D

SERENITY SPRING SENIOR LIVING AT SCANDIA VILLAGE

10560 APPLEWOOD RD, SISTER BAY, WI 54234
Score: 51 / 100

CMS data shows Serenity Spring Senior Living At Scandia Village earning a D grade with a score of 51/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing at Serenity Spring Senior Living At Scandia Village is near the national average, with 3.66 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 38 deficiencies at Serenity Spring Senior Living At Scandia Village. 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 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.66 3.8 Average
Registered Nurses (RN) 0.98 0.7 Above Average
Licensed Practical Nurses (LPN) 0.59 0.7 Below Average
Certified Nursing Assistants (CNA) 2.09 2.4 Below Average
Weekend Total Nursing 3.02 3.8 Below Average
Weekend RN Hours 0.35 0.7 Below Average

🔍 Inspection & Deficiency History

38
Total Deficiencies
May 6, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 37 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    May 6, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0607 Severity E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    May 6, 2025 · Resident Rights Deficiencies
  • Tag 0585 Severity D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    May 6, 2025 · Resident Rights Deficiencies
  • Tag 0605 Severity D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation 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 8.1% 4.5% Worse
Falls with major injury 4.9% 3.0% Worse
On antipsychotic medication 22.7% 14.5% Worse
Urinary tract infections 0.8% 2.5% Better
ADL decline (daily activities) 24.3% 14.0% Worse
Excessive weight loss 3.7% 7.5% Better
New/worsened incontinence 27.6% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 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: 4★ → 16 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 - Individual
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 6, 2025
Deficiencies (Cycle 1)
11