A

DOOR COUNTY MEMORIAL HOSPITAL SNF

323 S 18TH AVE, STURGEON BAY, WI 54235
Score: 95 / 100

Among nursing homes in Wisconsin, Door County Memorial Hospital Snf stands out with an A grade and a score of 95 out of 100. It ranks in the 97th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Staffing levels at Door County Memorial Hospital Snf exceed national averages, with 4.78 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.76 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 8 deficiencies at Door County Memorial Hospital Snf. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.78 3.8 Above Average
Registered Nurses (RN) 1.76 0.7 Above Average
Licensed Practical Nurses (LPN) 0.17 0.7 Below Average
Certified Nursing Assistants (CNA) 2.85 2.4 Above Average
Weekend Total Nursing 4.37 3.8 Above Average
Weekend RN Hours 1.37 0.7 Above Average

🔍 Inspection & Deficiency History

8
Total Deficiencies
Jul 1, 2025
Most Recent Inspection
🟠 8 Moderate
View recent deficiencies (5 shown)
  • Tag 0610 Severity E
    Respond appropriately to all alleged violations.
    Jul 1, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Jul 1, 2025 · Resident Rights Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jul 1, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Jul 1, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Feb 18, 2025 · Infection Control 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 1.9% 4.5% Better
Falls with major injury 3.4% 3.0% Worse
On antipsychotic medication 17.9% 14.5% Worse
Urinary tract infections 1.7% 2.5% Better
ADL decline (daily activities) 9.8% 14.0% Better
Excessive weight loss 1.2% 7.5% Better
New/worsened incontinence 21.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 95 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
32
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 18, 2025
Deficiencies (Cycle 1)
7