NORTHERN LIGHTS HCC
706 BRATLEY DR, WASHBURN, WI 54891 · CCN 525567
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 47.3
- Phone
- 7153735621
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 | 2025-07-30 | 14 | 9.8 | 9.5 | +4.2 worse |
| 2 | 2024-05-22 | 11 | 9.2 | 9.8 | +1.8 worse |
| 3 | 2023-05-10 | 8 | 8.3 | 9.3 | -0.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.05 | 49.0% |
| RN staffing (reported) | 0.84 | 50.0% |
| Total nurse staffing (adjusted) | 4.54 | — |
Fines & penalties
- Total fines
- $15,945
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (33)1 immediate jeopardy1 actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-12 · Health · corrected 2025-12-10
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-11-12 · Health · corrected 2025-12-10
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-12 · Health · corrected 2025-12-10
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-12 · Health · corrected 2025-12-10
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- CF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-07-30 · Health · corrected 2025-08-25
Potential for 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.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-07-30 · Health · corrected 2025-08-25
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.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-07-30 · Health · corrected 2025-08-25
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-29 · Health · corrected 2025-02-12
Immediate jeopardy
- DF0625Notify 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.2024-05-22 · Health · corrected 2024-06-17
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-22 · Health · corrected 2024-06-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-22 · Health · corrected 2024-06-17
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-22 · Health · corrected 2024-06-17
Potential for more than minimal harm
- EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-05-22 · Health · corrected 2024-06-17
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-22 · Health · corrected 2024-06-17
Potential for more than minimal harm
- DF0758Implement 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.2024-05-22 · Health · corrected 2024-06-17
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.2024-05-22 · Health · corrected 2024-06-17
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-05-22 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-05-22 · Health · corrected 2024-06-17
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
- EF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-10 · Health · corrected 2023-06-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| STRZOK, DIANA | Individual | CORPORATE DIRECTOR | — | 2024-10-01 |
| HEALTH DIMENSIONS CONSULTING INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| BRISCOE, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| BRISCOE, PATRICIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| OGLE, KIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 |
| ROGOTZKE, AMBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| SANTIKKO, NOLAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-31 |
| SHVETZOFF HENNESSEY, ERIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| SHVETZOFF, SERGEI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| SHVETZOFF, TAMI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| AIKEN, SUSAN | Individual | CORPORATE DIRECTOR | — | 2023-06-01 |
| AVOL LAW, ELLEN | Individual | CORPORATE DIRECTOR | — | 2018-10-17 |
| BOUTON, DICK | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| COX, YVONNE | Individual | CORPORATE DIRECTOR | — | 2024-11-01 |
| EHLERS, MARK | Individual | CORPORATE DIRECTOR | — | 2021-12-22 |
| JACOBSON, AMY | Individual | CORPORATE DIRECTOR | — | 2023-05-01 |
| RASPOTNIK, SANDRA | Individual | CORPORATE DIRECTOR | — | 2023-11-01 |
Other facilities in WASHBURN
| 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.