Maryhill Manor
501 MADISON AVE
NIAGARA, WI, 54151
7152513172
CCN: 525467
5
Overall3
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| FIRST BANK UPPER MICHIGAN | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| FRANTZ, LANA | CORPORATE DIRECTOR | NOT APPLICABLE |
| FREDRICK, AUDREY | CORPORATE DIRECTOR | NOT APPLICABLE |
| HERRIGES, ROSEMARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| MATTSON, ANN | CORPORATE DIRECTOR | NOT APPLICABLE |
| BAIER, PATRICIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| PULTZ, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| CROCKFORD, LYNNE | CORPORATE OFFICER | NOT APPLICABLE |
| DECKER, DAN | CORPORATE OFFICER | NOT APPLICABLE |
| EBLI, JIM | CORPORATE OFFICER | NOT APPLICABLE |
| BRASURE, ANN | CORPORATE OFFICER | NOT APPLICABLE |
| HAYES, PAUL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HERRIGES, ROSEMARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KALDOR, CARRIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HEALTH DIRECT INSTITUTIONAL PHARMACY SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PULTZ, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SIKORA, CHRISTY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MATTSON, ANN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PRIME TIME HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| UP REHAB SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WIPFLI LLP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BAIER, PATRICIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BRASURE, ANN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CROCKFORD, LYNNE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DECKER, DAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EBLI, JIM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRANTZ, LANA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FREDRICK, AUDREY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-06-25 | Fine | $51K |
Health Deficiencies (16)
2025-03-10 · Health
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-12-18 · Health
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2024-11-06 · Health
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2024-06-25 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-09-27 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F803 · Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2022-08-31 · Health
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F551 · Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.14
RN Hrs/Resident/Day0.54
1.01
LPN Hrs/Resident/Day0.81
0.25
CNA Hrs/Resident/Day2.33
2.89
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01