Brewster Village
3300 W Brewster St, Appleton, WI 54914 · Outagamie County · 204 certified beds · avg 122 residents/day · certified since Aug 1, 1995
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 19, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 18, 2026 (Past Non-Compliance)
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 15, 2026 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 19, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 29, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2025 | 10 | 0 | D |
| 2026 | 6 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.14 | 4.29 | 3.95 | top 19% in Wisconsin; top 11% in the U.S. |
| Registered Nurse hours | 1.58 | 1.01 | 0.69 | top 10% in Wisconsin; top 4% in the U.S. |
| Weekend total nurse staffing | 4.69 | 3.84 | 3.50 | top 17% in Wisconsin; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.16 | 0.68 | 0.48 | top 7% in Wisconsin; top 4% in the U.S. |
| Total nursing staff turnover (%) | 36.6 | 46.9 | 45.8 | top 21% in Wisconsin; top 28% in the U.S. |
| RN turnover (%) | 31.1 | 39.7 | 42.9 | top 39% in Wisconsin; top 31% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.10, RN 1.57, weekend 4.65. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Outagamie | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/15/2010 |
| Gruper, Ann | Individual | W-2 Managing Employee | NOT APPLICABLE | 11/06/2022 |
| Nelson, Tamra | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/1999 |
| Neuman, Timothy | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/05/2020 |
| Walk, Taya | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/10/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How do you explain health changes and treatment options to residents and their families?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Rennes Health and Rehab Center-Appleton | 3.0 mi | Appleton, WI | ★★★★★ | 5/5 | |
| Meadowbrook at Appleton | 3.2 mi | Appleton, WI | ★★☆☆☆ | 2/5 | |
| Edenbrook of Appleton North | 3.2 mi | Appleton, WI | ★★☆☆☆ | 2/5 | |
| Peabody Manor | 3.3 mi | Appleton, WI | ★★★★☆ | 3/5 | |
| Oakridge Gardens Nur Ctr, INC | 3.9 mi | Menasha, WI | ★★★☆☆ | 3/5 | |
| Little Chute Health Services | 7.7 mi | Little Chute, WI | ★☆☆☆☆ | 1/5 | |
| St Paul Elder Services, INC | 9.2 mi | Kaukauna, WI | ★★★★★ | 5/5 | |
| Park View Health Center | 14.1 mi | Oshkosh, WI | ★★★★★ | 5/5 | |
| St Joseph Residence | 15.4 mi | New London, WI | ★★★★★ | 4/5 | |
| Edenbrook of Oshkosh | 16.6 mi | Oshkosh, WI | ★★★☆☆ | 3/5 | |
| Evergreen Health Center | 17.8 mi | Oshkosh, WI | ★★★★☆ | 4/5 | |
| Good Shepherd Services LTD | 18.3 mi | Seymour, WI | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525574.