With a score of 38/100, Willowcrest Health Services 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 are a potential concern at Willowcrest Health Services, with 3.40 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 36 deficiencies at Willowcrest Health Services, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: electronically submit to cms complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.40 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.53 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.97 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.90 | 2.4 | Below Average |
| Weekend Total Nursing | 3.00 | 3.8 | Below Average |
| Weekend RN Hours | 0.32 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0851 Severity FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Jun 4, 2025 · Administration Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Jun 4, 2025 · Infection Control Deficiencies
- Tag 0605 Severity DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Jun 4, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Jun 4, 2025 · Resident Rights Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jun 4, 2025 · Quality of Life and Care 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 | 4.4% | 4.5% | Average |
| Falls with major injury | 2.0% | 3.0% | Better |
| On antipsychotic medication | 10.0% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 17.8% | 14.0% | Worse |
| Excessive weight loss | 3.8% | 7.5% | Better |
| New/worsened incontinence | 27.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $21,285
How This Grade Was Calculated
This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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