEADOWBROOK AT CHETEK 725 KNAPP ST (715) 924-4891 FAX: (715) 924-4896 Administrator: JENNIFER BOHL BARRON Western Lic. 1038 Skilled Care 97 Beds CHETEK NURSING AND REHAB LLC 525672 Title 18 SNF Title 19 NF CHETEK, WI 54728 FOR PROFIT CORPORATION CARE AND REHAB - CUMBERLAND 1100 7TH AVE (715) 822-7050 FAX: (715) 822-7051 Administrator: KRISTIN STOKES BARRON Western Lic. 952 Skilled Care 50 Beds CUMBERLAND CARE AND REHAB, INC 525712 Title 18 SNF Title 19 NF CUMBERLAND, WI 54829 FOR PROFIT CORPORATION PIONEER HEALTH AND REHAB 530 RIVER AVE S (715) 455-1178 FAX: (715) 455-1044 Administrator: ERICA SALSBURY BARRON Western Lic. 1056 Skilled Care 30 Beds VILLAGE OF PRAIRIE FARM 525652 Title 18 SNF Title 19 NF PRAIRIE FARM, WI 54762 GOVERNMENT CITY DOVE HEALTHCARE - RICE LAKE 910 BEAR PAW AVE (715) 234-2604 FAX: (715) 324-2605 Administrator: JEREMY KILEY BARRON Western Lic. 2021 Skilled Care 50 Beds GEMINI HOLDINGS, LLC 525715 Title 18 SNF Title 19 NF RICE LAKE, WI 54868 LIMITED LIABILITY COMPANY

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Page 1: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 1 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

VILLA PINES LIVING CENTER201 PARK ST, PO BOX 130

(608) 339-3361FAX: (608) 339-9468

Administrator: SARA HENNE

ADAMS

Southern

Lic. 3089Skilled Care75 Beds

COMPLETE CARE AT VILLA PINES LLC

525351 Title 18 SNF Title 19 NFFRIENDSHIP, WI 53934LIMITED LIABILITY COMPANY

ASHLAND HEALTH SERVICES1319 BEASER AVE

(715) 682-3468FAX: (715) 682-8872

Administrator: TAMMY KURTZ

ASHLAND

Northern

Lic. 3204Skilled Care117 Beds

NSH ASHLAND LLC

525386 Title 18 SNF Title 19 NFASHLAND, WI 54806FOR PROFIT CORPORATION

COURT MANOR HEALTH SERVICES911 3RD ST WEST

(715) 682-8172FAX: (715) 682-6662

Administrator: JASON HELLEN

ASHLAND

Northern

Lic. 2731Skilled Care105 Beds

NSH COURT MANOR LLC

525328 Title 18 SNF Title 19 NFASHLAND, WI 54806LIMITED LIABILITY COMPANY

MELLEN MANOR HEALTH & REHABILITATION450 LAKE DR

(715) 274-5706FAX: (715) 274-2702

Administrator: TAWNY MCKAY

ASHLAND

Northern

Lic. 2887Skilled Care34 Beds

MELLEN MANOR, LLC

525697 Title 18 SNF Title 19 NFMELLEN, WI 54546FOR PROFIT INDIVIDUAL

BARRON CARE AND REHABILITATION660 E BIRCH AVE

(715) 537-5643FAX: (715) 537-5911

Administrator: LEN FAST

BARRON

Western

Lic. 3038Skilled Care50 Beds

SENIOR MANAGEMENT, INC.

525648 Title 18 SNF Title 19 NFBARRON, WI 54812FOR PROFIT CORPORATION

MEADOWBROOK AT CHETEK725 KNAPP ST

(715) 924-4891FAX: (715) 924-4896

Administrator: JENNIFER BOHL

BARRON

Western

Lic. 1038Skilled Care97 Beds

CHETEK NURSING AND REHAB LLC

525672 Title 18 SNF Title 19 NFCHETEK, WI 54728FOR PROFIT CORPORATION

CARE AND REHAB - CUMBERLAND1100 7TH AVE

(715) 822-7050FAX: (715) 822-7051

Administrator: KRISTIN STOKES

BARRON

Western

Lic. 952Skilled Care50 Beds

CUMBERLAND CARE AND REHAB, INC

525712 Title 18 SNF Title 19 NFCUMBERLAND, WI 54829FOR PROFIT CORPORATION

PIONEER HEALTH AND REHAB530 RIVER AVE S

(715) 455-1178FAX: (715) 455-1044

Administrator: ERICA SALSBURY

BARRON

Western

Lic. 1056Skilled Care30 Beds

VILLAGE OF PRAIRIE FARM

525652 Title 18 SNF Title 19 NFPRAIRIE FARM, WI 54762GOVERNMENT CITY

DOVE HEALTHCARE - RICE LAKE910 BEAR PAW AVE

(715) 234-2604FAX: (715) 324-2605

Administrator: JEREMY KILEY

BARRON

Western

Lic. 2021Skilled Care50 Beds

GEMINI HOLDINGS, LLC

525715 Title 18 SNF Title 19 NFRICE LAKE, WI 54868LIMITED LIABILITY COMPANY

Page 2: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 2 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

HERITAGE LAKESIDE1016 LAKESHORE DR

(715) 234-9101FAX: (715) 234-4021

Administrator: BRUCE SCHLEI

BARRON

Western

Lic. 2462Skilled Care104 Beds

FIRST AMERICAN ENTERPRISES INC

525654 Title 18 SNF Title 19 NFRICE LAKE, WI 54868FOR PROFIT CORPORATION

NORTHERN LIGHTS HEALTH CARE CENTER706 BRATLEY DR

(715) 373-5621FAX: (715) 373-5244

Administrator: PAULINE DARLING

BAYFIELD

Northern

Lic. 2624Skilled Care65 Beds

NORTHERN LIGHTS SERVICES, INC.

525567 Title 18 SNF Title 19 NFWASHBURN, WI 54891NONPROFIT CORPORATION

RENNES HEALTH AND REHAB CENTER-DEPERE200 S NINTH ST

(920) 336-5680FAX: (920) 336-5882

Administrator: JOSEPH SCHERWINSKI

BROWN

Northeastern

Lic. 2860Skilled Care122 Beds

TDR INC

525573 Title 18 SNF Title 19 NFDE PERE, WI 54115FOR PROFIT CORPORATION

BORNEMANN NURSING HOME226 BORNEMANN ST

(920) 468-8675FAX: (920) 468-0667

Administrator: WILLIAM WATSON II

BROWN

Northeastern

Lic. 2963Skilled Care127 Beds

BORNEMANN OPERATING COMPANY, LLC

525571 Title 18 SNF Title 19 NFGREEN BAY, WI 54302LIMITED LIABILITY COMPANY

BROWN COUNTY COMMUNITY TREATMENT CENTER-BAYSHORE VILLAGE3150 GERSHWIN DRIVE

(920) 391-4700

FAX: (920) 391-4872Administrator: SAMANTHA BEHLING

BROWN

Northeastern

Lic. 2405

Skilled Care63 Beds

BROWN COUNTY

525693 Title 18 SNF Title 19 NFGREEN BAY, WI 54311GOVERNMENT COUNTY

CROSSROADS CARE CENTER OF WEST GREEN BAY1760 SHAWANO AVE

(920) 499-5191FAX: (866) 800-9258

Administrator: MCKENZIE THIEL

BROWN

Northeastern

Lic. 2745Skilled Care105 Beds

CCC OF WEST GREEN BAY

525232 Title 18 SNF Title 19 NFGREEN BAY, WI 54303FOR PROFIT CORPORATION

EDENBROOK OF GREEN BAY2961 ST ANTHONY DR

(920) 468-0861FAX: (920) 468-5897

Administrator: CODY KIVISTO

BROWN

Northeastern

Lic. 2680Skilled Care70 Beds

PARKVIEW NURSING AND REHAB, LLC

525307 Title 18 SNF Title 19 NFGREEN BAY, WI 54311FOR PROFIT CORPORATION

GRANCARE NURSING CENTER1555 DOUSMAN ST

(920) 494-4525FAX: (920) 494-2816

Administrator: BRITTANY COBB

BROWN

Northeastern

Lic. 3131Skilled Care64 Beds

ZUNKER HEALTH CARE INC

525486 Title 18 SNF Title 19 NFGREEN BAY, WI 54303FOR PROFIT CORPORATION

GREEN BAY HEALTH SERVICES1640 SHAWANO AVE

(920) 499-5177FAX: (920) 499-6035

Administrator: JOSH THEIS

BROWN

Northeastern

Lic. 2911Skilled Care125 Beds

NSH GREEN BAY LLC

525342 Title 18 SNF Title 19 NFGREEN BAY, WI 54303LIMITED LIABILITY COMPANY

Page 3: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 3 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

ODD FELLOW HOME

1229 S JACKSON ST

(920) 437-6523

FAX: (920) 437-9896Administrator: CHARLENE EVERETT

BROWN

Northeastern

Lic. 2544

Skilled Care88 Beds

ODD FELLOW REBEKAH HOME ASSOCIATION INC

525559 Title 18 SNF Title 19 NFGREEN BAY, WI 54301NONPROFIT CORPORATION

WOODSIDE LUTHERAN HOME1040 PILGRIM WAY

(920) 499-1481FAX: (920) 499-1501

Administrator: MEGHAN MEHLBERG

BROWN

Northeastern

Lic. 2177Skilled Care130 Beds

BAY AREA LUTHERAN HOMES INC

525557 Title 18 SNF Title 19 NFGREEN BAY, WI 54304NONPROFIT CHURCH/CORP

ANNA JOHN RESIDENT CENTERED CARE COMMUNITY2901 SOUTH OVERLAND ROAD

(920) 869-2797FAX: (920) 869-6790

Administrator: DAVID LARSON

BROWN

Northeastern

Lic. 2553Skilled Care48 Beds

ONEIDA TRIBE OF INDIANS OF WISC INC

525695 Title 18 SNF Title 19 NFONEIDA, WI 54155GOVERNMENT FEDERAL

AMERICAN LUTHERAN HOME-MONDOVI200 MEMORIAL DR

(715) 926-4962FAX: (715) 926-3933

Administrator: TONYA LISOWSKI

BUFFALO

Western

Lic. 3223Skilled Care35 Beds

AMERICAN LUTHERAN HOMES INC

525383 Title 18 SNF Title 19 NFMONDOVI, WI 54755NONPROFIT CHURCH/CORP

BURNETT MEDICAL CENTER257 W ST GEORGE AVE

(715) 463-5355FAX: (715) 463-2423

Administrator: GORDON LEWIS

BURNETT

Northern

Lic. 2197Skilled Care50 Beds

BURNETT MEDICAL CENTER INC

525558 Title 18 SNF Title 19 NFGRANTSBURG, WI 54840NONPROFIT CORPORATION

HOMESTEAD HEALTH SERVICES1712 MONROE ST

(920) 898-4296FAX: (920) 898-4931

Administrator: JENNA PHILLIPS

CALUMET

Northeastern

Lic. 2366Skilled Care60 Beds

NSH NEW HOLSTEIN-MONROE LLC

525546 Title 18 SNF Title 19 NFNEW HOLSTEIN, WI 53061FOR PROFIT CORPORATION

WILLOWDALE HEALTH SERVICES1610 HOOVER ST

(920) 898-5706FAX: (920) 898-5664

Administrator: MADELYN PROCESS

CALUMET

Northeastern

Lic. 2246Skilled Care49 Beds

NSH NEW HOLSTEIN LLC

525411 Title 18 SNF Title 19 NFNEW HOLSTEIN, WI 53061LIMITED LIABILITY COMPANY

DOVE HEALTHCARE - BLOOMER2217 DUNCAN ROAD

(715) 568-9770FAX: (715) 568-9772

Administrator: JOSEPH MUENCH

CHIPPEWA

Western

Lic. 2028Skilled Care50 Beds

BLOOMER HEALTHCARE, LLC

525479 Title 18 SNF Title 19 NFBLOOMER, WI 54724LIMITED LIABILITY COMPANY

MEADOWBROOK AT BLOOMER1840 PRIDDY ST

(715) 568-2503FAX: (715) 568-2518

Administrator: ANNA HENCK

CHIPPEWA

Western

Lic. 2807Skilled Care31 Beds

BLOOMER NURSING AND REHAB

525580 Title 18 SNF Title 19 NFBLOOMER, WI 54724FOR PROFIT CORPORATION

Page 4: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 4 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

CHIPPEWA MANOR NURSING AND REHABILITATION

222 CHAPMAN RD

(715) 723-4437

FAX: (715) 723-0524Administrator: JILL GENGLER

CHIPPEWA

Western

Lic. 2627

Skilled Care50 Beds

CHIPPEWA MANOR NURSING AND REHABILITATION CORP

525419 Title 18 SNF Title 19 NFCHIPPEWA FALLS, WI 54729FOR PROFIT CORPORATION

WI VETERANS HOME AT CHIPPEWA FALLS

2175 E PARK AVE

(715) 720-6775

FAX: (715) 720-6672Administrator: MEGAN CORCORAN

CHIPPEWA

Western

Lic. 5039

Skilled Care72 Beds

STATE OF WI DEPT OF VETERANS AFFAIRS

525708 Title 18 SNF Title 19 NFCHIPPEWA FALLS, WI 54729GOVERNMENT STATE

WISSOTA HEALTH AND REGIONAL VENT CENTER2815 COUNTY HIGHWAY I

(715) 723-9341FAX: (715) 723-3376

Administrator: CAYCI WATHKE

CHIPPEWA

Western

Lic. 3168Skilled Care77 Beds

SNOWHILL HEALTHCARE LLC

525379 Title 18 SNF Title 19 NFCHIPPEWA FALLS, WI 54729LIMITED LIABILITY COMPANY

CORNELL HEALTH SERVICES320 N 7TH ST

(715) 239-6288FAX: (715) 239-6608

Administrator: JENNIFER BURKLUND

CHIPPEWA

Western

Lic. 3216Skilled Care50 Beds

NSH CORNELL LLC

525637 Title 18 SNF Title 19 NFCORNELL, WI 54732LIMITED LIABILITY COMPANY

COLONIAL CENTER702 W DOLF ST

(715) 223-2352FAX: (715) 223-3972

Administrator: TRUDY ERICKSON

CLARK

Northern

Lic. 3080Skilled Care70 Beds

COLONIAL CENTER, LLC

525350 Title 18 SNF Title 19 NFCOLBY, WI 54421LIMITED LIABILITY COMPANY

NEILLSVILLE CARE AND REHABILITATION316 SUNSET PLACE

(715) 743-5444FAX: (715) 743-5448

Administrator: LISA CERVEN

CLARK

Northern

Lic. 1071Skilled Care50 Beds

SENIOR MANAGEMENT, INC.

525629 Title 18 SNF Title 19 NFNEILLSVILLE, WI 54456FOR PROFIT CORPORATION

CLARK COUNTY REHABILITATION & LIVING CENTER

W4266 COUNTY HIGHWAY X

(715) 229-2172

FAX: (715) 229-4655Administrator: JANE SCHMITZ

CLARK

Northern

Lic. 2387

Skilled Care172 Beds

WOODLAND ENHANCED HEALTH SERVICES COMMISSION

525403 Title 18 SNF Title 19 NFOWEN, WI 54460GOVERNMENT COUNTY

OAKBROOK HEALTH AND REHABILITATION206 W PROSPECT ST

(715) 669-5321FAX: (715) 669-5223

Administrator: EDEN REEG

CLARK

Northern

Lic. 2983Skilled Care58 Beds

THORP NURSING HOME INC

525472 Title 18 SNF Title 19 NFTHORP, WI 54771FOR PROFIT CORPORATION

COLUMBUS HEALTH AND REHAB825 WESTERN AVE

(920) 623-2520FAX: (920) 623-0579

Administrator: ELAINE HERRON

COLUMBIA

Southern

Lic. 3116Skilled Care50 Beds

COLUMBUS OPERATOR, LLC

525445 Title 18 SNF Title 19 NFCOLUMBUS, WI 53925LIMITED LIABILITY COMPANY

Page 5: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 5 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

DIVINE REHABILITATION AND NURSING AT LODI

700 CLARK ST

(608) 592-3241

FAX: (608) 592-3293Administrator: KATHERINE CASEY

COLUMBIA

Southern

Lic. 2086

Skilled Care50 Beds

DIVINE REHABILITATION AND NURSING AT LODI LLC

525520 Title 18 SNF Title 19 NFLODI, WI 53555FOR PROFIT CORPORATION

TIVOLI AT DIVINE SAVIOR HEALTHCARE2805 HUNTERS TRAIL

(608) 745-5900FAX: (608) 745-5997

Administrator: BRENDA REIERSON

COLUMBIA

Southern

Lic. 2018Skilled Care83 Beds

DIVINE SAVIOR HEALTHCARE INC

525518 Title 18 SNF Title 19 NFPORTAGE, WI 53901NONPROFIT CHURCH/CORP

WISCONSIN DELLS HEALTH SERVICES300 RACE ST

(608) 254-2574FAX: (608) 253-7411

Administrator: SCOTT ARNESON

COLUMBIA

Southern

Lic. 2875Skilled Care90 Beds

NSH WISCONSIN DELLS LLC

525391 Title 18 SNF Title 19 NFWISCONSIN DELLS, WI 53965LIMITED LIABILITY COMPANY

COLUMBIA HEALTH CARE CENTER323 W MONROE ST PO BOX 895

(608) 429-2181FAX: (608) 429-2281

Administrator: AMY YAMRISKA

COLUMBIA

Southern

Lic. 2418Skilled Care95 Beds

COLUMBIA COUNTY

525372 Title 18 SNF Title 19 NFWYOCENA, WI 53969GOVERNMENT COUNTY

PRAIRIE MAISON700 SOUTH FREMONT

(608) 326-8471FAX: (608) 326-3205

Administrator: RITA MOORE

CRAWFORD

Southern

Lic. 3170Skilled Care64 Beds

PRAIRIE NURSING FACILITY LLC

525525 Title 18 SNF Title 19 NFPRAIRIE DU CHIEN, WI 53821LIMITED LIABILITY COMPANY

SOLDIERS GROVE HEALTH SERVICES101 SUNSHINE BLVD

(608) 624-5244FAX: (608) 624-3478

Administrator: TYLER BRANDT

CRAWFORD

Southern

Lic. 2607Skilled Care50 Beds

NSH SOLDIERS GROVE LLC

525622 Title 18 SNF Title 19 NFSOLDIERS GROVE, WI 54655LIMITED LIABILITY COMPANY

HEARTLAND COUNTRY VILLAGE

634 CENTER ST

(608) 767-2572

FAX: (608) 767-2565Administrator: LAURIANNA FILLA

DANE

Southern

Lic. 2944

Skilled Care50 Beds

BENCHMARK HEALTHCARE OF DANE CO INC

525521 Title 18 SNF Title 19 NFBLACK EARTH, WI 53515NONPROFIT OTHER

BELMONT NURSING AND REHABILITATION CENTER110 BELMONT RD

(608) 249-7391FAX: (608) 249-7906

Administrator: MICHAEL SYLTIE

DANE

Southern

Lic. 3153Skilled Care83 Beds

LSS OF MADISON LLC

525074 Title 18 SNF Title 19 NFMADISON, WI 53714LIMITED LIABILITY COMPANY

CAPITOL LAKES HEALTH CENTER333 W MAIN ST

(608) 283-2000FAX: (608) 283-2019

Administrator: KRISTIN VATER

DANE

Southern

Lic. 2934Skilled Care85 Beds

CAPITOL LAKES, INC.

525305 Title 18 SNF Title 19 NFMADISON, WI 53703NONPROFIT CORPORATION

Page 6: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 6 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

OAK PARK NURSING AND REHABILITATION CENTER

718 JUPITER DRIVE

(608) 663-8600

FAX: (608) 251-2868Administrator: DANIEL RITTER

DANE

Southern

Lic. 2858

Skilled Care100 Beds

OAK PARK NURSING AND REHABILITATION CENTER LLC

525266 Title 18 SNF Title 19 NFMADISON, WI 53718LIMITED LIABILITY COMPANY

OAK PARK PLACE OF NAKOMA4327 NAKOMA RD

(608) 640-4100FAX: (608) 251-2955

Administrator: CELIA HOLTAN

DANE

Southern

Lic. 5053 33 Beds

OAK PARK PLACE OF NAKOMA, LLC

525729 Title 18 SNFMADISON, WI 53711FOR PROFIT CORPORATION

OAKWOOD LUTHERAN HOMES ASSOCIATION

6201 MINERAL POINT RD

(608) 230-4699

FAX: (608) 230-4330Administrator: KIMBERLY BLUM

DANE

Southern

Lic. 81

Skilled Care70 Beds

OAKWOOD LUTHERAN HOMES ASSOCIATION INC

525375 Title 18 SNF Title 19 NFMADISON, WI 53705NONPROFIT CHURCH/CORP

OAKWOOD VILLAGE EAST HEALTH AND REHABILITATION CENTER5833 AMERICAN PARKWAY

(608) 230-4000

FAX: (608) 230-4001Administrator: LISA LOWE

DANE

Southern

Lic. 5029

Skilled Care40 Beds

OAKWOOD VILLAGE EAST LUTHERAN HOMES, INC.

525692 Title 18 SNF Title 19 NFMADISON, WI 53718LIMITED LIABILITY COMPANY

SSM HEALTH ST MARY'S CARE CENTER3401 MAPLE GROVE DR

(608) 845-1000FAX: (608) 845-1001

Administrator: KAREN HAYDEN

DANE

Southern

Lic. 3101Skilled Care184 Beds

SSM HEALTH CARE OF WISCONSIN INC

525276 Title 18 SNF Title 19 NFMADISON, WI 53719NONPROFIT CORPORATION

THE VILLA AT MIDDLETON VILLAGE6201 ELMWOOD AVE

(608) 831-8300FAX: (608) 831-4253

Administrator: DANIELLE GENNUSO

DANE

Southern

Lic. 2737Skilled Care97 Beds

THE VILLA AT MIDDLETON VILLAGE, LLC

525330 Title 18 SNF Title 19 NFMIDDLETON, WI 53562LIMITED LIABILITY COMPANY

INGLESIDE MANOR

407 N EIGHTH ST

(608) 437-5511

FAX: (608) 437-9603Administrator: COLLIN SMITH

DANE

Southern

Lic. 2287

Skilled Care80 Beds

WISCONSIN ILLINOIS SENIOR HOUSING INC

525331 Title 18 SNF Title 19 NFMOUNT HOREB, WI 53572NONPROFIT CORPORATION

OREGON MANOR, LTD354 N MAIN ST

(608) 835-3535FAX: (608) 835-3890

Administrator: THOMAS GRAVES

DANE

Southern

Lic. 2604Skilled Care45 Beds

GRAVES ENTERPRISES, INC.

525536 Title 18 SNF Title 19 NFOREGON, WI 53575FOR PROFIT CORPORATION

Page 7: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 7 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

NAZARETH HEALTH AND REHAB CENTER814 JACKSON ST

(608) 873-6448FAX: (608) 873-0829

Administrator: JASON WILLIAMS

DANE

Southern

Lic. 1159Skilled Care99 Beds

COMPLETE CARE AT NAZARETH LLC

525681 Title 18 SNF Title 19 NFSTOUGHTON, WI 53589LIMITED LIABILITY COMPANY

SKAALEN NURSING AND REHABILITATION CENTER

400 N MORRIS ST

(608) 873-5651

FAX: (608) 873-5748Administrator: KRISTIAN KRENTZ

DANE

Southern

Lic. 2114

Skilled Care91 Beds

SKAALEN NURSING AND REHABILITATION CENTER, INC.

525512 Title 18 SNF Title 19 NFSTOUGHTON, WI 53589NONPROFIT CORPORATION

CROSSROADS CARE CENTER OF SUN PRAIRIE

41 RICKEL RD

(608) 837-8529

FAX: (608) 837-9484Administrator: REBECCA KERN

DANE

Southern

Lic. 2224

Skilled Care50 Beds

CROSSROADS CARE CENTER OF SUN PRAIRIE LLC

525313 Title 18 SNF Title 19 NFSUN PRAIRIE, WI 53590LIMITED LIABILITY COMPANY

SUN PRAIRIE HEALTH CARE CENTER

228 W MAIN ST

(608) 837-5959

FAX: (608) 825-4390Administrator: SUSAN OHM

DANE

Southern

Lic. 2598

Skilled Care32 Beds

SUN PRAIRIE HEALTHCARE OPERATIONS LLC

525380 Title 18 SNF Title 19 NFSUN PRAIRIE, WI 53590LIMITED LIABILITY COMPANY

BADGER PRAIRIE HEALTH CARE CENTER1100 E VERONA AVE

(608) 845-6601FAX: (608) 845-1264

Administrator: WILLIAM BROTZMAN

DANE

Southern

Lic. 2969Skilled Care120 Beds

DANE CO BOARD

525516 Title 18 SNF Title 19 NFVERONA, WI 53593GOVERNMENT COUNTY

FOUR WINDS MANOR303 S JEFFERSON ST

(608) 845-6465FAX: (608) 848-8315

Administrator: M LYNN HOWARD

DANE

Southern

Lic. 1002Skilled Care44 Beds

FOUR WINDS MANOR, INC.

525656 Title 18 SNF Title 19 NFVERONA, WI 53593FOR PROFIT CORPORATION

WAUNAKEE MANOR HEALTH CARE CENTER801 KLEIN DR

(608) 849-5016FAX: (608) 849-9353

Administrator: DOMINIQUE KITTELL

DANE

Southern

Lic. 2450Skilled Care104 Beds

WAUNAKEE OPERATIONS LLC

525098 Title 18 SNF Title 19 NFWAUNAKEE, WI 53597LIMITED LIABILITY COMPANY

BEDROCK HCS AT BEAVER DAM LLC410 ROEDL CT

(920) 887-7191FAX: (920) 887-8699

Administrator: NOELLE WIEBUSCH

DODGE

Southern

Lic. 2695Skilled Care90 Beds

BEDROCK HCS AT BEAVER DAM LLC

525338 Title 18 SNF Title 19 NFBEAVER DAM, WI 53916FOR PROFIT CORPORATION

Page 8: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 8 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

HILLSIDE MANOR

803 S UNIVERSITY AVE

(920) 887-5901

FAX: (920) 887-3040Administrator: TRICIA WEISNICHT

DODGE

Southern

Lic. 3140

Skilled Care115 Beds

BEAVER DAM COMMUNITY HOSPITALS INC

525447 Title 18 SNF Title 19 NFBEAVER DAM, WI 53916NONPROFIT CORPORATION

CLEARVIEW198 COUNTY DF

(920) 386-3400FAX: (920) 386-3405

Administrator: EDWARD SOMERS

DODGE

Southern

Lic. 2380Skilled Care120 Beds

MARSH COUNTRY HEALTH ALLIANCE

525453 Title 18 SNF Title 19 NFJUNEAU, WI 53039GOVERNMENT COUNTY

CLEARVIEW BEHAVIORAL HEALTH I198 COUNTY DF

(920) 386-3400FAX: (920) 386-3405

Administrator: EDWARD SOMERS

DODGE

Southern

Lic. 5026Skilled Care10 Beds

DODGE COUNTY

JUNEAU, WI 53039GOVERNMENT COUNTY

CLEARVIEW BEHAVIORAL HEALTH II198 COUNTY DF

(920) 386-3400FAX: (920) 386-3405

Administrator: EDWARD SOMERS

DODGE

Southern

Lic. 5036Skilled Care10 Beds

DODGE COUNTY

JUNEAU, WI 53039GOVERNMENT COUNTY

CLEARVIEW BEHAVIORAL HEALTH III198 COUNTY DF

(920) 386-3400FAX: (920) 386-3405

Administrator: EDWARD SOMERS

DODGE

Southern

Lic. 5049Skilled Care10 Beds

DODGE COUNTY

JUNEAU, WI 53039GOVERNMENT COUNTY

CLEARVIEW BEHAVIORAL HEALTH IV198 COUNTY DF

(920) 386-3400FAX: (920) 386-3405

Administrator: EDWARD SOMERS

DODGE

Southern

Lic. 5050Skilled Care10 Beds

DODGE COUNTY

JUNEAU, WI 53039GOVERNMENT COUNTY

CLEARVIEW BRAIN INJURY CENTER198 COUNTY DF

(920) 386-3400FAX: (920) 386-3405

Administrator: EDWARD SOMERS

DODGE

Southern

Lic. 5034Skilled Care30 Beds

DODGE COUNTY

52A461 Title 19 NFJUNEAU, WI 53039GOVERNMENT COUNTY

HOPE HEALTH AND REHABILITATION438 ASHFORD AVE PO BOX 280

(920) 269-4386FAX: (920) 269-4978

Administrator: JULIA SCHRAMEK

DODGE

Southern

Lic. 3222Skilled Care38 Beds

OAK RIDGE CARE CENTER INC

525642 Title 18 SNF Title 19 NFLOMIRA, WI 53048FOR PROFIT CORPORATION

CROSSROADS CARE CENTER OF MAYVILLE

305 S CLARK ST

(920) 387-0354

FAX: (920) 387-5194Administrator: MAR'QUE ANDERSON

DODGE

Southern

Lic. 3193

Skilled Care80 Beds

CROSSROADS CARE CENTER OF MAYVILLE, LLC

525616 Title 18 SNF Title 19 NFMAYVILLE, WI 53050LIMITED LIABILITY COMPANY

Page 9: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 9 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

RANDOLPH HEALTH SERVICES502 S HIGH ST

(920) 326-3171FAX: (920) 326-3239

Administrator: JOANN EVANS

DODGE

Southern

Lic. 2290Skilled Care84 Beds

NSH RANDOLPH LLC

525355 Title 18 SNF Title 19 NFRANDOLPH, WI 53956LIMITED LIABILITY COMPANY

BEDROCK HCS AT WATERTOWN121 HOSPITAL DR

(920) 261-9220FAX: (920) 261-9208

Administrator: ROBERT FISHER

DODGE

Southern

Lic. 2696Skilled Care112 Beds

BEDROCK HCS AT WATERTOWN LLC

525333 Title 18 SNF Title 19 NFWATERTOWN, WI 53098FOR PROFIT CORPORATION

MARQUARDT MEMORIAL MANOR1020 HILL ST

(920) 261-0400FAX: (920) 261-4840

Administrator: JENNIFER JOHNSON

DODGE

Southern

Lic. 2143Skilled Care140 Beds

MARQUARDT MEMORIAL MANOR INC

525543 Title 18 SNF Title 19 NFWATERTOWN, WI 53098NONPROFIT CORPORATION

CHRISTIAN HOME AND REHABILITATION CENTER

452 FOX LAKE ROAD

(920) 324-9051

FAX: (920) 324-0890Administrator: JANEL KONKEL

DODGE

Southern

Lic. 525

Skilled Care50 Beds

CHRISTIAN HOME AND REHABILITATION CENTER INC

525531 Title 18 SNF Title 19 NFWAUPUN, WI 53963NONPROFIT CHURCH/CORP

GOOD SAMARITAN SOCIETY-SCANDIA VILLAGE

10560 APPLEWOOD RD

(920) 854-2317

FAX: (920) 854-9529Administrator: MICHELE NOTZ

DOOR

Northeastern

Lic. 3111

Skilled Care50 Beds

EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

525494 Title 18 SNF Title 19 NFSISTER BAY, WI 54234NONPROFIT CORPORATION

PETE AND JELAINE HORTON CENTER323 S 18TH AVE

(920) 743-5566FAX: (920) 746-0492

Administrator: NANCY BOHRMAN

DOOR

Northeastern

Lic. 2196Skilled Care30 Beds

DOOR COUNTY MEDICAL CENTER

525377 Title 18 SNF Title 19 NFSTURGEON BAY, WI 54235NONPROFIT CORPORATION

STURGEON BAY HEALTH SERVICES200 N SEVENTH AVE

(920) 743-6274FAX: (920) 743-5604

Administrator: DAVID MUELLER

DOOR

Northeastern

Lic. 2681Skilled Care120 Beds

NSH DORCHESTER LLC

525306 Title 18 SNF Title 19 NFSTURGEON BAY, WI 54235LIMITED LIABILITY COMPANY

MIDDLE RIVER HEALTH CARE CENTER

8274 E SAN RD

(715) 398-3523

FAX: (715) 374-2236Administrator: CHRISTY FRYE

DOUGLAS

Northern

Lic. 3138

Skilled Care86 Beds

VILLA MARINA HEALTH & REHABILITATION CENTER INC

525408 Title 18 SNF Title 19 NFSOUTH RANGE, WI 54874FOR PROFIT CORPORATION

SUPERIOR REHABILITATION CENTER LLC1800 NEW YORK AVE

(715) 394-5591FAX: (715) 394-5098

Administrator: JULIANA LUNDBERG

DOUGLAS

Northern

Lic. 2578Skilled Care118 Beds

SUPERIOR REHABILITATION CENTER LLC

525397 Title 18 SNF Title 19 NFSUPERIOR, WI 54880LIMITED LIABILITY COMPANY

Page 10: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 10 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

TWIN PORTS HEALTH SERVICES1612 N 37TH ST

(715) 392-5144FAX: (715) 392-1406

Administrator: PEGGY RAHKONEN

DOUGLAS

Northern

Lic. 2900Skilled Care90 Beds

NSH SUPERIOR LLC

525370 Title 18 SNF Title 19 NFSUPERIOR, WI 54880LIMITED LIABILITY COMPANY

VILLA MARINA HEALTH AND REHABILITATION CENTER

35 N 28TH ST

(715) 392-3300

FAX: (715) 392-9660Administrator: LORI RANDA

DOUGLAS

Northern

Lic. 3215

Skilled Care72 Beds

VILLA MARINA HEALTH & REHABILITATION CENTER INC

525613 Title 18 SNF Title 19 NFSUPERIOR, WI 54880FOR PROFIT CORPORATION

COLFAX HEALTH AND REHABILITATION CENTER

110 PARK DRIVE

(715) 962-3186

FAX: (715) 962-3639Administrator: KENZIE GALETKA

DUNN

Western

Lic. 1176

Skilled Care28 Beds

COLFAX HEALTH AND REHABILITATION CENTER, INC.

525691 Title 18 SNF Title 19 NFCOLFAX, WI 54730NONPROFIT CORPORATION

AMERICAN LUTHERAN HOME - MENOMONIE UNIT915 ELM AVE E

(715) 235-9041FAX: (715) 235-2289

Administrator: RANDALL RENNOCK

DUNN

Western

Lic. 2012Skilled Care37 Beds

AMERICAN LUTHERAN HOMES INC

525480 Title 18 SNF Title 19 NFMENOMONIE, WI 54751NONPROFIT CHURCH/CORP

THE NEIGHBORS - CENTRAL NEIGHBORHOOD2901 FORBES AVE

(715) 232-2661FAX: (715) 232-4010

Administrator: CARMEN FLUNKER

DUNN

Western

Lic. 2356Skilled Care45 Beds

DUNN COUNTY

525433 Title 18 SNF Title 19 NFMENOMONIE, WI 54751GOVERNMENT COUNTY

THE NEIGHBORS - WEST NEIGHBORHOOD651 HOWISON CIRCLE

(715) 232-2661FAX: (715) 232-4010

Administrator: CARMEN FLUNKER

DUNN

Western

Lic. 5042Skilled Care46 Beds

DUNN COUNTY

525714 Title 18 SNF Title 19 NFMENOMONIE, WI 54751GOVERNMENT COUNTY

THE NEIGHBORS -EAST NEIGHBORHOOD658 HOWISON CIRCLE

(715) 232-2661FAX: (715) 232-4010

Administrator: CARMEN FLUNKER

DUNN

Western

Lic. 5041Skilled Care46 Beds

DUNN COUNTY

525713 Title 18 SNF Title 19 NFMENOMONIE, WI 54751GOVERNMENT COUNTY

GRACE LUTHERAN COMMUNITIES - RIVER PINES206 N WILLSON DR

(715) 598-7800FAX: (715) 598-7999

Administrator: JENNIFER COHEN

EAU CLAIRE

Western

Lic. 5047Skilled Care50 Beds

GRACE LUTHERAN FOUNDATION INC

525724 Title 18 SNF Title 19 NFALTOONA, WI 54720FOR PROFIT CORPORATION

GRACE LUTHERAN COMMUNITIES-PRAIRIE POINTE REHAB SUITES286 N WILLSON DR

(715) 598-7800

FAX: (715) 598-7998Administrator: JENNIFER COHEN

EAU CLAIRE

Western

Lic. 5048

Skilled Care48 Beds

GRACE LUTHERAN FOUNDATION INC

525725 Title 18 SNF Title 19 NFALTOONA, WI 54720NONPROFIT CORPORATION

Page 11: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 11 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

OAKWOOD HEALTH SERVICES2512 NEW PINE DR

(715) 833-0400FAX: (715) 833-0546

Administrator: JON RICHARDSON

EAU CLAIRE

Western

Lic. 3167Skilled Care80 Beds

NSH ALTOONA LLC

525454 Title 18 SNF Title 19 NFALTOONA, WI 54720LIMITED LIABILITY COMPANY

AUGUSTA HEALTH AND REHABILITATION901 BRIDGE CREEK LANE

(715) 286-2266FAX: (715) 286-2653

Administrator: JAHN BRADLEY

EAU CLAIRE

Western

Lic. 2083Skilled Care50 Beds

AUGUSTA AREA HOME, INC

525535 Title 18 SNF Title 19 NFAUGUSTA, WI 54722NONPROFIT OTHER

DOVE HEALTHCARE-SOUTH3656 MALL DRIVE

(715) 552-1035FAX: (715) 552-4567

Administrator: ASHLEY SMETANA

EAU CLAIRE

Western

Lic. 5031Skilled Care34 Beds

TRANSITIONS AT OAKWOOD, LLC

525701 Title 18 SNF Title 19 NFEAU CLAIRE, WI 54701LIMITED LIABILITY COMPANY

DOVE HEALTHCARE-WEST1405 TRUAX BLVD

(715) 552-1030FAX: (715) 552-1033

Administrator: KENDALL ROSEMEYER

EAU CLAIRE

Western

Lic. 3195Skilled Care110 Beds

COVENANT HEALTHCARE LLC

525387 Title 18 SNF Title 19 NFEAU CLAIRE, WI 54703LIMITED LIABILITY COMPANY

MARSHFIELD CLINIC COMFORT AND RECOVERY-EAU CLAIRE2116 CRAIG RD

(715) 836-1200

FAX: ( ) - Administrator: TARA NENAHLO

EAU CLAIRE

Western

Lic. 5044

Skilled Care12 Beds

GRACE LUTHERAN FOUNDATION INC

525721 Title 18 SNFEAU CLAIRE, WI 54701NONPROFIT CORPORATION

FLORENCE HEALTH SERVICES5778 CHAPIN ST

(715) 528-4833FAX: (715) 528-4988

Administrator: SUSANNE MATTSON

FLORENCE

Northeastern

Lic. 2909Skilled Care73 Beds

NSH FLORENCE LLC

525358 Title 18 SNF Title 19 NFFLORENCE, WI 54121LIMITED LIABILITY COMPANY

CROSSROADS CARE CENTER OF FOND DU LAC

115 E ARNDT ST

(920) 923-7040

FAX: (920) 923-6967Administrator: LINZI GAZGA PARISH

FOND DU LAC

Northeastern

Lic. 2792

Skilled Care50 Beds

CROSSROADS CARE CENTER OF FOND DU LAC LLC

525270 Title 18 SNF Title 19 NFFOND DU LAC, WI 54935LIMITED LIABILITY COMPANY

EDENBROOK OF FOND DU LAC265 S NATIONAL AVE

(920) 922-7342FAX: (920) 922-4737

Administrator: STACY NIES

FOND DU LAC

Northeastern

Lic. 2743Skilled Care90 Beds

FOND DU LAC NURSING AND REHAB, LLC

525274 Title 18 SNF Title 19 NFFOND DU LAC, WI 54935FOR PROFIT CORPORATION

FOND DU LAC LUTHERAN HOME244 N MACY ST

(920) 921-9520FAX: (920) 921-0819

Administrator: CLAY STOLTZ

FOND DU LAC

Northeastern

Lic. 47Skilled Care85 Beds

FOND DU LAC LUTHERAN HOME INC

525655 Title 18 SNF Title 19 NFFOND DU LAC, WI 54935NONPROFIT CHURCH/CORP

Page 12: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 12 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

GRANCARE NURSING AND REHABILITATION CENTER517 E DIVISION ST

(920) 921-6800FAX: (920) 921-6875

Administrator: BRIANNA GRETZINGER

FOND DU LAC

Northeastern

Lic. 1044Skilled Care75 Beds

GOLDENHIGH LLC

525522 Title 18 SNF Title 19 NFFOND DU LAC, WI 54935LIMITED LIABILITY COMPANY

HARBOR HAVEN HEALTH AND REHABILITATION459 E FIRST STREET

(920) 929-3500FAX: (920) 929-7046

Administrator: MARK RADMER

FOND DU LAC

Northeastern

Lic. 2437Skilled Care85 Beds

FOND DU LAC COUNTY

525534 Title 18 SNF Title 19 NFFOND DU LAC, WI 54935GOVERNMENT COUNTY

ST FRANCIS HOME

33 EVERETT ST

(920) 923-7980

FAX: (920) 923-7995Administrator: DOUGLAS TROST

FOND DU LAC

Northeastern

Lic. 2561

Skilled Care107 Beds

ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC

525595 Title 18 SNF Title 19 NFFOND DU LAC, WI 54935NONPROFIT CHURCH/CORP

VILLA LORETTO NURSING HOMEN8114 COUNTY WW

(920) 753-3211FAX: (920) 753-3100

Administrator: JENNA FLOBERG

FOND DU LAC

Northeastern

Lic. 1165Skilled Care50 Beds

AGNESIAN HEALTHCARE INC.

525621 Title 18 SNF Title 19 NFMOUNT CALVARY, WI 53057NONPROFIT CORPORATION

WHISPERING PINES NURSING AND REHAB, LLC

50 WOLVERTON AVE

(920) 748-5638

FAX: (920) 748-5613Administrator: HALEY HALL

FOND DU LAC

Northeastern

Lic. 3186

Skilled Care50 Beds

WHISPERING PINES NURSING AND REHAB, LLC

525551 Title 18 SNF Title 19 NFRIPON, WI 54971FOR PROFIT CORPORATION

THE BAY AT NU ROC HEALTH AND REHABILITATION CENTER3576A NU ROC LN

(715) 674-4477

FAX: (715) 674-4016Administrator: MELISSA KAMPS

FOREST

Northeastern

Lic. 913

Skilled Care50 Beds

BAY AT NU ROC HEALTH AND REHAB CENTER LLC

525623 Title 18 SNF Title 19 NFLAONA, WI 54541LIMITED LIABILITY COMPANY

CARE AND REHAB - BOSCOBEL207 PARKER ST

(608) 375-6342FAX: (608) 375-6358

Administrator: TRACY ATKINSON

GRANT

Southern

Lic. 2123Skilled Care50 Beds

SENIOR MANAGEMENT, INC.

525373 Title 18 SNF Title 19 NFBOSCOBEL, WI 53805FOR PROFIT CORPORATION

EPIONE PAVILION808 S WASHINGTON ST

(608) 744-2161FAX: (608) 744-2963

Administrator: LISA TRANEL

GRANT

Southern

Lic. 2648Skilled Care78 Beds

SWR1, INC

525395 Title 18 SNF Title 19 NFCUBA CITY, WI 53807FOR PROFIT INDIVIDUAL

Page 13: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 13 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

DIVINE REHABILITATION AND NURSING AT FENNIMORE1850 11TH ST

(608) 822-6100

FAX: (608) 822-3011Administrator: ELIZABETH KEENEY

GRANT

Southern

Lic. 2062

Skilled Care62 Beds

DIVINE REHABILITATION AND NURSING AT FENNIMORE LLC

525425 Title 18 SNF Title 19 NFFENNIMORE, WI 53809FOR PROFIT CORPORATION

ST DOMINIC VILLA2375 SINSINAWA RD

(608) 748-9814FAX: (608) 748-9945

Administrator: MICHAEL SPITZER

GRANT

Southern

Lic. 5006Skilled Care62 Beds

SINSINAWA NURSING INC

525660 Title 18 SNF Title 19 NFHAZEL GREEN, WI 53811NONPROFIT CHURCH/CORP

LANCASTER HEALTH SERVICES1350 S MADISON ST

(608) 723-4143FAX: (608) 723-7278

Administrator: LONA ELLIS

GRANT

Southern

Lic. 3077Skilled Care50 Beds

NSH LANCASTER LLC

525352 Title 18 SNF Title 19 NFLANCASTER, WI 53813FOR PROFIT CORPORATION

ORCHARD MANOR8800 HWY 61

(608) 723-2113FAX: (608) 723-2210

Administrator: CAROL SCHWARTZ

GRANT

Southern

Lic. 3108Skilled Care125 Beds

COUNTY OF GRANT

525290 Title 18 SNF Title 19 NFLANCASTER, WI 53813GOVERNMENT COUNTY

BEDROCK HCS AT RIVERDALE LLC1000 N WISCONSIN AVE

(608) 739-3186FAX: (608) 739-3486

Administrator: CORY NUGENT

GRANT

Southern

Lic. 3188Skilled Care58 Beds

BEDROCK HCS AT RIVERDALE LLC

525321 Title 18 SNF Title 19 NFMUSCODA, WI 53573FOR PROFIT CORPORATION

PLATTEVILLE NURSING AND REHAB, LLC1300 N WATER ST

(608) 348-2453FAX: (608) 348-2944

Administrator: ELIZABETH THEISEN

GRANT

Southern

Lic. 3174Skilled Care80 Beds

PLATTEVILLE NURSING AND REHAB, LLC

525219 Title 18 SNF Title 19 NFPLATTEVILLE, WI 53818FOR PROFIT CORPORATION

MONROE HEALTH SERVICES516 26TH AVE

(608) 325-9141FAX: (608) 329-6594

Administrator: SEAN MURPHY

GREEN

Southern

Lic. 2116Skilled Care50 Beds

NSH MONROE LLC

525292 Title 18 SNF Title 19 NFMONROE, WI 53566LIMITED LIABILITY COMPANY

PLEASANT VIEW NURSING HOMEN3150 HWY 81 PO BOX 768

(608) 325-2171FAX: (608) 325-1352

Administrator: TERRY SNOW

GREEN

Southern

Lic. 2432Skilled Care110 Beds

COUNTY OF GREEN

525643 Title 18 SNF Title 19 NFMONROE, WI 53566GOVERNMENT COUNTY

NEW GLARUS HOME, INC600 2ND AVE

(608) 527-2126FAX: (608) 527-5365

Administrator: ERIN FRANCOIS

GREEN

Southern

Lic. 2605Skilled Care97 Beds

NEW GLARUS HOME INC

525630 Title 18 SNF Title 19 NFNEW GLARUS, WI 53574NONPROFIT CHURCH/CORP

Page 14: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 14 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

JULIETTE MANOR

482 OAK STREET

(920) 361-3092

FAX: (920) 361-3438Administrator: TINA MARCHAN

GREEN LAKE

Northeastern

Lic. 1102

Skilled Care37 Beds

THEDACARE MEDICAL CENTER-BERLIN, INC.

525286 Title 18 SNF Title 19 NFBERLIN, WI 54923NONPROFIT OTHER

MARKESAN RESIDENT HOME, INC.1130 N MARGARET

(920) 398-2751FAX: (920) 398-3937

Administrator: JENNIFER SAUER

GREEN LAKE

Northeastern

Lic. 3184Skilled Care50 Beds

MARKESAN RESIDENT HOME INC

525550 Title 18 SNF Title 19 NFMARKESAN, WI 53946NONPROFIT CORPORATION

BLOOMFIELD HEALTHCARE AND REHABILITATION CENTER3151 CTY RD CH

(608) 935-3321

FAX: (608) 937-0553Administrator: ROCHELLE KRUCHTEN

IOWA

Southern

Lic. 2364

Skilled Care50 Beds

IOWA COUNTY BOARD

525474 Title 18 SNF Title 19 NFDODGEVILLE, WI 53533GOVERNMENT COUNTY

UPLAND HILLS NURSING AND REHABILITATION800 COMPASSION WAY

(608) 930-7600FAX: (608) 930-7271

Administrator: MICHELLE HENDRICKS

IOWA

Southern

Lic. 2443Skilled Care44 Beds

UPLAND HILLS HEALTH INC

525376 Title 18 SNF Title 19 NFDODGEVILLE, WI 53533NONPROFIT CORPORATION

MINERAL POINT HEALTH SERVICES109 N IOWA ST

(608) 987-2381FAX: (608) 987-2365

Administrator: PHYLLIS DUNCAN

IOWA

Southern

Lic. 3078Skilled Care30 Beds

NSH MINERAL POINT LLC

525354 Title 18 SNF Title 19 NFMINERAL POINT, WI 53565FOR PROFIT CORPORATION

SKY VIEW NURSING CENTER309 IRON ST

(715) 561-5646FAX: (715) 561-5448

Administrator: ALAINA SWARTZ

IRON

Northern

Lic. 2632Intermediate Care33 Beds

SKY VIEW NURSING CENTER LLC

52A429 Title 19 NFHURLEY, WI 54534LIMITED LIABILITY COMPANY

VILLA MARIA HEALTH AND REHABILITATION CENTER

300 VILLA DR

(715) 561-3200

FAX: (715) 561-5556Administrator: LAWRENCE KUTZ

IRON

Northern

Lic. 2660

Skilled Care70 Beds

VILLA MARIA HEALTH AND REHABILITATION CENTER LLC

525540 Title 18 SNF Title 19 NFHURLEY, WI 54534LIMITED LIABILITY COMPANY

MEADOWBROOK OF BLACK RIVER FALLS1311 TYLER ST

(715) 284-4396FAX: (715) 284-9580

Administrator: GAIL JACOBSON

JACKSON

Southern

Lic. 3211Skilled Care35 Beds

BRF NURSING AND REHAB LLC

525488 Title 18 SNF Title 19 NFBLACK RIVER FALLS, WI 54615FOR PROFIT CORPORATION

PINE VIEW CARE CENTER400 COUNTY RD R

(715) 284-5396FAX: (715) 284-1502

Administrator: REBECCA RIEBER

JACKSON

Southern

Lic. 2440Skilled Care95 Beds

JACKSON PINE VIEW HEALTHCARE, LLC

525409 Title 18 SNF Title 19 NFBLACK RIVER FALLS, WI 54615LIMITED LIABILITY COMPANY

Page 15: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 15 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

BEDROCK HCS AT ATKINSON LLC430 WILCOX ST

(920) 563-5533FAX: (920) 563-0169

Administrator: VICTORIA WALLEY

JEFFERSON

Southeastern

Lic. 2683Skilled Care87 Beds

BEDROCK HCS AT ATKINSON LLC

525262 Title 18 SNF Title 19 NFFORT ATKINSON, WI 53538FOR PROFIT CORPORATION

ALDEN ESTATES OF JEFFERSON1130 COLLINS ROAD

(920) 674-3170FAX: (920) 674-6075

Administrator: GERARD BODALSKI

JEFFERSON

Southeastern

Lic. 2390Skilled Care120 Beds

ALDEN ESTATES OF COUNTRYSIDE, INC

525271 Title 18 SNF Title 19 NFJEFFERSON, WI 53549FOR PROFIT CORPORATION

LAKE MILLS HEALTH SERVICES901 MULBERRY ST

(920) 648-8344FAX: (920) 648-3441

Administrator: KIM JUNG

JEFFERSON

Southeastern

Lic. 2794Skilled Care50 Beds

NSH LAKE MILLS LLC

525314 Title 18 SNF Title 19 NFLAKE MILLS, WI 53551LIMITED LIABILITY COMPANY

FAIRHAVEN CORPORATION435 W STARIN RD

(262) 473-2140FAX: (262) 473-5468

Administrator: PAUL KUENNING

JEFFERSON

Southeastern

Lic. 1039Skilled Care82 Beds

FAIRHAVEN CORPORATION

525587 Title 18 SNF Title 19 NFWHITEWATER, WI 53190NONPROFIT CORPORATION

ELROY HEALTH SERVICES307 ROYALL AVE

(608) 462-8491FAX: (608) 462-5088

Administrator: ECHO BRISTOL

JUNEAU

Southern

Lic. 2852Skilled Care80 Beds

NSH ELROY LLC

525452 Title 18 SNF Title 19 NFELROY, WI 53929LIMITED LIABILITY COMPANY

FAIR VIEW NURSING AND REHABILITATION CENTER1050 DIVISION ST

(608) 847-6161FAX: (608) 847-6017

Administrator: ARIANNE WOLLER

JUNEAU

Southern

Lic. 2650Skilled Care50 Beds

MILE BLUFF MEDICAL CENTER INC

525437 Title 18 SNF Title 19 NFMAUSTON, WI 53948NONPROFIT CORPORATION

CREST VIEW NURSING HOME612 VIEW ST

(608) 562-3667FAX: (608) 562-6590

Administrator: JENNIFER BRANDAU

JUNEAU

Southern

Lic. 2367Skilled Care60 Beds

MILE BLUFF MEDICAL CENTER INC

525581 Title 18 SNF Title 19 NFNEW LISBON, WI 53950NONPROFIT CORPORATION

BROOKSIDE CARE CENTER3506 WASHINGTON RD

(262) 653-3800FAX: (262) 653-3850

Administrator: LYNDA BOGDALA

KENOSHA

Southeastern

Lic. 3155Skilled Care154 Beds

KENOSHA COUNTY

525556 Title 18 SNF Title 19 NFKENOSHA, WI 53144GOVERNMENT COUNTY

CLAIRIDGE HOUSE1519 60TH ST

(262) 656-7500FAX: (262) 656-7515

Administrator: DAVID EGAN

KENOSHA

Southeastern

Lic. 2823Skilled Care87 Beds

MIDWAY MANOR CORP

525431 Title 18 SNF Title 19 NFKENOSHA, WI 53140FOR PROFIT CORPORATION

Page 16: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 16 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

CROSSROADS CARE CENTER OF KENOSHA

8633 32ND AVE

(262) 694-8300

FAX: (262) 694-3622Administrator: AKIVA BRANDMAN

KENOSHA

Southeastern

Lic. 2793

Skilled Care110 Beds

CROSSROADS CARE CENTER OF KENOSHA

525282 Title 18 SNF Title 19 NFKENOSHA, WI 53142LIMITED LIABILITY COMPANY

KENOSHA ESTATES REHAB AND CARE CENTER1703 60TH ST

(262) 658-4125FAX: (262) 658-2196

Administrator: SAMER ABADEER

KENOSHA

Southeastern

Lic. 3085Skilled Care97 Beds

JB KENOSHA HEALTHCARE, LLC

525125 Title 18 SNF Title 19 NFKENOSHA, WI 53140LIMITED LIABILITY COMPANY

THE BAY AT SHERIDAN HEALTH AND REHABILITATION

8400 SHERIDAN RD

(262) 658-4141

FAX: (262) 658-0618Administrator: CHRISTINE LEADLEY

KENOSHA

Southeastern

Lic. 3244

Skilled Care81 Beds

BAY AT SHERIDAN HEALTH AND REHABILITATION LLC (THE

525318 Title 18 SNF Title 19 NFKENOSHA, WI 53143LIMITED LIABILITY COMPANY

THE BAY AT WATERS EDGE HEALTH AND REHABILITATION3415 N SHERIDAN RD

(262) 657-6175

FAX: (262) 657-5756Administrator: SUE PROSTKO

KENOSHA

Southeastern

Lic. 3246

Skilled Care128 Beds

BAY AT WATERS EDGE HEALTH AND REHAB LLC (THE)

525281 Title 18 SNF Title 19 NFKENOSHA, WI 53140LIMITED LIABILITY COMPANY

THE MANOR OF KENOSHA3100 WASHINGTON RD

(262) 658-4622FAX: (262) 658-1503

Administrator: CHARLEAN ADAMS

KENOSHA

Southeastern

Lic. 3124Skilled Care153 Beds

THE MANOR OF KENOSHA

525179 Title 18 SNF Title 19 NFKENOSHA, WI 53144FOR PROFIT CORPORATION

GRANDE PRAIRIE HEALTH AND REHABILITATION CENTER10330 PRAIRIE RIDGE BLVD

(262) 612-2800

FAX: (262) 612-2850Administrator: WILLIAM STEELE

KENOSHA

Southeastern

Lic. 5005

Skilled Care118 Beds

SSC PLEASANT PRAIRIE OPERATING COMPANY LLC

525659 Title 18 SNF Title 19 NFPLEASANT PRAIRIE, WI 53158LIMITED LIABILITY COMPANY

ALGOMA MEDICAL CENTER1510 FREMONT ST

(920) 487-5511FAX: (920) 487-2668

Administrator: JEAN MARSH

KEWAUNEE

Northeastern

Lic. 2952Skilled Care42 Beds

CITY OF ALGOMA

525533 Title 18 SNF Title 19 NFALGOMA, WI 54201GOVERNMENT CITY

KEWAUNEE HEALTH SERVICES1308 LINCOLN ST

(920) 388-4111FAX: (920) 388-3955

Administrator: TINA BERTRAND

KEWAUNEE

Northeastern

Lic. 3198Skilled Care50 Beds

NSH KEWAUNEE LLC

525357 Title 18 SNF Title 19 NFKEWAUNEE, WI 54216FOR PROFIT CORPORATION

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Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 17 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

BENEDICTINE MANOR OF LACROSSE2902 E AVENUE SOUTH

(608) 788-9870FAX: (608) 787-8889

Administrator: LESLIE THOMPSON

LA CROSSE

Southern

Lic. 2809Skilled Care80 Beds

CATHOLIC RESIDENTIAL SERVICES INC

525438 Title 18 SNF Title 19 NFLA CROSSE, WI 54601NONPROFIT CORPORATION

BETHANY ST JOSEPH CARE CENTER2501 SHELBY RD

(608) 788-5700FAX: (608) 788-4030

Administrator: LARRY PUPP

LA CROSSE

Southern

Lic. 2540Skilled Care114 Beds

BETHANY-ST JOSEPH CORPORATION

525265 Title 18 SNF Title 19 NFLA CROSSE, WI 54601NONPROFIT CORPORATION

HILLVIEW HEALTH CARE CENTER

3501 PARK LANE DR

(608) 789-4800

FAX: (608) 789-4860Administrator: KELLY KRAMER

LA CROSSE

Southern

Lic. 2657

Skilled Care110 Beds

LA CROSSE COUNTY BOARD OF SUPERVISORS

525426 Title 18 SNF Title 19 NFLA CROSSE, WI 54601GOVERNMENT COUNTY

RIVERSIDE2575 S 7TH ST

(608) 406-3900FAX: (608) 406-3914

Administrator: PATRICK SENZIG

LA CROSSE

Southern

Lic. 2707Skilled Care123 Beds

BETHANY LUTHERAN HOMES INC

525455 Title 18 SNF Title 19 NFLA CROSSE, WI 54601NONPROFIT CHURCH/CORP

ONALASKA CARE CENTER1600 MAIN ST

(608) 783-4681FAX: (608) 781-8148

Administrator: MARISSA JANKE

LA CROSSE

Southern

Lic. 3160Skilled Care90 Beds

BETHANY-ST JOSEPH CORPORATION

525443 Title 18 SNF Title 19 NFONALASKA, WI 54650NONPROFIT CORPORATION

LAKEVIEW HEALTH CENTER962 E GARLAND ST E

(608) 786-1400FAX: (608) 612-0640

Administrator: WANDA PLACHECKI

LA CROSSE

Southern

Lic. 2395Skilled Care50 Beds

MISSISSIPPI VALLEY HEALTH SERVICES

525726 Title 18 SNF Title 19 NFWEST SALEM, WI 54669GOVERNMENT COUNTY

MULDER HEALTH CARE FACILITY713 LEONARD ST N

(608) 786-1600FAX: (608) 786-0740

Administrator: JASON LEE

LA CROSSE

Southern

Lic. 1031Skilled Care87 Beds

ORION WEST SALEM LLC

525209 Title 18 SNF Title 19 NFWEST SALEM, WI 54669FOR PROFIT CORPORATION

RAVENWOOD BEHAVIORAL HEALTH962 GARLAND STREET EAST

(608) 612-0651FAX: ( ) -

Administrator: WANDA PLACHECKI

LA CROSSE

Southern

Lic. 5025Skilled Care10 Beds

LA CROSSE COUNTY

WEST SALEM, WI 54669GOVERNMENT COUNTY

LAFAYETTE MANOR719 E CATHERINE ST BOX 167

(608) 776-4210FAX: (608) 776-2441

Administrator: HEATHER SPINHIRNE

LAFAYETTE

Southern

Lic. 2448Skilled Care64 Beds

LAFAYETTE COUNTY BOARD

525362 Title 18 SNF Title 19 NFDARLINGTON, WI 53530GOVERNMENT COUNTY

Page 18: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 18 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

THE BAY AT EASTVIEW HEALTH AND REHABILITATION

729 PARK ST

(715) 623-2356

FAX: (715) 623-6345Administrator: WANDA HOSE

LANGLADE

Northeastern

Lic. 3233

Skilled Care136 Beds

BAY AT EASTVIEW HEALTH AND REHABILITATION LLC

525410 Title 18 SNF Title 19 NFANTIGO, WI 54409LIMITED LIABILITY COMPANY

PINE CREST NURSING HOME2100 E SIXTH ST

(715) 536-0355FAX: (715) 539-3202

Administrator: ZACH ZIESEMER

LINCOLN

Northern

Lic. 2368Skilled Care160 Beds

LINCOLN COUNTY

525326 Title 18 SNF Title 19 NFMERRILL, WI 54452GOVERNMENT COUNTY

RIVERVIEW HEALTH SERVICES428 N 6TH ST

(715) 453-2511FAX: (715) 453-1062

Administrator: KONNIE SELGREN

LINCOLN

Northern

Lic. 2734Skilled Care61 Beds

NSH RIVERVIEW LLC

525332 Title 18 SNF Title 19 NFTOMAHAWK, WI 54487LIMITED LIABILITY COMPANY

TOMAHAWK HEALTH SERVICES720 E KINGS RD

(715) 453-2164FAX: (715) 224-2254

Administrator: JAMES TORGERSON

LINCOLN

Northern

Lic. 2733Skilled Care83 Beds

NSH GOLDEN AGE LLC

525334 Title 18 SNF Title 19 NFTOMAHAWK, WI 54487LIMITED LIABILITY COMPANY

MANITOWOC HEALTHCARE CENTER2021 S ALVERNO RD

(920) 683-4100FAX: (920) 683-4694

Administrator: CINDY GRINDHEIM

MANITOWOC

Northeastern

Lic. 2398Skilled Care150 Beds

COMPLETE CARE AT MANITOWOC LLC

525441 Title 18 SNF Title 19 NFMANITOWOC, WI 54220LIMITED LIABILITY COMPANY

RIVER'S BEND HEALTH SERVICES960 S RAPIDS RD

(920) 684-1144FAX: (920) 684-0199

Administrator: MICHAEL FREE

MANITOWOC

Northeastern

Lic. 3210Skilled Care100 Beds

NSH MANITOWOC LLC

525475 Title 18 SNF Title 19 NFMANITOWOC, WI 54220LIMITED LIABILITY COMPANY

SHADY LANE NURSING CARE CENTER1235 S 24TH ST

(920) 682-8254FAX: (920) 682-8315

Administrator: TODD MEERDINK

MANITOWOC

Northeastern

Lic. 2250Skilled Care50 Beds

SHADY LANE INC

525575 Title 18 SNF Title 19 NFMANITOWOC, WI 54220NONPROFIT CORPORATION

ST MARYS HOME FOR THE AGED1635 S 21ST STREET

(920) 684-7171FAX: (920) 684-0240

Administrator: KATHERINE KOPENSKI

MANITOWOC

Northeastern

Lic. 540Skilled Care84 Beds

ST MARYS HOME FOR THE AGED INC

525609 Title 18 SNF Title 19 NFMANITOWOC, WI 54220NONPROFIT CHURCH/CORP

THE BAY AT NORTH RIDGE HEALTH AND REHABILITATION1445 N 7TH ST

(920) 682-0314

FAX: (920) 682-0553Administrator: MEGAN DENNISON

MANITOWOC

Northeastern

Lic. 3240

Skilled Care94 Beds

BAY AT NORTH RIDGE HEALTH AND REHAB LLC (THE)

525389 Title 18 SNF Title 19 NFMANITOWOC, WI 54220LIMITED LIABILITY COMPANY

Page 19: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 19 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

HAMILTON HEALTH SERVICES1 HAMILTON DR

(920) 793-2261FAX: (920) 794-6934

Administrator: EMILY RADEMACHER

MANITOWOC

Northeastern

Lic. 2225Skilled Care80 Beds

NSH TWO RIVERS LLC

525664 Title 18 SNF Title 19 NFTWO RIVERS, WI 54241FOR PROFIT CORPORATION

BEDROCK HCS AT ABBOTSFORD LLC600 E ELM ST

(715) 223-2359FAX: (715) 223-6539

Administrator: MICHAEL WENZEL

MARATHON

Northern

Lic. 2874Skilled Care78 Beds

BEDROCK HCS AT ABBOTSFORD LLC

525435 Title 18 SNF Title 19 NFABBOTSFORD, WI 54405FOR PROFIT CORPORATION

THREE OAKS HEALTH SERVICES209 WILDERNESS VIEW DRIVE

(715) 389-6000FAX: (715) 389-6090

Administrator: CLAYTON KALMON

MARATHON

Northern

Lic. 5018Skilled Care110 Beds

NSH THREE OAKS LLC

525684 Title 18 SNF Title 19 NFMARSHFIELD, WI 54449LIMITED LIABILITY COMPANY

BENEDICTINE MANOR OF WAUSAU1821 N 4TH AVE

(715) 675-9451FAX: (715) 675-4051

Administrator: GARY HIXON

MARATHON

Northern

Lic. 2674Skilled Care82 Beds

CATHOLIC RESIDENTIAL SERVICES INC

525503 Title 18 SNF Title 19 NFWAUSAU, WI 54401NONPROFIT CHURCH/CORP

MARSHFIELD CLINIC COMFORT AND RECOVERY-WAUSAU2727 PLAZA DR

(715) 847-1831

FAX: ( ) - Administrator: TARA NENAHLO

MARATHON

Northern

Lic. 5046

Skilled Care12 Beds

GRACE LUTHERAN FOUNDATION INC

525723 Title 18 SNFWAUSAU, WI 54401NONPROFIT CORPORATION

NORTH CENTRAL HEALTH CARE

1100 LAKE VIEW DR

(715) 848-4600

FAX: (715) 848-2362Administrator: KIMBERLY GOCHANOUR

MARATHON

Northern

Lic. 2931

Skilled Care188 Beds

NORTH CENTRAL HEALTH CARE FACILITIES

525132 Title 18 SNF Title 19 NFWAUSAU, WI 54403GOVERNMENT COUNTY

THE BAY AT COLONIAL MANOR HEALTH AND REHABILITATION1010 E WAUSAU AVE

(715) 842-2028

FAX: (715) 845-5810Administrator: TAMMY SIROIN

MARATHON

Northern

Lic. 3234

Skilled Care116 Beds

BAY AT COLONIAL MANOR HEALTH AND REHAB LLC

525405 Title 18 SNF Title 19 NFWAUSAU, WI 54403LIMITED LIABILITY COMPANY

WAUSAU MANOR HEALTH SERVICES3107 WESTHILL DR

(715) 842-0575FAX: (715) 842-0577

Administrator: ERICA POOLE

MARATHON

Northern

Lic. 2890Skilled Care68 Beds

NSH WAUSAU LLC

525369 Title 18 SNF Title 19 NFWAUSAU, WI 54401LIMITED LIABILITY COMPANY

PRIDE TLC THERAPY AND LIVING CAMPUS7805 BIRCH ST

(715) 298-3833FAX: (715) 298-4284

Administrator: SALLY CONWAY

MARATHON

Northern

Lic. 5040Skilled Care25 Beds

FPG & LCD LLC

525711 Title 18 SNF Title 19 NFWESTON, WI 54476LIMITED LIABILITY COMPANY

Page 20: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 20 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

RENNES HEALTH AND REHAB CENTER - WESTON4810 BARBICAN AVE

(715) 393-0400FAX: (715) 393-0435

Administrator: EMILY RICKMAN

MARATHON

Northern

Lic. 5030Skilled Care84 Beds

TDR INC

525699 Title 18 SNF Title 19 NFWESTON, WI 54476FOR PROFIT CORPORATION

NEWCARE INC903 MAIN AVE PO BOX 460

(715) 854-2717FAX: (715) 854-3301

Administrator: SHERRI BENJAMIN

MARINETTE

Northeastern

Lic. 3110Skilled Care43 Beds

NEWCARE INC

525489 Title 18 SNF Title 19 NFCRIVITZ, WI 54114FOR PROFIT CORPORATION

LUTHER HOME

831 PINE BEACH RD

(715) 732-0155

FAX: (715) 732-5833Administrator: DARRELL LANCOUR

MARINETTE

Northeastern

Lic. 2155

Skilled Care111 Beds

NORTHLAND LUTHERAN SERVICES FOR THE ELDERLY INC

525476 Title 18 SNF Title 19 NFMARINETTE, WI 54143NONPROFIT CHURCH/CORP

MARYHILL MANOR, INC501 MADISON AVE

(715) 251-3172FAX: (715) 251-1193

Administrator: LYNNE CROCKFORD

MARINETTE

Northeastern

Lic. 2964Skilled Care66 Beds

MARYHILL MANOR INC

525467 Title 18 SNF Title 19 NFNIAGARA, WI 54151NONPROFIT CHURCH/CORP

RENNES HEALTH AND REHAB CENTER-EAST701 WILLOW ST

(715) 582-3962FAX: (715) 582-9115

Administrator: KARA GRUBER

MARINETTE

Northeastern

Lic. 3118Skilled Care129 Beds

TDR INC

525457 Title 18 SNF Title 19 NFPESHTIGO, WI 54157FOR PROFIT CORPORATION

RENNES HEALTH AND REHAB CENTER-WEST501 N LAKE ST

(715) 582-3906FAX: (715) 582-3141

Administrator: CHARITY BESCHTA

MARINETTE

Northeastern

Lic. 2957Skilled Care99 Beds

MAGNICARE INC

525451 Title 18 SNF Title 19 NFPESHTIGO, WI 54157FOR PROFIT CORPORATION

MONTELLO CARE CENTER

251 FOREST LANE

(608) 297-2153

FAX: (608) 297-9328Administrator: BRENT MEYERS

MARQUETTE

Northeastern

Lic. 2633

Skilled Care50 Beds

WISCONSIN ILLINOIS SENIOR HOUSING INC

525657 Title 18 SNF Title 19 NFMONTELLO, WI 53949NONPROFIT CORPORATION

BEDROCK HCS AT GLENDALE1300 WEST SILVER SPRING DR

(414) 228-8120FAX: (414) 247-8620

Administrator: ADAM ZLOTOCHA

MILWAUKEE

Southeastern

Lic. 2842Skilled Care112 Beds

BEDROCK HCS AT GLENDALE LLC

525371 Title 18 SNF Title 19 NFGLENDALE, WI 53209FOR PROFIT CORPORATION

SYMPHONY OF GLENDALE6263 N GREEN BAY AVE

(414) 351-0543FAX: (414) 351-7977

Administrator: LAKISHA HAYDEN

MILWAUKEE

Southeastern

Lic. 3218Skilled Care94 Beds

NUGLEN, LLC

525547 Title 18 SNF Title 19 NFGLENDALE, WI 53209LIMITED LIABILITY COMPANY

Page 21: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 21 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

BEDROCK HCS AT GREENDALE LLC5404 W LOOMIS RD

(414) 421-0088FAX: (414) 421-2163

Administrator: SARAH BEUTH

MILWAUKEE

Southeastern

Lic. 3142Skilled Care105 Beds

BEDROCK HCS AT GREENDALE LLC

525549 Title 18 SNFGREENDALE, WI 53129FOR PROFIT CORPORATION

CLEMENT MANOR HEALTH CARE CENTER3939 S 92ND ST

(414) 321-1800FAX: (414) 546-7333

Administrator: DENNIS FERGER

MILWAUKEE

Southeastern

Lic. 2724Skilled Care50 Beds

CLEMENT MANOR INC

525327 Title 18 SNF Title 19 NFGREENFIELD, WI 53228NONPROFIT CHURCH/CORP

SOUTHPOINTE HEALTHCARE CENTER

4500 W LOOMIS RD

(414) 325-5300

FAX: (414) 325-5475Administrator: MATTHEW RUTHERFORD

MILWAUKEE

Southeastern

Lic. 3177

Skilled Care174 Beds

SSC GREENFIELD OPERATING COMPANY LLC

525604 Title 18 SNF Title 19 NFGREENFIELD, WI 53220LIMITED LIABILITY COMPANY

HALES CORNERS CARE CENTER9449 W FOREST HOME AVE

(414) 529-6888FAX: (414) 529-1271

Administrator: CYNTHIA BERG

MILWAUKEE

Southeastern

Lic. 3172Skilled Care62 Beds

REGENCY TERRACE SOUTH INC

525596 Title 18 SNF Title 19 NFHALES CORNERS, WI 53130FOR PROFIT CORPORATION

ALEXIAN VILLAGE OF MILWAUKEE9255 N 76TH ST

(414) 355-9300FAX: (414) 357-5108

Administrator: JENNIFER ROWINSKI

MILWAUKEE

Southeastern

Lic. 3066Skilled Care108 Beds

ALEXIAN VILLAGE OF MILWAUKEE INC

525523 Title 18 SNF Title 19 NFMILWAUKEE, WI 53223NONPROFIT CORPORATION

AUTUMN LAKE HEALTHCARE AT GREENFIELD5790 S 27TH ST

(414) 282-1300FAX: (414) 282-9211

Administrator: ANNETTE BOHMAN

MILWAUKEE

Southeastern

Lic. 2230Skilled Care112 Beds

CAMEO NURSING HOME, LLC

525504 Title 18 SNF Title 19 NFMILWAUKEE, WI 53221LIMITED LIABILITY COMPANY

BRIA OF TRINITY VILLAGE7500 W DEAN RD

(414) 371-7595FAX: (414) 371-7548

Administrator: NATALIE ANDRASTEK

MILWAUKEE

Southeastern

Lic. 2444Skilled Care87 Beds

TRN MILWAUKEE, LLC

525498 Title 18 SNF Title 19 NFMILWAUKEE, WI 53223LIMITED LIABILITY COMPANY

CROSSROADS CARE CENTER OF MILWAUKEE

3216 W HIGHLAND BLVD

(414) 344-6515

FAX: (414) 344-6731Administrator: KARI GROSENICK

MILWAUKEE

Southeastern

Lic. 3162

Skilled Care95 Beds

CROSSROADS CARE CENTER OF MILWAUKEE, LLC

525417 Title 18 SNF Title 19 NFMILWAUKEE, WI 53208LIMITED LIABILITY COMPANY

EASTCASTLE PLACE BRADFORD TERRACE CONVALESCENT CENTER2505 E BRADFORD AVE

(414) 963-6151

FAX: (414) 963-6146Administrator: LINDSEY VIEGUT

MILWAUKEE

Southeastern

Lic. 1032

Skilled Care40 Beds

EASTCASTLE PLACE, INC

525085 Title 18 SNF Title 19 NFMILWAUKEE, WI 53211NONPROFIT CORPORATION

Page 22: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 22 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

EDENBROOK LAKESIDE

2115 E WOODSTOCK PL

(414) 271-1020

FAX: (414) 758-2002Administrator: STEVEN ST. LOUIS

MILWAUKEE

Southeastern

Lic. 3150

Skilled Care130 Beds

LAKE TERRACE NURSING AND REHABILITATION LLC

525319 Title 18 SNF Title 19 NFMILWAUKEE, WI 53202FOR PROFIT CORPORATION

EDENBROOK LAKESIDE2115 E WOODSTOCK PL

(414) 271-1020FAX: (414) 758-2002

Administrator: STEVEN ST. LOUIS

MILWAUKEE

Southeastern

Lic. 3150Skilled Care130 Beds

EDEN SENIOR CARE

525319 Title 18 SNF Title 19 NFMILWAUKEE, WI 53202FOR PROFIT CORPORATION

JEWISH HOME AND CARE CENTER1414 N PROSPECT AVE

(414) 276-2627FAX: (414) 276-4828

Administrator: KATIE QUINTANILLA

MILWAUKEE

Southeastern

Lic. 2159Skilled Care136 Beds

JEWISH HOME AND CARE CENTER INC

525172 Title 18 SNF Title 19 NFMILWAUKEE, WI 53202NONPROFIT CORPORATION

LUTHER MANOR

4545 N 92ND ST

(414) 464-3880

FAX: (414) 464-9050Administrator: JULIE JOLITZ

MILWAUKEE

Southeastern

Lic. 934

Skilled Care152 Beds

UNITED LUTHERAN PROGRAM FOR THE AGING INC

525588 Title 18 SNF Title 19 NFMILWAUKEE, WI 53225NONPROFIT CHURCH/CORP

MAPLE RIDGE HEALTH SERVICES2730 W RAMSEY AVE

(414) 282-2600FAX: (414) 282-2051

Administrator: KASIE SPEAKS

MILWAUKEE

Southeastern

Lic. 3212Skilled Care80 Beds

NSH MAPLE RIDGE LLC

525359 Title 18 SNF Title 19 NFMILWAUKEE, WI 53221LIMITED LIABILITY COMPANY

MERCY HEALTH SERVICES2727 W MITCHELL ST

(414) 383-3699FAX: (414) 383-3866

Administrator: TRICIA PLATE

MILWAUKEE

Southeastern

Lic. 2838Skilled Care60 Beds

NSH MERCY LLC

525414 Title 18 SNF Title 19 NFMILWAUKEE, WI 53215LIMITED LIABILITY COMPANY

MILWAUKEE CATHOLIC HOME2330 N PROSPECT AVE

(414) 220-4610FAX: (414) 278-1252

Administrator: PATRICK SHAUGHNESSY

MILWAUKEE

Southeastern

Lic. 3213Skilled Care107 Beds

MILWAUKEE CATHOLIC HOME INC

525635 Title 18 SNF Title 19 NFMILWAUKEE, WI 53211NONPROFIT CORPORATION

SAINT JOHNS ON THE LAKE1858 N PROSPECT AVE

(414) 272-2022FAX: (414) 897-8247

Administrator: JOHN GEORGE

MILWAUKEE

Southeastern

Lic. 2611Skilled Care30 Beds

SAINT JOHN'S COMMUNITIES INC

525539 Title 18 SNF Title 19 NFMILWAUKEE, WI 53202NONPROFIT CHURCH/CORP

ST ANN REST HOME2020 S MUSKEGO AVE

(414) 383-2630FAX: (414) 383-0305

Administrator: ANDREA ANDRZEJEWSKA

MILWAUKEE

Southeastern

Lic. 245Skilled Care50 Beds

DOMINICAN SISTERS

52A431 Title 19 NFMILWAUKEE, WI 53204NONPROFIT CHURCH/CORP

Page 23: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 23 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

ST ANNE'S SALVATORIAN CAMPUS3800 N 92ND ST

(414) 463-7570FAX: (414) 463-2311

Administrator: JANET KRAHN

MILWAUKEE

Southeastern

Lic. 2056Skilled Care50 Beds

ST ANNE'S SALVATORIAN CAMPUS

525524 Title 18 SNF Title 19 NFMILWAUKEE, WI 53222NONPROFIT CHURCH/CORP

SUNRISE HEALTH SERVICES3540 S 43RD ST

(414) 541-1000FAX: (414) 328-2159

Administrator: LAUREN BEAUMONT

MILWAUKEE

Southeastern

Lic. 3134Skilled Care99 Beds

NSH SUNRISE LLC

525493 Title 18 SNF Title 19 NFMILWAUKEE, WI 53220LIMITED LIABILITY COMPANY

THE VILLA AT BRADLEY ESTATES6735 W BRADLEY RD

(414) 354-3300FAX: (414) 354-0193

Administrator: LEVI ISRAEL

MILWAUKEE

Southeastern

Lic. 2684Skilled Care198 Beds

THE VILLA AT BRADLEY ESTATES, LLC

525325 Title 18 SNF Title 19 NFMILWAUKEE, WI 53223LIMITED LIABILITY COMPANY

WHEATON FRANCISCAN HC - TERRACE AT ST FRANCIS3200 S 20TH ST

(414) 389-3200

FAX: (414) 389-3300Administrator: VIVIANE DORN

MILWAUKEE

Southeastern

Lic. 3147

Skilled Care81 Beds

WHEATON FRANCISCAN HLTHCARE- TERRACE AT ST FRANCIS

525552 Title 18 SNF Title 19 NFMILWAUKEE, WI 53215NONPROFIT CORPORATION

IGNITE MEDICAL RESORT OAK CREEK2700 WEST HONADEL BOULEVARD

(414) 435-2005FAX: ( ) -

Administrator: JARED CARR

MILWAUKEE

Southeastern

Lic. 5054 144 Beds

IMR OAK CREEK OPCO, LLC

525730 Title 18 SNF Title 19 NFOAK CREEK, WI 53154FOR PROFIT CORPORATION

ST FRANCIS HEALTH SERVICES1915 E TRIPOLI AVE

(414) 483-3611FAX: (414) 483-1139

Administrator: ANN LOPEZ

MILWAUKEE

Southeastern

Lic. 2922Skilled Care34 Beds

NSH SOUTH SHORE LLC

525477 Title 18 SNF Title 19 NFSAINT FRANCIS, WI 53235LIMITED LIABILITY COMPANY

CHI FRANCISCAN VILLA3601 S CHICAGO AVE

(414) 764-4100FAX: (414) 764-0706

Administrator: MICHAEL GULOCK

MILWAUKEE

Southeastern

Lic. 2185Skilled Care150 Beds

CHI LIVING COMMUNITIES

525526 Title 18 SNF Title 19 NFSOUTH MILWAUKEE, WI 53172NONPROFIT CORPORATION

WILLOWCREST HEALTH SERVICES3821 S CHICAGO AVE

(414) 762-7336FAX: (414) 762-5077

Administrator: MICHAEL JONES

MILWAUKEE

Southeastern

Lic. 2798Skilled Care135 Beds

NSH SOUTH MILWAUKEE LLC

525413 Title 18 SNF Title 19 NFSOUTH MILWAUKEE, WI 53172LIMITED LIABILITY COMPANY

LUTHERAN HOME7500 W NORTH AVE

(414) 258-6170FAX: (414) 258-0784

Administrator: KATHRYN CAVERS

MILWAUKEE

Southeastern

Lic. 293Skilled Care187 Beds

LUTHERAN HOME INC

525545 Title 18 SNF Title 19 NFWAUWATOSA, WI 53213NONPROFIT CORPORATION

Page 24: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 24 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

ST CAMILLUS HEALTH CENTER10101 W WISCONSIN AVE

(414) 258-1814FAX: (414) 259-4987

Administrator: COURTNEY WILSON

MILWAUKEE

Southeastern

Lic. 3074Skilled Care67 Beds

ST CAMILLUS HEALTH CENTER INC

525382 Title 18 SNF Title 19 NFWAUWATOSA, WI 53226NONPROFIT CHURCH/CORP

ALLIS CARE CENTER9047 W GREENFIELD AVE

(414) 453-9290FAX: (414) 777-7356

Administrator: CHRISTINA SAID

MILWAUKEE

Southeastern

Lic. 1029Skilled Care152 Beds

LEXINGTON HEALTHCARE LLC

525108 Title 18 SNF Title 19 NFWEST ALLIS, WI 53214LIMITED LIABILITY COMPANY

MAPLEWOOD CENTER

8615 W BELOIT RD

(414) 607-4101

FAX: (414) 607-4502Administrator: CHERYL VOPAL

MILWAUKEE

Southeastern

Lic. 2153

Skilled Care150 Beds

METHODIST MANOR HEALTH CENTER INC

525069 Title 18 SNF Title 19 NFWEST ALLIS, WI 53227NONPROFIT CORPORATION

MITCHELL MANOR5301 W LINCOLN AVE

(414) 615-7200FAX: (414) 615-7184

Administrator: RODNEY MAYBIN

MILWAUKEE

Southeastern

Lic. 3181Skilled Care74 Beds

SNH WIS TENANT LLC

525600 Title 18 SNF Title 19 NFWEST ALLIS, WI 53219FOR PROFIT CORPORATION

MORROW MEMORIAL HOME331 S WATER ST

(608) 269-3168FAX: (608) 269-7642

Administrator: JENNIFER BRIESKE

MONROE

Southern

Lic. 440Skilled Care85 Beds

MORROW MEM HOME FOR THE AGED INC

525662 Title 18 SNF Title 19 NFSPARTA, WI 54656NONPROFIT CHURCH/CORP

ROLLING HILLS REHABILITATION CENTER14345 CTY HWY B

(608) 269-8800FAX: (608) 269-4386

Administrator: LINDA SMITH

MONROE

Southern

Lic. 2379Skilled Care80 Beds

MONROE COUNTY BOARD

525430 Title 18 SNF Title 19 NFSPARTA, WI 54656GOVERNMENT COUNTY

TOMAH NURSING AND REHABILITATION1505 BUTTS AVE

(608) 372-3241FAX: (608) 372-3250

Administrator: JOANN SHEPARD

MONROE

Southern

Lic. 2825Skilled Care74 Beds

ORION TOMAH, LLC

525442 Title 18 SNF Title 19 NFTOMAH, WI 54660LIMITED LIABILITY COMPANY

THE BAY AT OCONTO HEALTH AND REHABILITATION CENTER101 FIRST ST

(920) 834-4575

FAX: (920) 834-2537Administrator: MARY DUFEK

OCONTO

Northeastern

Lic. 5009

Skilled Care50 Beds

THE BAY AT OCONTO HEALTH AND REHABILITATION CENTER

525670 Title 18 SNF Title 19 NFOCONTO, WI 54153FOR PROFIT CORPORATION

MEADOWBROOK AT OCONTO FALLS

100 E HIGHLAND DR

(920) 848-3272

FAX: (920) 848-2516Administrator: KATHLEEN REINDL

OCONTO

Northeastern

Lic. 2727

Skilled Care99 Beds

OCONTO FALLS NURSING AND REHAB LLC

525449 Title 18 SNF Title 19 NFOCONTO FALLS, WI 54154FOR PROFIT CORPORATION

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Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 25 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

THE BAY AT SURING HEALTH AND REHABILIATION CENTER LLC430 MANOR DR

(920) 842-2191

FAX: (920) 842-2176Administrator: KRISTINA WRIGHT

OCONTO

Northeastern

Lic. 2698

Skilled Care50 Beds

THE BAY AT SURING HEALTH AND REHABILIATION CENTER

525363 Title 18 SNF Title 19 NFSURING, WI 54174FOR PROFIT CORPORATION

AVANTI HEALTH AND REHABILITATION CENTER, LLC

9969 OLD HWY 70 RD

(715) 356-6016

FAX: (715) 356-2392Administrator: CYNTHIA ROBINSON

ONEIDA

Northern

Lic. 2629

Skilled Care72 Beds

AVANTI HEALTH AND REHABILITATION, LLC

525678 Title 18 SNF Title 19 NFMINOCQUA, WI 54548LIMITED LIABILITY COMPANY

FRIENDLY VILLAGE NURSING AND REHABILITATION CENTER900 BOYCE DR

(715) 365-6832

FAX: (715) 365-6665Administrator: LISA KRAUS

ONEIDA

Northern

Lic. 2751

Skilled Care100 Beds

FRIENDLY VILLAGE NURSING AND REHAB, LLC

525459 Title 18 SNF Title 19 NFRHINELANDER, WI 54501LIMITED LIABILITY COMPANY

RENNES HEALTH AND REHAB CENTER-RHINELANDER1970 NAVAJO ST

(715) 420-0728FAX: (715) 362-1970

Administrator: KELSY BONTZ

ONEIDA

Northern

Lic. 1124Skilled Care95 Beds

RG-RHINELANDER, INC.

525589 Title 18 SNF Title 19 NFRHINELANDER, WI 54501FOR PROFIT CORPORATION

BREWSTER VILLAGE

3300 W BREWSTER ST

(920) 832-5400

FAX: (920) 832-4922Administrator: TIMOTHY NEUMAN

OUTAGAMIE

Northeastern

Lic. 2371

Skilled Care204 Beds

BOARD OF TRUSTEES-OUTAGAMIE COUNTY BOARD

525574 Title 18 SNF Title 19 NFAPPLETON, WI 54914GOVERNMENT COUNTY

EDENBROOK ON MEADE NURSING AND REHAB LLC

2915 N MEADE ST

(920) 993-6800

FAX: (920) 997-1735Administrator: MIRANDA SEGHERS

OUTAGAMIE

Northeastern

Lic. 2943

Skilled Care150 Beds

EDENBROOK ON MEADE NURSING AND REHAB LLC

525484 Title 18 SNF Title 19 NFAPPLETON, WI 54911FOR PROFIT CORPORATION

MANORCARE HEALTH SERVICES1335 S ONEIDA ST

(920) 731-6646FAX: (920) 731-5177

Administrator: DAN-A KOHN

OUTAGAMIE

Northeastern

Lic. 2742Skilled Care104 Beds

MANORCARE HEALTH SERVICES, LLC

525264 Title 18 SNF Title 19 NFAPPLETON, WI 54915LIMITED LIABILITY COMPANY

RENNES HEALTH AND REHAB CENTER-APPLETON325 E FLORIDA AVE

(920) 731-7310FAX: (920) 733-3050

Administrator: RYAN LOCY

OUTAGAMIE

Northeastern

Lic. 3016Skilled Care88 Beds

TDR INC

525583 Title 18 SNF Title 19 NFAPPLETON, WI 54911FOR PROFIT CORPORATION

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Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 26 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

THE RECOVERY INN, AN EDURO HEALTHCARE COMMUNITY2105 E ENTERPRISE AVENUE

(920) 560-1060

FAX: (920) 560-1061Administrator: SHAENA VAN HANDEL

OUTAGAMIE

Northeastern

Lic. 5043

Skilled Care12 Beds

FOX VALLEY TRANSITIONAL CARE, LLC

525720 Title 18 SNFAPPLETON, WI 54913LIMITED LIABILITY COMPANY

ST PAUL ELDER SERVICES, INC316 EAST 14TH STREET

(920) 766-6020FAX: (920) 766-9161

Administrator: MEGAN VAN DE HEY

OUTAGAMIE

Northeastern

Lic. 2988Skilled Care141 Beds

ST PAUL ELDER SERVICES INC

525617 Title 18 SNF Title 19 NFKAUKAUNA, WI 54130NONPROFIT CORPORATION

LITTLE CHUTE HEALTH SERVICES1201 GARFIELD AVE

(920) 788-5806FAX: (920) 788-5797

Administrator: SANDRA BARBEAU

OUTAGAMIE

Northeastern

Lic. 2478Skilled Care65 Beds

NSH LITTLE CHUTE LLC

525579 Title 18 SNF Title 19 NFLITTLE CHUTE, WI 54140FOR PROFIT CORPORATION

GOOD SHEPHERD SERVICES, LTD607 BRONSON RD

(920) 833-6856FAX: (920) 833-1846

Administrator: DEBORAH CAPTAIN

OUTAGAMIE

Northeastern

Lic. 2659Skilled Care50 Beds

GOOD SHEPHERD SERVICES LTD

525509 Title 18 SNF Title 19 NFSEYMOUR, WI 54165LIMITED LIABILITY COMPANY

CEDARBURG HEALTH SERVICESN27 W5707 LINCOLN BLVD

(262) 376-7676FAX: (262) 375-8161

Administrator: JOHN HEMB

OZAUKEE

Southeastern

Lic. 3156Skilled Care78 Beds

NSH CEDARBURG LLC

525578 Title 18 SNF Title 19 NFCEDARBURG, WI 53012LIMITED LIABILITY COMPANY

LASATA CARE CENTERW76 N677 WAUWATOSA RD

(262) 377-5060FAX: (262) 377-4202

Administrator: AMANDA KOHAL

OZAUKEE

Southeastern

Lic. 2361Skilled Care130 Beds

OZAUKEE COUNTY BOARD

525537 Title 18 SNF Title 19 NFCEDARBURG, WI 53012GOVERNMENT COUNTY

HIGHLANDS AT NEWCASTLE PLACE12600 N PORT WASHINGTON RD #300

(262) 387-8850FAX: (262) 387-8894

Administrator: SANDRA REYNOLDS

OZAUKEE

Southeastern

Lic. 235Skilled Care47 Beds

NEWCASTLE SENIOR CARE, LLC

525668 Title 18 SNFMEQUON, WI 53092LIMITED LIABILITY COMPANY

HERITAGE HEALTH SERVICES1119 N WISCONSIN ST

(262) 284-5892FAX: (262) 284-1612

Administrator: ANDREW SOWLES

OZAUKEE

Southeastern

Lic. 2328Skilled Care74 Beds

NSH PORT WASHINGTON LLC

525586 Title 18 SNF Title 19 NFPORT WASHINGTON, WI 53074LIMITED LIABILITY COMPANY

ELLSWORTH HEALTH SERVICES403 N MAPLE ST

(715) 273-5821FAX: (715) 273-6182

Administrator: RHONDA BLODGETT

PIERCE

Western

Lic. 3146Skilled Care60 Beds

NSH ELLSWORTH LLC

525483 Title 18 SNF Title 19 NFELLSWORTH, WI 54011FOR PROFIT CORPORATION

Page 27: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 27 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

HERITAGE OF ELMWOOD NURSING HOME232 E SPRINGER AVE

(715) 639-2911FAX: (715) 639-3305

Administrator: ELLEN THOMPSON

PIERCE

Western

Lic. 2352Skilled Care34 Beds

ELMWOOD NURSING HOME INC

525544 Title 18 SNF Title 19 NFELMWOOD, WI 54740GOVERNMENT CITY

PLUM CITY CARE CENTER301 CHERRY AVENUE WEST

(715) 647-2401FAX: (715) 647-2054

Administrator: CARLA HUTTER

PIERCE

Western

Lic. 3171Skilled Care50 Beds

EAU CLAIRE MANOR INC

525440 Title 18 SNF Title 19 NFPLUM CITY, WI 54761FOR PROFIT CORPORATION

PRESCOTT NURSING AND REHABILITATION COMMUNITY1505 ORRIN RD

(715) 262-5661

FAX: (715) 262-4899Administrator: NIKOLL FJELSTAD

PIERCE

Western

Lic. 3249

Skilled Care65 Beds

ORION PRESCOTT, LLC

525398 Title 18 SNF Title 19 NFPRESCOTT, WI 54021LIMITED LIABILITY COMPANY

SPRING VALLEY HEALTH AND REHABILITATION CENTERS830 - WESTLAND DR

(715) 778-5545

FAX: (715) 778-5575Administrator: KEVIN LARSON

PIERCE

Western

Lic. 995

Skilled Care40 Beds

SPRING VALLEY HEALTH CARE SERVICES, INC

525466 Title 18 SNF Title 19 NFSPRING VALLEY, WI 54767NONPROFIT CORPORATION

GOLDEN AGE MANOR220 SCHOLL CT

(715) 268-7107FAX: (715) 268-6167

Administrator: DANA REESE

POLK

Western

Lic. 2376Skilled Care109 Beds

POLK COUNTY BOARD

525507 Title 18 SNF Title 19 NFAMERY, WI 54001GOVERNMENT COUNTY

WILLOW RIDGE HEALTHCARE

400 DERONDA ST

(715) 268-8171

FAX: (715) 268-6361Administrator: JOSEPH GATES

POLK

Western

Lic. 2642

Skilled Care83 Beds

WILLOW RIDGE HEALTHCARE FACILITIES LLC

525402 Title 18 SNF Title 19 NFAMERY, WI 54001LIMITED LIABILITY COMPANY

FREDERIC NURSING AND REHABILITATION COMMUNITY205 UNITED WAY

(715) 327-4297

FAX: (715) 327-4950Administrator: PAIGE REYNOLDS

POLK

Western

Lic. 3086

Skilled Care60 Beds

ORION FREDERIC LLC

525665 Title 18 SNF Title 19 NFFREDERIC, WI 54837LIMITED LIABILITY COMPANY

UNITED PIONEER HOME, INC623 S SECOND ST

(715) 472-2164FAX: (715) 472-2180

Administrator: JAY ANDRESS

POLK

Western

Lic. 450Skilled Care50 Beds

UNITED PIONEER HOME INC

525680 Title 18 SNF Title 19 NFLUCK, WI 54853NONPROFIT CHURCH/CORP

Page 28: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 28 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC

2650 65TH AVE

(715) 294-1100

FAX: (715) 294-1139Administrator: HEIDI MCGEEHAN

POLK

Western

Lic. 5037

Skilled Care50 Beds

CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC

525706 Title 18 SNF Title 19 NFOSCEOLA, WI 54020NONPROFIT CORPORATION

DIVINE REHABILITATION AND NURSING AT ST CROIX

750 E LOUISIANA ST

(715) 483-9815

FAX: (715) 483-5113Administrator: ERIC JACOBSON

POLK

Western

Lic. 2080

Skilled Care50 Beds

DIVINE REHABILITATION AND NURSING AT ST CROIX LLC

525532 Title 18 SNF Title 19 NFST CROIX FALLS, WI 54024FOR PROFIT CORPORATION

PORTAGE COUNTY HEALTH CARE CENTER825 WHITING AVE

(715) 346-1374FAX: (715) 346-1628

Administrator: MARCIA MCDONALD

PORTAGE

Northern

Lic. 2394Skilled Care70 Beds

PORTAGE COUNTY

525611 Title 18 SNF Title 19 NFSTEVENS POINT, WI 54481GOVERNMENT COUNTY

STEVENS POINT HEALTH SERVICES1800 SHERMAN AVE

(715) 344-1800FAX: (715) 344-7294

Administrator: HALEY POGODZINSKI

PORTAGE

Northern

Lic. 3082Skilled Care60 Beds

NSH STEVENS POINT LLC

525353 Title 18 SNF Title 19 NFSTEVENS POINT, WI 54481FOR PROFIT CORPORATION

PARK MANOR LTD250 LAWRENCE AVE

(715) 762-2449FAX: (715) 762-3321

Administrator: SHARON SCHULTZ

PRICE

Northern

Lic. 2452Skilled Care100 Beds

PARK MANOR LTD

525612 Title 18 SNF Title 19 NFPARK FALLS, WI 54552FOR PROFIT CORPORATION

ASPIRUS PLEASANT VIEW595 PETERSON DR

(715) 339-3113FAX: (715) 339-3117

Administrator: JESSICA HEIKKINEN

PRICE

Northern

Lic. 1131Skilled Care50 Beds

ASPIRUS EXTENDED SERVICES, INC.

525627 Title 18 SNF Title 19 NFPHILLIPS, WI 54555NONPROFIT CORPORATION

THE BAY AT BURLINGTON HEALTH AND REHABILITATION677 E STATE ST

(262) 763-9531

FAX: (262) 763-7579Administrator: GLENN CARVINO

RACINE

Southeastern

Lic. 3239

Skilled Care123 Beds

BAY AT BURLINGTON HEALTH AND REHABILITATION LLC

525482 Title 18 SNF Title 19 NFBURLINGTON, WI 53105LIMITED LIABILITY COMPANY

LAKESHORE AT SIENA5643 ERIE STREET

(262) 898-9100FAX: (262) 687-2561

Administrator: JENNIFER BEZOTTE

RACINE

Southeastern

Lic. 3087Skilled Care60 Beds

ASCENSION HEALTH SENIOR CARE

525495 Title 18 SNF Title 19 NFRACINE, WI 53402FOR PROFIT CORPORATION

LAKESHORE AT SIENA5643 ERIE STREET

(262) 898-9100FAX: (262) 687-2561

Administrator: JENNIFER BEZOTTE

RACINE

Southeastern

Lic. 3087Skilled Care60 Beds

ASCENSION HEALTH

525495 Title 18 SNF Title 19 NFRACINE, WI 53402FOR PROFIT CORPORATION

Page 29: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 29 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

LAKESHORE AT SIENA

5643 ERIE STREET

(262) 898-9100

FAX: (262) 687-2561Administrator: JENNIFER BEZOTTE

RACINE

Southeastern

Lic. 3087

Skilled Care60 Beds

ASCENSION LIVING - LAKESHORE AT SIENA, INC.

525495 Title 18 SNF Title 19 NFRACINE, WI 53402FOR PROFIT CORPORATION

RIDGEWOOD CARE CENTER3205 WOOD RD

(262) 554-6440FAX: (262) 554-2015

Administrator: SCOTT MYERS

RACINE

Southeastern

Lic. 2925Skilled Care200 Beds

COMPLETE CARE AT RIDGEWOOD, LLC

525608 Title 18 SNF Title 19 NFRACINE, WI 53406LIMITED LIABILITY COMPANY

THE VILLA AT LINCOLN PARK1700 C A BECKER DR

(262) 637-9751FAX: (262) 637-9329

Administrator: MEGAN JAKEL

RACINE

Southeastern

Lic. 2269Skilled Care122 Beds

THE VILLA AT LINCOLN PARK, LLC

525061 Title 18 SNF Title 19 NFRACINE, WI 53406LIMITED LIABILITY COMPANY

OAK RIDGE CARE CENTER1400 8TH AVE

(262) 878-2788FAX: (262) 878-4456

Administrator: EVAN MOLLING

RACINE

Southeastern

Lic. 3068Skilled Care74 Beds

OAK RIDGE CARE CENTER INC

525542 Title 18 SNF Title 19 NFUNION GROVE, WI 53182FOR PROFIT CORPORATION

WI VETERANS HOME-BOLAND HALL

21425 E SPRING ST

(262) 878-6702

FAX: (262) 878-6758Administrator: ERIN JOHNSTON

RACINE

Southeastern

Lic. 5024

Skilled Care158 Beds

STATE OF WI DEPT OF VETERANS AFFAIRS

525688 Title 18 SNF Title 19 NFUNION GROVE, WI 53182GOVERNMENT STATE

PINE VALLEY COMMUNITY VILLAGE25951 CIRCLE VIEW LANE

(608) 647-2138FAX: (608) 647-8955

Administrator: TOM RISLOW

RICHLAND

Southern

Lic. 2365Skilled Care80 Beds

RICHLAND COUNTY

525365 Title 18 SNF Title 19 NFRICHLAND CENTER, WI 53581GOVERNMENT COUNTY

SCHMITT WOODLAND HILLS1400 W SEMINARY ST

(608) 647-8931FAX: (608) 647-8050

Administrator: JACQUELINE CARLEY

RICHLAND

Southern

Lic. 1139Skilled Care50 Beds

SCHMITT WOODLAND HILLS INC

525671 Title 18 SNF Title 19 NFRICHLAND CENTER, WI 53581NONPROFIT OTHER

AUTUMN LAKE HEALTHCARE AT BELOIT2121 PIONEER DR

(608) 365-9526FAX: (608) 365-9761

Administrator: SUSAN VIKEN

ROCK

Southern

Lic. 3061Skilled Care120 Beds

AJ OPERATIONS LLC

525663 Title 18 SNF Title 19 NFBELOIT, WI 53511FOR PROFIT CORPORATION

THE GREEN KNOLLS AT BELOIT1905 W HART RD

(608) 365-2554FAX: (608) 365-0198

Administrator: STEVE FEIGENBAUM

ROCK

Southern

Lic. 3187Skilled Care110 Beds

BELOIT OPERATIONS, LLC

525273 Title 18 SNF Title 19 NFBELOIT, WI 53511FOR PROFIT CORPORATION

Page 30: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 30 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

WOODS CROSSING AT WOODS POINTE401 23RD ST

(608) 897-3031FAX: (608) 897-3179

Administrator: LEE GUNDERSON

ROCK

Southern

Lic. 5019Skilled Care22 Beds

WOODS POINT MANAGEMENT, INC

525683 Title 18 SNF Title 19 NFBRODHEAD, WI 53520FOR PROFIT CORPORATION

ALDEN MEADOW PARK HEALTH CARE CENTER, INC

709 MEADOW PARK DR, PO BOX 309

(608) 676-2202

FAX: (608) 676-4989Administrator: PAUL MICHALSEN

ROCK

Southern

Lic. 3100

Skilled Care94 Beds

ALDEN-MEADOW PARK HEALTH CARE CENTER INC

525508 Title 18 SNF Title 19 NFCLINTON, WI 53525FOR PROFIT CORPORATION

EDGERTON CARE CENTER, INC

313 STOUGHTON RD

(608) 884-1330

FAX: (608) 884-2451Administrator: NICOLE HAYES

ROCK

Southern

Lic. 2235

Skilled Care61 Beds

WISCONSIN ILLINOIS SENIOR HOUSING INC

525241 Title 18 SNF Title 19 NFEDGERTON, WI 53534NONPROFIT CORPORATION

EVANSVILLE MANOR NURSING AND REHAB, LLC

470 GARFIELD AVE

(608) 882-5700

FAX: (608) 882-9100Administrator: REGINA TESKA

ROCK

Southern

Lic. 2259

Skilled Care71 Beds

EVANSVILLE MANOR NURSING AND REHAB, LLC

525418 Title 18 SNF Title 19 NFEVANSVILLE, WI 53536FOR PROFIT CORPORATION

CEDAR CREST HEALTH CENTER1702 S RIVER RD

(608) 756-0344FAX: (608) 756-9275

Administrator: DAVID TANCK

ROCK

Southern

Lic. 2201Skilled Care71 Beds

CEDAR CREST INC

525649 Title 18 SNF Title 19 NFJANESVILLE, WI 53546NONPROFIT CORPORATION

MERCY MANOR TRANSITION CENTER1000 MINERAL POINT AVE PO BOX 5003

(608) 756-6050FAX: (608) 755-3856

Administrator: KATHERINE KUS

ROCK

Southern

Lic. 5007Skilled Care28 Beds

MERCY HEALTH SYSTEM CORPORATION

525666 Title 18 SNFJANESVILLE, WI 53547NONPROFIT CORPORATION

OAK PARK PLACE OF JANESVILLE700 MYRTLE WAY

(608) 530-5700FAX: (608) 251-2955

Administrator: WILLIAM SEKALIAS

ROCK

Southern

Lic. 5052 35 Beds

OAK PARK PLACE OF JANESVILLE, LLC

525728 Title 18 SNFJANESVILLE, WI 53545FOR PROFIT CORPORATION

ROCK HAVEN3400 N CTY TRK HWY F PO BOX 920

(608) 757-5076FAX: (608) 757-5026

Administrator: TAYA WALK

ROCK

Southern

Lic. 2425Skilled Care128 Beds

COUNTY OF ROCK COUNTY CLERK

525390 Title 18 SNF Title 19 NFJANESVILLE, WI 53547GOVERNMENT COUNTY

Page 31: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 31 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

ST ELIZABETH NURSING HOME

109 S ATWOOD AVENUE

(608) 752-6709

FAX: (608) 752-6436Administrator: CASEY SCHUETT

ROCK

Southern

Lic. 624

Skilled Care43 Beds

SISTERS OF CHARITY OF OUR LADY MOTHER OF/CHURCH

525639 Title 18 SNF Title 19 NFJANESVILLE, WI 53545NONPROFIT CORPORATION

LADYSMITH CARE & REHAB900 COLLEGE AVE W

(715) 532-5015FAX: (715) 532-0296

Administrator: ANN NOVAK

RUSK

Northern

Lic. 2349Skilled Care50 Beds

SENIOR MANAGEMENT, INC.

525416 Title 18 SNF Title 19 NFLADYSMITH, WI 54848FOR PROFIT CORPORATION

LADYSMITH LIVING CENTER, INC1001 E 11TH ST N

(715) 532-5546FAX: (715) 532-5498

Administrator: CHERYL KELLEY

RUSK

Northern

Lic. 5038Skilled Care30 Beds

LADYSMITH LIVING CENTER, INC.

525710 Title 18 SNF Title 19 NFLADYSMITH, WI 54848FOR PROFIT CORPORATION

LADYSMITH NURSING HOME1001 E 11TH ST N

(715) 532-5546FAX: (715) 532-5498

Administrator: CHERYL KELLEY

RUSK

Northern

Lic. 3062Skilled Care32 Beds

LADYSMITH NURSING HOME

525592 Title 18 SNF Title 19 NFLADYSMITH, WI 54848FOR PROFIT CORPORATION

BALDWIN CARE CENTER, INC650 BIRCH ST

(715) 684-3231FAX: (715) 684-3608

Administrator: EILEEN LA FAVOR

SAINT CROIX

Western

Lic. 2285Skilled Care50 Beds

BALDWIN CARE CENTER INC

525502 Title 18 SNF Title 19 NFBALDWIN, WI 54002NONPROFIT CORPORATION

GLENHAVEN, INC612 E OAK ST

(715) 265-4555FAX: (715) 265-7344

Administrator: SHERRY GOODMAN

SAINT CROIX

Western

Lic. 852Skilled Care44 Beds

GLENHAVEN, INC

525602 Title 18 SNF Title 19 NFGLENWOOD CITY, WI 54013NONPROFIT CORPORATION

HAMMOND HEALTH SERVICES425 DAVIS ST

(715) 796-2218FAX: (715) 796-5286

Administrator: LAURIE EDELMAN

SAINT CROIX

Western

Lic. 3217Skilled Care50 Beds

NSH HAMMOND LLC

525499 Title 18 SNF Title 19 NFHAMMOND, WI 54015LIMITED LIABILITY COMPANY

CHRISTIAN COMMUNITY HOME

1320 WISCONSIN ST

(715) 386-9303

FAX: (715) 381-4200Administrator: DAN GOODIER

SAINT CROIX

Western

Lic. 2664

Skilled Care50 Beds

CHRISTIAN COMMUNITY HOME OF HUDSON INC

525626 Title 18 SNF Title 19 NFHUDSON, WI 54016NONPROFIT CORPORATION

DEERFIELD CARE CENTER, LLC575 HOSPITAL RD

(715) 243-3930FAX: (715) 243-3931

Administrator: JENNIFER ANDERSON

SAINT CROIX

Western

Lic. 2706Skilled Care50 Beds

DEERFIELD CARE CENTER, LLC

525019 Title 18 SNF Title 19 NFNEW RICHMOND, WI 54017LIMITED LIABILITY COMPANY

Page 32: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 32 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

ST CROIX HEALTH CENTER1445 N FOURTH ST

(715) 246-8211FAX: (715) 246-8225

Administrator: SANDRA HACKENMUELLER

SAINT CROIX

Western

Lic. 2415Skilled Care50 Beds

ST CROIX COUNTY BOARD

525468 Title 18 SNF Title 19 NFNEW RICHMOND, WI 54017GOVERNMENT COUNTY

KINNIC HEALTH AND REHAB1663 E DIVISION ST

(715) 426-6000FAX: (715) 426-6007

Administrator: KIM SZYMANSKI

SAINT CROIX

Western

Lic. 3095Skilled Care68 Beds

RIVER FALLS HEALTHCARE, LLC

525513 Title 18 SNF Title 19 NFRIVER FALLS, WI 54022LIMITED LIABILITY COMPANY

PARK VIEW HOME220 LOCKWOOD ST

(715) 698-2451FAX: (715) 698-2363

Administrator: MELISSA WALTHALL

SAINT CROIX

Western

Lic. 859Skilled Care50 Beds

PARK VIEW HOME INC

525458 Title 18 SNF Title 19 NFWOODVILLE, WI 54028NONPROFIT CORPORATION

SSM HEALTH ST CLARE MEADOWS CARE CENTER1414 JEFFERSON ST

(608) 356-4838FAX: (608) 356-5441

Administrator: RONNIE SCHAETZL

SAUK

Southern

Lic. 3099Skilled Care102 Beds

SSM HEALTH CARE OF WISCONSIN INC

525317 Title 18 SNF Title 19 NFBARABOO, WI 53913NONPROFIT CORPORATION

RIDGEVIEW TERRACE LONG TERM CARE

2350 N DEWEY AVE

(608) 524-6577

FAX: (608) 524-0757Administrator: RYAN SHEAR

SAUK

Southern

Lic. 2297

Skilled Care25 Beds

REEDSBURG AREA SENIOR LIFE CENTER INC

525667 Title 18 SNF Title 19 NFREEDSBURG, WI 53959NONPROFIT CORPORATION

SAUK COUNTY HEALTH CARE CENTER1051 CLARK ST

(608) 524-7500FAX: (608) 524-7599

Administrator: JENNIFER VOSEN

SAUK

Southern

Lic. 2397Skilled Care82 Beds

SAUK COUNTY

525114 Title 18 SNF Title 19 NFREEDSBURG, WI 53959GOVERNMENT COUNTY

ZIMMERMAN NURSING HOME617 FOURTH ST

(608) 524-3664FAX: (608) 524-3828

Administrator: MARION ZIMMERMAN

SAUK

Southern

Lic. 2946Intermediate Care6 Beds

ZIMMERMAN MARION K

REEDSBURG, WI 53959FOR PROFIT INDIVIDUAL

MAPLEWOOD OF SAUK PRAIRIE245 SYCAMORE ST

(608) 643-3383FAX: (608) 643-2629

Administrator: PAUL FISCUS

SAUK

Southern

Lic. 2249Skilled Care120 Beds

NURSING HOMES INC

525462 Title 18 SNF Title 19 NFSAUK CITY, WI 53583FOR PROFIT CORPORATION

GREENWAY MANOR501 S WINSTED PO BOX 759

(608) 588-2586FAX: (608) 588-7410

Administrator: MARK SCOLES

SAUK

Southern

Lic. 2470Skilled Care50 Beds

RIVER VALLEY NH INC

525396 Title 18 SNF Title 19 NFSPRING GREEN, WI 53588FOR PROFIT CORPORATION

Page 33: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 33 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

HAYWARD HEALTH SERVICES10775 NYMAN AVE

(715) 634-2202FAX: (715) 634-5776

Administrator: HAYLEY HEINO

SAWYER

Northern

Lic. 2923Skilled Care59 Beds

NSH VALLEY OF HAYWARD LLC

525434 Title 18 SNF Title 19 NFHAYWARD, WI 54843LIMITED LIABILITY COMPANY

WATER'S EDGE11040 NORTH STATE RD 77

(715) 934-4321FAX: (715) 934-4270

Administrator: HEATHER SHEEHAN

SAWYER

Northern

Lic. 2929Skilled Care50 Beds

MEDICAL SERVICES INC

525632 Title 18 SNF Title 19 NFHAYWARD, WI 54843NONPROFIT CORPORATION

BIRCH HILL HEALTH SERVICES1475 BIRCH HILL LANE

(715) 526-3161FAX: (715) 524-5896

Administrator: RACHEL BRICKNER

SHAWANO

Northeastern

Lic. 2895Skilled Care55 Beds

NSH SHAWANO-BIRCH HILL LLC

525412 Title 18 SNF Title 19 NFSHAWANO, WI 54166FOR PROFIT CORPORATION

EVERGREEN HEALTH SERVICES1250 EVERGREEN ST

(715) 526-3107FAX: (715) 524-8037

Administrator: BRANDON WILLMS

SHAWANO

Northeastern

Lic. 2896Skilled Care50 Beds

NSH SHAWANO-EVERGREEN LLC

525343 Title 18 SNF Title 19 NFSHAWANO, WI 54166FOR PROFIT CORPORATION

MAPLE LANE HEALTH SERVICESN4231 STATE HWY 22

(715) 526-3158FAX: (715) 524-9969

Administrator: CHERYL JASHINSKY

SHAWANO

Northeastern

Lic. 2579Skilled Care66 Beds

NSH SHAWANO-MAPLE LLC

525689 Title 18 SNF Title 19 NFSHAWANO, WI 54166FOR PROFIT CORPORATION

SHAWANO HEALTH SERVICES1436 S LINCOLN ST

(715) 526-6111FAX: (715) 524-5708

Administrator: JESSICA HAMMONS

SHAWANO

Northeastern

Lic. 3175Skilled Care100 Beds

SHAWANO HEALTH SERVICES LLC

525335 Title 18 SNF Title 19 NFSHAWANO, WI 54166LIMITED LIABILITY COMPANY

HOMME HOME FOR THE AGING604 S WEBB ST

(715) 253-2125FAX: (715) 253-3538

Administrator: JUSTIN CIESLEWICZ

SHAWANO

Northeastern

Lic. 306Skilled Care50 Beds

HOMME HOME FOR THE AGING INC

525527 Title 18 SNF Title 19 NFWITTENBERG, WI 54499NONPROFIT CHURCH/CORP

PLYMOUTH HEALTH SERVICES916 E CLIFFORD ST

(920) 893-4777FAX: (920) 893-2470

Administrator: CARRIE WENDLING

SHEBOYGAN

Northeastern

Lic. 3169Skilled Care60 Beds

NSH PLYMOUTH LLC

525685 Title 18 SNF Title 19 NFPLYMOUTH, WI 53073FOR PROFIT CORPORATION

ROCKY KNOLL HEALTH CARE FACILITYN7135 ROCKY KNOLL PARKWAY

(920) 893-6441FAX: (855) 716-7528

Administrator: KAYLA CLINTON

SHEBOYGAN

Northeastern

Lic. 2362Skilled Care149 Beds

SHEBOYGAN COUNTY

525337 Title 18 SNF Title 19 NFPLYMOUTH, WI 53073GOVERNMENT COUNTY

Page 34: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 34 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

MEADOW VIEW HEALTH SERVICES3613 S 13TH ST

(920) 458-4040FAX: (920) 458-0474

Administrator: GARRETT LASKOWSKI

SHEBOYGAN

Northeastern

Lic. 3226Skilled Care50 Beds

NSH MEADOW VIEW LLC

525605 Title 18 SNF Title 19 NFSHEBOYGAN, WI 53081LIMITED LIABILITY COMPANY

MORNINGSIDE HEALTH SERVICES3431 N 13TH ST

(920) 457-5046FAX: (920) 457-4753

Administrator: JEANNIE ULCAK

SHEBOYGAN

Northeastern

Lic. 1182Skilled Care50 Beds

NSH MORNINGSIDE LLC

525607 Title 18 SNF Title 19 NFSHEBOYGAN, WI 53083LIMITED LIABILITY COMPANY

SHEBOYGAN HEALTH SERVICES3129 MICHIGAN AVE

(920) 458-1155FAX: (920) 458-1173

Administrator: RAELINE SPRINGSTROH

SHEBOYGAN

Northeastern

Lic. 2921Skilled Care64 Beds

NSH SHEBOYGAN LLC

525456 Title 18 SNF Title 19 NFSHEBOYGAN, WI 53082LIMITED LIABILITY COMPANY

SHEBOYGAN PROGRESSIVE HEALTH SERVICES1902 MEAD AVE

(920) 458-8333FAX: (920) 458-3346

Administrator: ELIZABETH REISS

SHEBOYGAN

Northeastern

Lic. 2130Skilled Care100 Beds

NSH PROGRESSIVE LLC

525511 Title 18 SNF Title 19 NFSHEBOYGAN, WI 53081LIMITED LIABILITY COMPANY

SHEBOYGAN SENIOR COMMUNITY, INC3505 COUNTY ROAD Y

(920) 458-2137FAX: (920) 458-5922

Administrator: PAUL TREFFERT

SHEBOYGAN

Northeastern

Lic. 2662Skilled Care60 Beds

SHEBOYGAN SENIOR COMMUNITY INC

525598 Title 18 SNF Title 19 NFSHEBOYGAN, WI 53083NONPROFIT CHURCH/CORP

SUNNY RIDGE NURSING AND REHABILITATION CENTER, LLC3014 ERIE AVE

(920) 459-3028

FAX: (920) 459-4341Administrator: COLINDA NAPPA

SHEBOYGAN

Northeastern

Lic. 2363

Skilled Care121 Beds

SUNNY RIDGE NURSING AND REHABILITATION CENTER, LLC

525568 Title 18 SNF Title 19 NFSHEBOYGAN, WI 53081FOR PROFIT CORPORATION

PINE HAVEN CHRISTIAN HOME220 HAVEN DRIVE

(920) 467-2401FAX: (920) 467-7273

Administrator: JENNIFER MABRY

SHEBOYGAN

Northeastern

Lic. 356Skilled Care50 Beds

PINE HAVEN CHRISTIAN HOME INC

525676 Title 18 SNF Title 19 NFSHEBOYGAN FALLS, WI 53085NONPROFIT CORPORATION

ASPIRUS CARE & REHAB-MEDFORD

135 S GIBSON ST

(715) 748-8100

FAX: (715) 748-8199Administrator: MALLORI STRAMA

TAYLOR

Northern

Lic. 2572

Skilled Care50 Beds

ASPIRUS MEDFORD HOSPITAL & CLINICS INC

525641 Title 18 SNF Title 19 NFMEDFORD, WI 54451NONPROFIT CORPORATION

RIB LAKE HEALTH SERVICES650 PEARL ST

(715) 427-5291FAX: (715) 427-5848

Administrator: DAWN QUEDNOW

TAYLOR

Northern

Lic. 2732Skilled Care60 Beds

NSH RIB LAKE LLC

525329 Title 18 SNF Title 19 NFRIB LAKE, WI 54470LIMITED LIABILITY COMPANY

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Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 35 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

GRAND VIEW CARE CENTER620 GRAND VIEW AVE PO BOX 27

(608) 989-2511FAX: (608) 989-2679

Administrator: STACY KOPP

TREMPEALEAU

Western

Lic. 2893Skilled Care98 Beds

GRAND VIEW CARE CENTER INC

525624 Title 18 SNF Title 19 NFBLAIR, WI 54616NONPROFIT CORPORATION

MARINUKA MANOR19475 SILVER CREEK RD

(608) 582-2211FAX: (608) 582-4068

Administrator: GALE BRUESSEL

TREMPEALEAU

Western

Lic. 2498Skilled Care59 Beds

CITY OF GALESVILLE

525628 Title 18 SNF Title 19 NFGALESVILLE, WI 54630GOVERNMENT CITY

DOVE HEALTHCARE - OSSEO51019 RIDGE VIEW ROAD

(715) 597-2493FAX: (715) 597-2470

Administrator: BRYCE MILES

TREMPEALEAU

Western

Lic. 3166Skilled Care40 Beds

OSSEO HEALTHCARE, LLC

525709 Title 18 SNF Title 19 NFOSSEO, WI 54758LIMITED LIABILITY COMPANY

PIGEON FALLS HEALTH CARE CENTER

13197 CHURCH ST

(715) 983-2293

FAX: (715) 983-5700Administrator: ROSEMARIE THESING

TREMPEALEAU

Western

Lic. 3228

Skilled Care37 Beds

TREMPEALEAU COUNTY HEALTH CARE CENTER

525687 Title 18 SNF Title 19 NFPIGEON FALLS, WI 54760GOVERNMENT COUNTY

GUNDERSEN TRI-COUNTY CARE CENTER18601 LINCOLN ST

(715) 538-4361FAX: (715) 538-2271

Administrator: JONI OLSON

TREMPEALEAU

Western

Lic. 1156Skilled Care35 Beds

TRI COUNTY MEMORIAL HOSPITAL INC

525679 Title 18 SNF Title 19 NFWHITEHALL, WI 54773NONPROFIT CORPORATION

TREMPEALEAU COUNTY HEALTH CARE CENTER-IMD

W20410 STATE RD 121

(715) 538-4312

FAX: (715) 538-2426Administrator: TERRIE SOMMER

TREMPEALEAU

Western

Lic. 2961

Skilled Care - IMD34 Beds

TREMPEALEAU COUNTY HEALTH CARE CENTER

52A407 Title 19 NFWHITEHALL, WI 54773GOVERNMENT COUNTY

TREMPEALEAU COUNTY-IMD

W20410 STATE RD 121

(715) 538-4312

FAX: (715) 538-2426Administrator: JERRY DEETZ

TREMPEALEAU

Western

Lic. 5001

Skilled Care - IMD112 Beds

TREMPEALEAU COUNTY HEALTH CARE CENTER

WHITEHALL, WI 54773GOVERNMENT COUNTY

BETHEL HOME AND SERVICES, INC614 S ROCK AVE

(608) 637-2171FAX: (608) 637-8303

Administrator: PETER EIDE

VERNON

Southern

Lic. 595Skilled Care50 Beds

BETHEL HOME AND SERVICES INC

525591 Title 18 SNF Title 19 NFVIROQUA, WI 54665NONPROFIT CORPORATION

VERNON MANOR310 FAIRLANE DR

(608) 637-5400FAX: (608) 637-5441

Administrator: AMANDA HOFF

VERNON

Southern

Lic. 2678Skilled Care80 Beds

VERNON COUNTY

525562 Title 18 SNF Title 19 NFVIROQUA, WI 54665GOVERNMENT COUNTY

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Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 36 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

NORSELAND NURSING HOME323 BLACK RIVER AVE

(608) 634-3747FAX: (608) 634-3799

Administrator: MEGAN FEIRTAG

VERNON

Southern

Lic. 2495Skilled Care59 Beds

CITY OF WESTBY

525619 Title 18 SNF Title 19 NFWESTBY, WI 54667GOVERNMENT CITY

DELAVAN HEALTH SERVICES905 E GENEVA ST

(262) 728-6319FAX: (262) 728-6693

Administrator: LAURA HOLMSTROM

WALWORTH

Southeastern

Lic. 3157Skilled Care50 Beds

NSH DELAVAN LLC

525324 Title 18 SNF Title 19 NFDELAVAN, WI 53115LIMITED LIABILITY COMPANY

EAST TROY MANOR

3271 NORTH ST

(262) 642-3995

FAX: (262) 642-3930Administrator: TAMMI WILLIAMS

WALWORTH

Southeastern

Lic. 2548

Skilled Care50 Beds

WISCONSIN ILLINOIS SENIOR HOUSING INC

525561 Title 18 SNF Title 19 NFEAST TROY, WI 53120NONPROFIT CORPORATION

HOLTON MANOR

645 N CHURCH ST

(262) 723-4963

FAX: (262) 723-8982Administrator: JESSICA KUHART

WALWORTH

Southeastern

Lic. 2665

Skilled Care60 Beds

WISCONSIN ILLINOIS SENIOR HOUSING INC

525541 Title 18 SNF Title 19 NFELKHORN, WI 53121NONPROFIT CORPORATION

LAKELAND HEALTH CARE CENTER1922 CTY RD NN

(262) 741-3600FAX: (262) 741-3682

Administrator: DENISE JOHNSON

WALWORTH

Southeastern

Lic. 2416Skilled Care120 Beds

WALWORTH COUNTY

525625 Title 18 SNF Title 19 NFELKHORN, WI 53121GOVERNMENT COUNTY

GENEVA LAKE MANOR

211 S CURTIS ST

(262) 248-3145

FAX: (262) 248-3564Administrator: LORI SCHLAIS

WALWORTH

Southeastern

Lic. 2693

Skilled Care60 Beds

WISCONSIN ILLINOIS SENIOR HOUSING INC

525565 Title 18 SNF Title 19 NFLAKE GENEVA, WI 53147NONPROFIT CORPORATION

GOLDEN YEARS OF LAKE GENEVA611 HARMONY DRIVE

(262) 249-1960FAX: (262) 249-1962

Administrator: JONATHAN STANKEVITZ

WALWORTH

Southeastern

Lic. 5051Skilled Care30 Beds

GOLDEN YEARS NURSING HOME INC

525727 Title 18 SNFLAKE GENEVA, WI 53147LIMITED LIABILITY COMPANY

GOLDEN YEARS HEALTH CENTER270 RIDGE ROAD

(262) 275-6103FAX: (262) 275-6106

Administrator: JONATHAN STANKEVITZ

WALWORTH

Southeastern

Lic. 3103Skilled Care24 Beds

GOLDEN YEARS NURSING HOME INC

525677 Title 18 SNFWALWORTH, WI 53184FOR PROFIT CORPORATION

WILLIAMS BAY HEALTH SERVICES146 CLOVER ST

(262) 245-6400FAX: (262) 245-9271

Administrator: AIMEE RASMUSSEN

WALWORTH

Southeastern

Lic. 3220Skilled Care62 Beds

NSH WILLIAMS BAY LLC

525346 Title 18 SNF Title 19 NFWILLIAMS BAY, WI 53191FOR PROFIT CORPORATION

Page 37: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 37 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

SHELL LAKE HEALTH CARE CENTER

802 E CTY HWY B

(715) 468-7292

FAX: (715) 468-4232Administrator: JENNIE KLASSA

WASHBURN

Northern

Lic. 2748

Skilled Care50 Beds

PREMIER HEALTHCARE MANAGEMENT OF SHELL LAKE, LLC

525553 Title 18 SNF Title 19 NFSHELL LAKE, WI 54871LIMITED LIABILITY COMPANY

MAPLE RIDGE CARE CENTER

510 FIRST ST

(715) 635-1415

FAX: (715) 635-7498Administrator: JENNIFER ABERNATHY

WASHBURN

Northern

Lic. 1164

Skilled Care75 Beds

WISCONSIN ILLINOIS SENIOR HOUSING INC

525673 Title 18 SNF Title 19 NFSPOONER, WI 54801NONPROFIT CORPORATION

VIRGINIA HIGHLANDS HEALTH AND REHABILITATION CENTERW173 N10915 BERNIES WAY

(262) 509-3300

FAX: (262) 251-7359Administrator: JESSE WINKLER

WASHINGTON

Southeastern

Lic. 5003

Skilled Care121 Beds

SSC GERMANTOWN OPERATING COMPANY LLC

525653 Title 18 SNF Title 19 NFGERMANTOWN, WI 53022LIMITED LIABILITY COMPANY

THE PAVILION AT GLACIER VALLEY1900 AMERICAN EAGLE DR

(262) 297-6300FAX: (262) 297-6301

Administrator: DAWN GORDON

WASHINGTON

Southeastern

Lic. 3232Skilled Care106 Beds

THI OF WISCONSIN AT HARTFORD LLC

525461 Title 18 SNF Title 19 NFSLINGER, WI 53086LIMITED LIABILITY COMPANY

CEDAR LAKE HEALTH AND REHABILITATION CENTER

5595 CTY RD Z

(262) 306-2100

FAX: (262) 306-2101Administrator: KELLI DE RUYTER

WASHINGTON

Southeastern

Lic. 705

Skilled Care110 Beds

BENEVOLENT CORPORATION CEDAR COMMUNITY

525465 Title 18 SNF Title 19 NFWEST BEND, WI 53095NONPROFIT CORPORATION

SAMARITAN HEALTH CENTER531 E WASHINGTON ST

(262) 335-4500FAX: (262) 335-4699

Administrator: MARI BETH BOREK

WASHINGTON

Southeastern

Lic. 2385Skilled Care131 Beds

WASHINGTON COUNTY

525165 Title 18 SNF Title 19 NFWEST BEND, WI 53095GOVERNMENT COUNTY

BROOKFIELD REHAB AND SPECIALTY CARE CENTER18740 W BLUEMOUND RD

(262) 782-0230FAX: (262) 797-8306

Administrator: ANGELA WILLMS

WAUKESHA

Southeastern

Lic. 3050Skilled Care224 Beds

SNH WIS TENANT LLC

525424 Title 18 SNF Title 19 NFBROOKFIELD, WI 53045FOR PROFIT CORPORATION

CARE AGE OF BROOKFIELD1755 N BARKER RD

(262) 821-3939FAX: (262) 821-3944

Administrator: MICHAEL KOENIGS

WAUKESHA

Southeastern

Lic. 3121Skilled Care110 Beds

REGENCY TERRACE SOUTH INC

525519 Title 18 SNF Title 19 NFBROOKFIELD, WI 53045FOR PROFIT CORPORATION

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Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 38 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

CONGREGATIONAL HOME, INC13900 W BURLEIGH RD

(262) 781-0550FAX: (262) 781-0559

Administrator: KRIS SPRTEL

WAUKESHA

Southeastern

Lic. 2471Skilled Care66 Beds

CONGREGATIONAL HOME INC

525700 Title 18 SNFBROOKFIELD, WI 53005NONPROFIT CHURCH/CORP

FRANCISCAN WOODS

19525 W NORTH AVE

(262) 785-1114

FAX: (262) 780-3805Administrator: KENDRA WORDS

WAUKESHA

Southeastern

Lic. 3129

Skilled Care110 Beds

WHEATON FRANCISCAN HLTHCARE- TERRACE AT ST FRANCIS

525528 Title 18 SNF Title 19 NFBROOKFIELD, WI 53045NONPROFIT CORPORATION

MASONIC CENTER HEALTH & REHAB, INC

400 N MAIN ST

(262) 965-7245

FAX: (262) 965-4053Administrator: CAYLA PIEHL

WAUKESHA

Southeastern

Lic. 2869

Skilled Care84 Beds

MASONIC CENTER FOR HEALTH AND REHAB, INC.

525572 Title 18 SNF Title 19 NFDOUSMAN, WI 53118NONPROFIT CORPORATION

LINDENGROVE MENOMONEE FALLSW180 N8071 TOWN HALL RD

(262) 253-2700FAX: (262) 253-2283

Administrator: JULIE LUDWIG

WAUKESHA

Southeastern

Lic. 2973Skilled Care50 Beds

LINDENGROVE INC

525421 Title 18 SNFMENOMONEE FALLS, WI 53051NONPROFIT CORPORATION

MENOMONEE FALLS HEALTH SERVICESN84 W17049 MENOMONEE AVE

(262) 255-1180FAX: (262) 255-1638

Administrator: JAMES WEIBELER

WAUKESHA

Southeastern

Lic. 2947Skilled Care100 Beds

NSH MENOMONEE LLC

525415 Title 18 SNF Title 19 NFMENOMONEE FALLS, WI 53051LIMITED LIABILITY COMPANY

LINDENGROVE MUKWONAGO837 E VETERANS WAY

(262) 363-6830FAX: (262) 363-6837

Administrator: SUZANNE WHITTY

WAUKESHA

Southeastern

Lic. 5002Skilled Care40 Beds

LINDENGROVE INC

525645 Title 18 SNFMUKWONAGO, WI 53149NONPROFIT CORPORATION

MUSKEGO HEALTH CARE CENTERS77 W18690 JANESVILLE RD

(262) 679-0246FAX: (262) 679-9717

Administrator: HAROLD SWANTO JR

WAUKESHA

Southeastern

Lic. 1089Skilled Care49 Beds

MUSKEGO NURSING HOME INC

525686 Title 18 SNF Title 19 NFMUSKEGO, WI 53150FOR PROFIT CORPORATION

TUDOR OAKS HEALTH CENTER

S77 W12929 MCSHANE DR

(414) 529-0100

FAX: (414) 529-0537Administrator: JEANNE PICCIONE

WAUKESHA

Southeastern

Lic. 2730

Skilled Care61 Beds

AMERICAN BAPTIST HOMES OF THE MIDWEST

525279 Title 18 SNF Title 19 NFMUSKEGO, WI 53150NONPROFIT CHURCH/CORP

LINDENGROVE NEW BERLIN13755 W FIELDPOINTE DR

(262) 796-3660FAX: (262) 796-2765

Administrator: BARTON SMITH

WAUKESHA

Southeastern

Lic. 2974Skilled Care131 Beds

LINDENGROVE INC

525064 Title 18 SNF Title 19 NFNEW BERLIN, WI 53151NONPROFIT CORPORATION

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Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 39 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

LAKE COUNTRY HEALTH SERVICES2195 NORTH SUMMIT VILLAGE WAY

(262) 560-2400FAX: (262) 567-4714

Administrator: RAYMOND FRESON, JR

WAUKESHA

Southeastern

Lic. 5032Skilled Care100 Beds

NSH SUMMIT LLC

525702 Title 18 SNF Title 19 NFOCONOMOWOC, WI 53066LIMITED LIABILITY COMPANY

SHOREHAVEN HEALTH AND REHABILITATION CENTER

1305 W WISCONSIN AVE

(262) 567-8341

FAX: (262) 567-0273Administrator: EMILY KARLS

WAUKESHA

Southeastern

Lic. 799

Skilled Care105 Beds

LUTHERAN HOMES OF OCONOMOWOC INC

525560 Title 18 SNF Title 19 NFOCONOMOWOC, WI 53066NONPROFIT CORPORATION

CROSSROADS CARE CENTER PEWAUKEEN26 W23977 WATERTOWN RD

(262) 523-0933FAX: (262) 523-1674

Administrator: ALYSSA HERRMANN

WAUKESHA

Southeastern

Lic. 3248Skilled Care120 Beds

CCC OF PEWAUKEE

525646 Title 18 SNF Title 19 NFWAUKESHA, WI 53188FOR PROFIT CORPORATION

KENSINGTON CARE AND REHAB CENTER

1810 KENSINGTON DR

(262) 548-1400

FAX: (262) 548-1430Administrator: CHRISTINE KLEKAMP

WAUKESHA

Southeastern

Lic. 3219

Skilled Care150 Beds

WAUKESHA HEALTHCARE AND REHABILITATION CENTER, LLC

525242 Title 18 SNF Title 19 NFWAUKESHA, WI 53188LIMITED LIABILITY COMPANY

LINDENGROVE WAUKESHA425 N UNIVERSITY DR

(262) 524-6400FAX: (262) 524-9233

Administrator: SUZANNE WHITTY

WAUKESHA

Southeastern

Lic. 2972Skilled Care32 Beds

LINDENGROVE INC

525422 Title 18 SNFWAUKESHA, WI 53188NONPROFIT CORPORATION

VIRGINIA HEALTH AND REHABILITATION CENTER1451 CLEVELAND AVE

(262) 547-2123FAX: (262) 547-6204

Administrator: KRISTINE WELCHMAN

WAUKESHA

Southeastern

Lic. 3059Skilled Care105 Beds

SNH WIS TENANT LLC

525490 Title 18 SNF Title 19 NFWAUKESHA, WI 53186FOR PROFIT CORPORATION

GREENTREE HEALTH AND REHABILITATION CENTER70 GREENTREE RD

(715) 823-2194FAX: (833) 558-3524

Administrator: JENNIFER GOSSEN

WAUPACA

Northeastern

Lic. 3051Skilled Care50 Beds

WOLF RIVER HEALTHCARE, INC.

525348 Title 18 SNF Title 19 NFCLINTONVILLE, WI 54929FOR PROFIT CORPORATION

THE PINES POST ACUTE AND MEMORY CARE1625 E MAIN ST

(715) 823-3135FAX: (715) 823-1313

Administrator: AMY BRAUER

WAUPACA

Northeastern

Lic. 3052Skilled Care50 Beds

CLOVERLEAF HEALTHCARE, INC.

525497 Title 18 SNF Title 19 NFCLINTONVILLE, WI 54929FOR PROFIT CORPORATION

WI VETERANS HOME AINSWORTH HALL

N2665 CTY RD QQ

(715) 258-5586

FAX: (715) 256-3226Administrator: DOUGLAS WAMACK

WAUPACA

Northeastern

Lic. 3128

Skilled Care205 Beds

STATE OF WI DEPT OF VETERANS AFFAIRS

525719 Title 18 SNF Title 19 NFKING, WI 54946GOVERNMENT STATE

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Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 40 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

WI VETERANS HOME MACARTHUR HALL

N2665 CTY RD QQ

(715) 258-5586

FAX: (715) 256-3226Administrator: GREGORY REICHENBACH

WAUPACA

Northeastern

Lic. 2814

Skilled Care116 Beds

STATE OF WI DEPT OF VETERANS AFFAIRS

525717 Title 18 SNF Title 19 NFKING, WI 54946GOVERNMENT STATE

WI VETERANS HOME OLSON HALL

N2665 CTY RD QQ

(715) 258-5586

FAX: (715) 256-3226Administrator: RHONDA KOZIK

WAUPACA

Northeastern

Lic. 2484

Skilled Care200 Beds

STATE OF WI DEPT OF VETERANS AFFAIRS

525718 Title 18 SNF Title 19 NFKING, WI 54946GOVERNMENT STATE

MANAWA COMMUNITY NURSING CENTER

400 EAST 4TH ST

(920) 596-2566

FAX: (920) 596-2588Administrator: PHILIP CASTLEBERG

WAUPACA

Northeastern

Lic. 2616

Skilled Care25 Beds

MANAWA COMMUNITY NURSING CENTER INC

525316 Title 18 SNF Title 19 NFMANAWA, WI 54949FOR PROFIT CORPORATION

ST JOSEPH RESIDENCE107 E BECKERT RD

(920) 982-5354FAX: (920) 982-5420

Administrator: GIDGET BLANK

WAUPACA

Northeastern

Lic. 2040Skilled Care50 Beds

ST JOSEPH RESIDENCE INC

525599 Title 18 SNF Title 19 NFNEW LONDON, WI 54961NONPROFIT CHURCH/CORP

BETHANY HOME1226 BERLIN ST

(715) 258-5521FAX: (715) 258-6989

Administrator: SHELLY SONTAG

WAUPACA

Northeastern

Lic. 963Skilled Care100 Beds

BETHANY HOME INC

525538 Title 18 SNF Title 19 NFWAUPACA, WI 54981NONPROFIT CHURCH/CORP

CROSSROADS CARE CENTER OF WEYAUWEGA

717 E ALFRED ST

(920) 867-3121

FAX: (920) 867-3997Administrator: ASHLEY GILL

WAUPACA

Northeastern

Lic. 2801

Skilled Care84 Beds

CROSSROADS CARE CENTER OF WEYAUWEGA , LLC

525315 Title 18 SNF Title 19 NFWEYAUWEGA, WI 54983LIMITED LIABILITY COMPANY

PEABODY MANOR2600 S HERITAGE WOODS DR

(920) 738-3000FAX: (920) 225-7791

Administrator: CHRISTOPHER VAN ASTEN

WINNEBAGO

Northeastern

Lic. 2622Skilled Care68 Beds

THEDACARE INC

525548 Title 18 SNF Title 19 NFAPPLETON, WI 54915NONPROFIT CORPORATION

OAKRIDGE GARDENS NURSING CENTER, INC

1700 MIDWAY RD

(920) 739-0111

FAX: (920) 739-4002Administrator: CAITLIN HIGGINS

WINNEBAGO

Northeastern

Lic. 2639

Skilled Care0 Beds

OAKRIDGE GARDENS NURSING CENTER INC

525463 Title 18 SNF Title 19 NFMENASHA, WI 54952FOR PROFIT CORPORATION

Page 41: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 41 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

OMRO CARE CENTER500 GRANT AVE

(920) 685-2755FAX: (920) 685-0599

Administrator: ERIC LEHOCKY

WINNEBAGO

Northeastern

Lic. 3241Skilled Care50 Beds

OMRO NURSING AND REHAB, LLC

525406 Title 18 SNF Title 19 NFOMRO, WI 54963FOR PROFIT CORPORATION

BETHEL HOME, INC225 N EAGLE ST

(920) 235-4653FAX: (920) 235-3644

Administrator: DAVID MERKLEY

WINNEBAGO

Northeastern

Lic. 2005Skilled Care124 Beds

BETHEL HOME INC

525554 Title 18 SNF Title 19 NFOSHKOSH, WI 54902NONPROFIT CORPORATION

EDEN REHABILITATION SUITES AND GREEN HOUSE HOMES, INC3151 EDEN CT

(920) 651-4000

FAX: (920) 651-4001Administrator: KELLY FITZPATRICK

WINNEBAGO

Northeastern

Lic. 5035

Skilled Care50 Beds

EDEN REHAB SUITES AND GREEN HOUSE HOMES, INC

525704 Title 18 SNF Title 19 NFOSHKOSH, WI 54904NONPROFIT CORPORATION

EDENBROOK OF OSHKOSH1850 BOWEN ST

(920) 233-4011FAX: (920) 233-5177

Administrator: CINDY ANDERSON

WINNEBAGO

Northeastern

Lic. 3242Skilled Care110 Beds

NORTHPOINT NURSING AND REHAB, LLC

525299 Title 18 SNF Title 19 NFOSHKOSH, WI 54901LIMITED LIABILITY COMPANY

EVERGREEN HEALTH CENTER

1130 N WESTFIELD ST

(920) 233-2340

FAX: (920) 237-2109Administrator: PEGGY BELLIN

WINNEBAGO

Northeastern

Lic. 2057

Skilled Care80 Beds

EVERGREEN RETIREMENT COMMUNITY INC

525647 Title 18 SNF Title 19 NFOSHKOSH, WI 54902NONPROFIT CORPORATION

PARK VIEW HEALTH CENTER725 BUTLER AVE

(920) 237-6300FAX: (920) 237-6944

Administrator: MARLEAH KEULER

WINNEBAGO

Northeastern

Lic. 2436Skilled Care168 Beds

WINNEBAGO COUNTY

525638 Title 18 SNF Title 19 NFOSHKOSH, WI 54901GOVERNMENT COUNTY

MARSHFIELD CLINIC COMFORT AND RECOVERY-MARSHFIELD1000 N OAK AVE

(715) 221-5000

FAX: (715) 221-5032Administrator: DANIJELA DECKER

WOOD

Northern

Lic. 5045

Skilled Care20 Beds

GRACE LUTHERAN FOUNDATION INC

525722 Title 18 SNFMARSHFIELD, WI 54449NONPROFIT CORPORATION

MARSHFIELD HEALTH SERVICES814 W 14TH ST

(715) 387-1188FAX: (715) 387-4095

Administrator: NICHOLE ULRICH

WOOD

Northern

Lic. 3081Skilled Care120 Beds

NSH MARSHFIELD LLC

525304 Title 18 SNF Title 19 NFMARSHFIELD, WI 54449FOR PROFIT CORPORATION

NORWOOD HEALTH CENTER-CENTRAL1600 N CHESTNUT AVE

(715) 384-2188FAX: (715) 387-1533

Administrator: JORDON BRUCE

WOOD

Northern

Lic. 2441Skilled Care32 Beds

WOOD COUNTY BOARD

52A251 Title 19 NFMARSHFIELD, WI 54449GOVERNMENT COUNTY

Page 42: Directory of Nursing Homes in Wisconsin · 117 Beds NSH ASHLAND LLC ASHLAND, WI 54806 525386 Title 18 SNF Title 19 NF FOR PROFIT CORPORATION COURT MANOR HEALTH SERVICES 911 3RD ST

Department of Health ServicesSTATE OF WISCONSIN

DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY

KEY TO DESCRIPTIONS:Title 18 = Title XVIII, Medicare CertificationTitle 19 = Title XIX, Medicaid Certifcation

IMD = Institute for Mental DiseasesSNF = Skilled Nursing FacilityNF = Nursing FacilityWednesday, August 19, 2020

Page 42 of 42

DIVISION OF QUALITY ASSURANCEPO Box 2969Madison, WI 53701-2969

PROVIDER/ADDRESS Contact and PhonesCountyDQA Region

License Number, Level and Beds

Owner, Ownership, CertificationTypes, Provider Number

EDGEWATER HAVEN NURSING HOME1351 WISCONSIN RIVER DR

(715) 885-8300FAX: (715) 885-8351

Administrator: MARISSA LAHER

WOOD

Northern

Lic. 2369Skilled Care79 Beds

WOOD COUNTY BOARD

525088 Title 18 SNF Title 19 NFPORT EDWARDS, WI 54469GOVERNMENT COUNTY

EDENBROOK OF WISCONSIN RAPIDS

130 STRAWBERRY LN

(715) 424-1600

FAX: (715) 423-6874Administrator: KYLE THEILER

WOOD

Northern

Lic. 3236

Skilled Care80 Beds

STRAWBERRY LANE NURSING AND REHAB, LLC

525429 Title 18 SNF Title 19 NFWISCONSIN RAPIDS, WI 54494LIMITED LIABILITY COMPANY

WISCONSIN RAPIDS HEALTH SERVICES1350 RIVER RUN DR

(715) 421-3140FAX: (715) 421-7116

Administrator: ARTHUR SCHMITZ

WOOD

Northern

Lic. 2100Skilled Care114 Beds

NSH WISCONSIN RAPIDS LLC

525212 Title 18 SNF Title 19 NFWISCONSIN RAPIDS, WI 54494FOR PROFIT CORPORATION