Starfile

Starfile / Wisconsin

DOOR COUNTY MEMORIAL HOSPITAL SNF

323 S 18TH AVE, STURGEON BAY, WI 54235 · CCN 525377

Ratings

Overall
★★★★★ 5
Health inspection
★★★★☆ 4
Quality measures
★★★★★ 5
Staffing
★★★★★ 5

Facility

Ownership type
Non profit - Corporation
Certified beds
32
Avg residents/day
31.4
Phone
9207435566

Inspection history vs Wisconsin & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityWisconsin avgNational avgvs state
12025-02-1979.89.5-2.8 better
22024-01-0419.29.8-8.2 better
32022-11-0908.39.3-8.3 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Resident assessment and care planning1
Resident rights2
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.7848.8%
RN staffing (reported)1.7626.7%
Total nurse staffing (adjusted)5.32

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (8)

  1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-02 · Health · corrected 2025-07-23

    Potential for more than minimal harm

  2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-02 · Health · corrected 2025-07-27

    Potential for more than minimal harm

  3. EF0610Respond appropriately to all alleged violations.2025-07-02 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  4. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-02 · Health · corrected 2025-07-23

    Potential for more than minimal harm

  5. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-02-19 · Health · corrected 2025-02-22

    Potential for more than minimal harm

  6. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-19 · Health · corrected 2025-03-12

    Potential for more than minimal harm

  7. EF0880Provide and implement an infection prevention and control program.2025-02-19 · Health · corrected 2025-02-27

    Potential for more than minimal harm

  8. EF0610Respond appropriately to all alleged violations.2024-01-04 · Health · corrected 2024-02-12

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCISOrganizationOPERATIONAL/MANAGERIAL CONTROL2016-10-28
ALBERTS, JAMIEIndividualOPERATIONAL/MANAGERIAL CONTROL2021-01-01
ANDREAE, BRADLEYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-01
ANTONIO, MARIA CHONAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-07-01
BOHRMAN, NANCYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-07-01
COLLISON, EDGARIndividualOPERATIONAL/MANAGERIAL CONTROL2025-05-14
CONROY, BERNADETTEIndividualOPERATIONAL/MANAGERIAL CONTROL2019-10-01
DAHL, CORWINIndividualOPERATIONAL/MANAGERIAL CONTROL2021-01-01
DEMPSTER, DORENEIndividualOPERATIONAL/MANAGERIAL CONTROL2019-01-01
ERICKSON, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2024-05-15
HELGESON, ERINIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-01
HELM, PAULINEIndividualOPERATIONAL/MANAGERIAL CONTROL2023-01-01
JAROSH, JONATHANIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-01
KITCHENS, JOELIndividualOPERATIONAL/MANAGERIAL CONTROL2021-01-01
LALUZERNE, ANDREWIndividualOPERATIONAL/MANAGERIAL CONTROL2018-10-29
RABAS, JEFFREYIndividualOPERATIONAL/MANAGERIAL CONTROL2022-01-01
RICHMOND, ANDREWIndividualOPERATIONAL/MANAGERIAL CONTROL2017-10-01
ST JEAN, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-01
STEPHENS, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL2019-01-06
STERNARD, TAMMYIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-01
URBAN, CAROLINEIndividualOPERATIONAL/MANAGERIAL CONTROL2024-07-01
VICKMAN, PATRICIAIndividualOPERATIONAL/MANAGERIAL CONTROL2017-10-01
ZIEGELBAUER, MARTHAIndividualOPERATIONAL/MANAGERIAL CONTROL2022-01-01
ALBERTS, JAMIEIndividualCORPORATE DIRECTOR2021-01-01
ANDREAE, BRADLEYIndividualCORPORATE DIRECTOR2024-01-01
COLLISON, EDGARIndividualCORPORATE DIRECTOR2025-05-14
CONROY, BERNADETTEIndividualCORPORATE DIRECTOR2019-10-01
DAHL, CORWINIndividualCORPORATE DIRECTOR2021-01-01
DEMPSTER, DORENEIndividualCORPORATE DIRECTOR2019-01-01
ERICKSON, ROBERTIndividualCORPORATE DIRECTOR2024-05-15
HELGESON, ERINIndividualCORPORATE DIRECTOR2024-01-01
HELM, PAULINEIndividualCORPORATE DIRECTOR2023-01-01
JAROSH, JONATHANIndividualCORPORATE DIRECTOR2024-01-01
KITCHENS, JOELIndividualCORPORATE DIRECTOR2021-01-01
RABAS, JEFFREYIndividualCORPORATE DIRECTOR2022-01-01
RICHMOND, ANDREWIndividualCORPORATE DIRECTOR2017-10-01
ST JEAN, MICHAELIndividualCORPORATE DIRECTOR2025-01-01
STERNARD, TAMMYIndividualCORPORATE DIRECTOR2025-01-01
VICKMAN, PATRICIAIndividualCORPORATE DIRECTOR2017-10-01
ZIEGELBAUER, MARTHAIndividualCORPORATE DIRECTOR2022-01-01
LALUZERNE, ANDREWIndividualCORPORATE OFFICER2018-10-29
STEPHENS, BRIANIndividualCORPORATE OFFICER2019-01-06

Other facilities in STURGEON BAY

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.