Maryhill Manor
501 MADISON AVE, NIAGARA, WI 54151 · CCN 525467
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 50
- Avg residents/day
- 46.5
- Phone
- 7152513172
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-06 | 4 | 9.8 | 9.5 | -5.8 better |
| 2 | 2023-09-27 | 8 | 9.2 | 9.8 | -1.2 better |
| 3 | 2022-08-31 | 4 | 8.3 | 9.3 | -4.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.14 | 40.6% |
| RN staffing (reported) | 1.01 | 26.7% |
| Total nurse staffing (adjusted) | 4.67 | — |
Fines & penalties
- Total fines
- $50,606
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (16)1 immediate jeopardy
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-10 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-10 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-12-18 · Health · corrected 2025-01-07
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-06 · Health · corrected 2024-11-18
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-11-06 · Health · corrected 2024-11-18
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-25 · Health · corrected 2024-07-10
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-25 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-06-25 · Health · corrected 2024-07-10
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-27 · Health · corrected 2023-10-20
Potential for more than minimal harm
- FF0803Ensure 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.2023-09-27 · Health · corrected 2023-10-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-27 · Health · corrected 2023-10-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-27 · Health · corrected 2023-10-11
Potential for more than minimal harm
- DF0551Give the resident's representative the ability to exercise the resident's rights.2022-08-31 · Health · corrected 2022-10-14
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-08-31 · Health · corrected 2022-09-30
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-08-31 · Health · corrected 2022-09-23
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-08-31 · Health · corrected 2022-09-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HEALTH DIRECT INSTITUTIONAL PHARMACY SERVICES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-06-01 |
| PRIME TIME HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-01 |
| UP REHAB SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-06-01 |
| WIPFLI LLP | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1999-01-01 |
| BAIER, PATRICIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-01-01 |
| BRASURE, ANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| CROCKFORD, LYNNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-01-01 |
| DECKER, DAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| EBLI, JIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| FRANTZ, LANA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-01-01 |
| FREDRICK, AUDREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| HAYES, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| HERRIGES, ROSEMARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 |
| KALDOR, CARRIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 1999-01-01 |
| MATTSON, ANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| PULTZ, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-01-01 |
| SIKORA, CHRISTY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-18 |
| BAIER, PATRICIA | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| FRANTZ, LANA | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| FREDRICK, AUDREY | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| HERRIGES, ROSEMARY | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| MATTSON, ANN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| PULTZ, ROBERT | Individual | CORPORATE DIRECTOR | — | 2016-01-01 |
| BRASURE, ANN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| CROCKFORD, LYNNE | Individual | CORPORATE OFFICER | — | 2020-01-01 |
| DECKER, DAN | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| EBLI, JIM | Individual | CORPORATE OFFICER | — | 2024-01-01 |
| FIRST BANK UPPER MICHIGAN | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2022-11-30 |
Other facilities in NIAGARA
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.