With a score of 80/100 and a B grade, Maryhill Manor is a well-regarded option in Niagara, Wisconsin. The facility performs above average in most CMS categories, placing it in the 77th percentile statewide.
Staffing at Maryhill Manor is near the national average, with 4.14 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 16 deficiencies at Maryhill Manor, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.14 | 3.8 | Average |
| Registered Nurses (RN) | 1.01 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.25 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.89 | 2.4 | Above Average |
| Weekend Total Nursing | 3.73 | 3.8 | Average |
| Weekend RN Hours | 0.58 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Mar 9, 2025 · Resident Rights Deficiencies
- Tag 0657 Severity DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Mar 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Dec 17, 2024 · Resident Rights Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 5, 2024 · Nutrition and Dietary Deficiencies
- Tag 0883 Severity DDevelop and implement policies and procedures for flu and pneumonia vaccinations.Nov 5, 2024 · 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 | 1.2% | 4.5% | Better |
| Falls with major injury | 3.4% | 3.0% | Worse |
| On antipsychotic medication | 7.1% | 14.5% | Better |
| Urinary tract infections | 6.6% | 2.5% | Worse |
| ADL decline (daily activities) | 13.5% | 14.0% | Average |
| Excessive weight loss | 5.5% | 7.5% | Better |
| New/worsened incontinence | 18.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $50,606
How This Grade Was Calculated
This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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