Sheboygan Senior Community Inc

3505 County Road Y
Sheboygan, WI, 53083
9204582137
CCN: 525598
2
Overall
2
Health
4
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
UNITED STATES DEPARTMENT OF AGRICULTURE - RURAL DEVELOPMENT5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
BANK FIRST NATIONAL5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
FRITZ, PERRYCORPORATE DIRECTORNOT APPLICABLE
GENSCH, BRIANCORPORATE DIRECTORNOT APPLICABLE
HAMER, STEPHENCORPORATE DIRECTORNOT APPLICABLE
HOUWERS, JAMESCORPORATE DIRECTORNOT APPLICABLE
ISKEN, KEITHCORPORATE DIRECTORNOT APPLICABLE
KERPE, MARSHACORPORATE DIRECTORNOT APPLICABLE
PRICE, JAMESCORPORATE DIRECTORNOT APPLICABLE
THOMPSON, CYNTHIACORPORATE DIRECTORNOT APPLICABLE
TRAGER, MARGARETCORPORATE DIRECTORNOT APPLICABLE
VANDEWATER, DAVIDCORPORATE DIRECTORNOT APPLICABLE
THEUNE, DORISCORPORATE DIRECTORNOT APPLICABLE
CLAPP, ROGERCORPORATE DIRECTORNOT APPLICABLE
THEUNE, DORISCORPORATE OFFICERNOT APPLICABLE
VANDEWATER, DAVIDCORPORATE OFFICERNOT APPLICABLE
HOUWERS, JAMESCORPORATE OFFICERNOT APPLICABLE
TREFFERT, PAULOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HOLZEM, TARAW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (29)
2026-01-20 · Health
G
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-02-27 · 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.
2024-09-25 · Health
F
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F868 · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
F840 · Administration Deficiencies
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
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
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
E
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's 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
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F553 · Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-07-19 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
2022-06-29 · Health
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
C
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
C
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.37
3.68
RN Hrs/Resident/Day
0.32
0.54
LPN Hrs/Resident/Day
1.03
0.81
CNA Hrs/Resident/Day
3.03
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01