With a score of 31/100, Pine Valley Community Village ranks in the bottom tier of Wisconsin nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at Pine Valley Community Village exceed national averages, with 4.50 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.02 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 21 deficiencies at Pine Valley Community Village, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.50 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.02 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.42 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 3.06 | 2.4 | Above Average |
| Weekend Total Nursing | 3.82 | 3.8 | Average |
| Weekend RN Hours | 0.70 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Jan 13, 2026 · Pharmacy Service Deficiencies
- Tag 0678 Severity JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advancJul 21, 2025 · Quality of Life and Care Deficiencies
- Tag 0730 Severity FObserve each nurse aide's job performance and give regular training.Jul 21, 2025 · Nursing and Physician Services Deficiencies
- Tag 0941 Severity FDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.Jul 21, 2025 · Administration Deficiencies
- Tag 0944 Severity FConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Jul 21, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.5% | 4.5% | Average |
| Falls with major injury | 4.5% | 3.0% | Worse |
| On antipsychotic medication | 27.2% | 14.5% | Worse |
| Urinary tract infections | 2.4% | 2.5% | Average |
| ADL decline (daily activities) | 16.7% | 14.0% | Worse |
| Excessive weight loss | 5.8% | 7.5% | Better |
| New/worsened incontinence | 24.1% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $97,311
How This Grade Was Calculated
This facility's grade of F is based on a score of 31 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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