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No fines or payment denials in the published 3-year window.
1001 E 11th St N, Ladysmith, WI 54848 (opens Google Maps) · Rusk County · (715) 532-5546· 32 certified beds · avg 31 residents/day · certified since Jun 15, 1996 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CARE & REHAB (6 facilities, chain avg rating 3.5★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
The facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules. · from a complaint F-0620
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. F-0880
The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. F-0761
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 24, 2026 | D · Potential for more than minimal harm, isolated | The facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules. · from a complaint · F-0620 |
| Feb 24, 2026 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Feb 24, 2026 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0585 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · F-0602 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Feb 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Dec 8, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Aug 11, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Nov 13, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Nov 13, 2024 | F · Potential for more than minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
| Nov 13, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Nov 30, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Nov 30, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
Citations from standard inspections increased between the last two inspection cycles (3 → 13).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 3 | 0 | F |
| 2025 | 2 | 0 | D |
| 2026 | 14 | 0 | F |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.47 | 4.29 | 3.95 | top 37% in Wisconsin; top 24% in the U.S. |
| Registered Nurse hours | 1.41 | 1.01 | 0.69 | top 14% in Wisconsin; top 6% in the U.S. |
| Weekend total nurse staffing | 3.99 | 3.84 | 3.50 | top 37% in Wisconsin; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.91 | 0.68 | 0.48 | top 17% in Wisconsin; top 8% in the U.S. |
| Total nursing staff turnover (%) | 29.0 | 46.9 | 45.8 | top 10% in Wisconsin; top 13% in the U.S. |
| RN turnover (%) | 27.3 | 39.7 | 42.9 | top 30% in Wisconsin; top 24% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.27, RN 1.35, weekend 3.81.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Care & Rehab - Ladysmith 1. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Thayer, Grant | Individual | 5% or Greater Direct Ownership Interest | 100% | 12/08/2021 |
| Bechtel, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2025 |
| Bechtel, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Hanson, Tori | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2025 |
| Hanson, Tori | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2025 |
| Ladysmith Campus LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/08/2021 |
| Novak, Annmarie | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/08/2021 |
| Novak, Annmarie | Individual | ADP of the SNF | NOT APPLICABLE | 12/08/2021 |
| Sadowska, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/08/2021 |
| Sadowska, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 12/08/2021 |
| Thayer, Grant | Individual | Corporate Director | NOT APPLICABLE | 12/08/2021 |
| Thayer, Grant | Individual | Corporate Officer | NOT APPLICABLE | 12/08/2021 |
| Thayer, Grant | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/08/2021 |
| Thayer, Grant | Individual | Trustee of the SNF | NOT APPLICABLE | 12/08/2021 |
| Thayer, Grant | Individual | ADP of the SNF | NOT APPLICABLE | 12/08/2021 |
| Winiarczyk, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/08/2021 |
| Winiarczyk, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 12/08/2021 |
All 17 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Care & Rehab — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Care & Rehab - Ladysmith 2 | 0.0 mi | Ladysmith, WI | ★★★★★ | 5/5 |
Facility data as of CMS processing date 2026-08-01. CCN 525592.
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