Sheboygan Senior Community Inc
3505 County Road Y, Sheboygan, WI 53083 · CCN 525598
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 57.3
- Phone
- 9204582137
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 | 2024-09-25 | 16 | 9.8 | 9.5 | +6.2 worse |
| 2 | 2023-07-19 | 4 | 9.2 | 9.8 | -5.2 better |
| 3 | 2022-06-29 | 9 | 8.3 | 9.3 | +0.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Resident rights | 5 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Administration | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.37 | 34.1% |
| RN staffing (reported) | 0.32 | 20.0% |
| Total nurse staffing (adjusted) | 4.56 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (29)1 actual harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-20 · Health · corrected 2026-02-18
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-27 · Health · corrected 2025-03-26
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-02-27 · Health · corrected 2025-03-26
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.2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-09-25 · Health · corrected 2024-11-08
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.2024-09-25 · Health · corrected 2024-11-08
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.2024-09-25 · Health · corrected 2024-11-08
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.2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- EF0758Implement 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.2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-09-25 · Health · corrected 2024-11-08
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.2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- DF0840Employ 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.2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-09-25 · Health · corrected 2024-11-08
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-09-25 · Health · corrected 2024-11-08
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.2024-09-25 · Health · corrected 2024-11-08
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.2023-07-19 · Health · corrected 2023-08-10
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-07-19 · Health · corrected 2023-08-09
Potential for more than minimal harm
- DF0578Honor 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.2022-06-29 · Health · corrected 2022-07-29
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-06-29 · Health · corrected 2022-07-29
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-06-29 · Health · corrected 2022-07-29
Potential for minimal harm
- CF0625Notify 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.2022-06-29 · Health · corrected 2022-07-29
Potential for minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-06-29 · Health · corrected 2022-07-29
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-06-29 · Health · corrected 2022-07-29
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.2022-06-29 · Health · corrected 2022-07-29
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-29 · Health · corrected 2022-07-29
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.2022-06-29 · Health · corrected 2022-07-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| TREFFERT, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-03-01 |
| CLAPP, ROGER | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| FRITZ, PERRY | Individual | CORPORATE DIRECTOR | — | 2014-07-01 |
| GENSCH, BRIAN | Individual | CORPORATE DIRECTOR | — | 2017-05-01 |
| HAMER, STEPHEN | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| HOUWERS, JAMES | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| ISKEN, KEITH | Individual | CORPORATE DIRECTOR | — | 2017-05-01 |
| KERPE, MARSHA | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| PRICE, JAMES | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| THEUNE, DORIS | Individual | CORPORATE DIRECTOR | — | 2011-07-01 |
| THOMPSON, CYNTHIA | Individual | CORPORATE DIRECTOR | — | 2015-07-01 |
| TRAGER, MARGARET | Individual | CORPORATE DIRECTOR | — | 2017-05-01 |
| VANDEWATER, DAVID | Individual | CORPORATE DIRECTOR | — | 2014-07-01 |
| HOUWERS, JAMES | Individual | CORPORATE OFFICER | — | 2011-07-01 |
| THEUNE, DORIS | Individual | CORPORATE OFFICER | — | 2011-07-01 |
| VANDEWATER, DAVID | Individual | CORPORATE OFFICER | — | 2014-07-01 |
| HOLZEM, TARA | Individual | W-2 MANAGING EMPLOYEE | — | 2014-05-24 |
| BANK FIRST NATIONAL | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2010-02-26 |
| UNITED STATES DEPARTMENT OF AGRICULTURE - RURAL DEVELOPMENT | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2016-12-01 |
Other facilities in Sheboygan
| Name | Overall | Beds |
|---|---|---|
| Meadow View Health Services | ★★★★★ | 50 |
| Morningside Health Services | ★★★★☆ | 50 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.