D

Pavilion at Glacier Valley

1900 American Eagle Drive, Slinger, WI 53086
Score: 47 / 100

CMS data shows Pavilion At Glacier Valley earning a D grade with a score of 47/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Pavilion At Glacier Valley is near the national average, with 3.45 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 56 deficiencies at Pavilion At Glacier Valley. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.45 3.8 Average
Registered Nurses (RN) 0.80 0.7 Above Average
Licensed Practical Nurses (LPN) 0.67 0.7 Average
Certified Nursing Assistants (CNA) 1.98 2.4 Below Average
Weekend Total Nursing 3.09 3.8 Below Average
Weekend RN Hours 0.42 0.7 Below Average

🔍 Inspection & Deficiency History

56
Total Deficiencies
Oct 7, 2025
Most Recent Inspection
🟠 56 Moderate
View recent deficiencies (5 shown)
  • Tag 0849 Severity D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice serv
    Oct 7, 2025 · Administration Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Aug 7, 2025 · Infection Control Deficiencies
  • Tag 0801 Severity F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qu
    Nov 11, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0677 Severity E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Nov 11, 2024 · Quality of Life and Care Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Nov 11, 2024 · Pharmacy Service 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 9.7% 4.5% Worse
Falls with major injury 3.4% 3.0% Worse
On antipsychotic medication 10.2% 14.5% Better
Urinary tract infections 4.3% 2.5% Worse
ADL decline (daily activities) 10.7% 14.0% Better
Excessive weight loss 3.2% 7.5% Better
New/worsened incontinence 21.6% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 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: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

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

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
106
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 11, 2024
Deficiencies (Cycle 1)
14