SERENITY SPRING SENIOR LIVING AT SCANDIA VILLAGE
10560 APPLEWOOD RD, SISTER BAY, WI 54234 · CCN 525494
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 50
- Avg residents/day
- 41.4
- Phone
- 9208542317
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 | 2025-05-07 | 11 | 9.8 | 9.5 | +1.2 worse |
| 2 | 2024-04-24 | 21 | 9.2 | 9.8 | +11.8 worse |
| 3 | 2023-02-01 | 6 | 8.3 | 9.3 | -2.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.66 | 77.3% |
| RN staffing (reported) | 0.98 | 62.5% |
| Total nurse staffing (adjusted) | 4.63 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CONTINUUM HEALTHCARE
- Facilities in chain
- 12
- Chain avg overall
- 2.40 / 5
Inspection citations (38)1 actual harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-05-07 · Health · corrected 2025-06-07
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.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-05-07 · Health · corrected 2025-06-07
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.2025-05-07 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-09-17 · Health · corrected 2024-10-17
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-17 · Health · corrected 2024-10-17
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-17 · Health · corrected 2024-10-17
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- 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.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-04-24 · Health · corrected 2024-05-24
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 admitted2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-04-24 · Health · corrected 2024-05-24
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.2024-04-24 · Health · corrected 2024-05-24
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.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- CF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-04-24 · Health · corrected 2024-05-24
Potential for minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-04-24 · Health · corrected 2024-05-24
Potential for more than minimal harm
- DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-05-30 · Health · corrected 2023-06-26
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-27 · Health · corrected 2023-05-26
Actual 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.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-04-27 · Health · corrected 2023-05-26
Potential for more than minimal harm
- 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.2023-02-01 · Health · corrected 2023-03-01
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.2023-02-01 · Health · corrected 2023-03-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BRUCKSTEIN, DANIEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-01-26 |
| BRUCKSTEIN, DANIEL | Individual | CORPORATE OFFICER | — | 2024-01-26 |
| DORN, CHERYL | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2024-01-26 |
Other facilities in SISTER BAY
| 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.