Sheboygan Senior Community Inc
3505 County Road Y
Sheboygan, WI, 53083
9204582137
CCN: 525598
2
Overall2
Health4
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| UNITED STATES DEPARTMENT OF AGRICULTURE - RURAL DEVELOPMENT | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BANK FIRST NATIONAL | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| FRITZ, PERRY | CORPORATE DIRECTOR | NOT APPLICABLE |
| GENSCH, BRIAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HAMER, STEPHEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOUWERS, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| ISKEN, KEITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| KERPE, MARSHA | CORPORATE DIRECTOR | NOT APPLICABLE |
| PRICE, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| THOMPSON, CYNTHIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| TRAGER, MARGARET | CORPORATE DIRECTOR | NOT APPLICABLE |
| VANDEWATER, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| THEUNE, DORIS | CORPORATE DIRECTOR | NOT APPLICABLE |
| CLAPP, ROGER | CORPORATE DIRECTOR | NOT APPLICABLE |
| THEUNE, DORIS | CORPORATE OFFICER | NOT APPLICABLE |
| VANDEWATER, DAVID | CORPORATE OFFICER | NOT APPLICABLE |
| HOUWERS, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| TREFFERT, PAUL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOLZEM, TARA | W-2 MANAGING EMPLOYEE | NOT 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/Day3.68
4.37
RN Hrs/Resident/Day0.54
0.32
LPN Hrs/Resident/Day0.81
1.03
CNA Hrs/Resident/Day2.33
3.03
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01