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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 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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