Maryhill Manor

501 MADISON AVE
NIAGARA, WI, 54151
7152513172
CCN: 525467
5
Overall
3
Health
5
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
FIRST BANK UPPER MICHIGAN5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
FRANTZ, LANACORPORATE DIRECTORNOT APPLICABLE
FREDRICK, AUDREYCORPORATE DIRECTORNOT APPLICABLE
HERRIGES, ROSEMARYCORPORATE DIRECTORNOT APPLICABLE
MATTSON, ANNCORPORATE DIRECTORNOT APPLICABLE
BAIER, PATRICIACORPORATE DIRECTORNOT APPLICABLE
PULTZ, ROBERTCORPORATE DIRECTORNOT APPLICABLE
CROCKFORD, LYNNECORPORATE OFFICERNOT APPLICABLE
DECKER, DANCORPORATE OFFICERNOT APPLICABLE
EBLI, JIMCORPORATE OFFICERNOT APPLICABLE
BRASURE, ANNCORPORATE OFFICERNOT APPLICABLE
HAYES, PAULOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HERRIGES, ROSEMARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KALDOR, CARRIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HEALTH DIRECT INSTITUTIONAL PHARMACY SERVICES INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PULTZ, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SIKORA, CHRISTYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MATTSON, ANNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PRIME TIME HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
UP REHAB SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WIPFLI LLPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BAIER, PATRICIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRASURE, ANNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CROCKFORD, LYNNEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DECKER, DANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
EBLI, JIMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FRANTZ, LANAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FREDRICK, AUDREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2024-06-25Fine$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/Day
4.14
3.68
RN Hrs/Resident/Day
1.01
0.54
LPN Hrs/Resident/Day
0.25
0.81
CNA Hrs/Resident/Day
2.89
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01