Care & Rehab - Ladysmith 1

Name: Care & Rehab - Ladysmith 1
Address: 1001 E 11TH ST N, Ladysmith, WI, 54848, US
Telephone: 7155325546

1001 E 11th St N, Ladysmith, WI 54848 · Rusk County · 32 certified beds · avg 31 residents/day · certified since Jun 15, 1996

Part of chain: CARE & REHAB (6 facilities, chain avg rating 3.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.47

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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.

All citations in the current public record (21)

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
Jun 24, 2026	D · Potential for harm, one-off	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
Feb 24, 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.
Feb 24, 2026	E · Potential for harm, repeated	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.
Feb 24, 2026	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.
Feb 24, 2026	D · Potential for harm, one-off	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.
Feb 24, 2026	D · Potential for harm, one-off	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.
Feb 24, 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.
Feb 24, 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.
Feb 24, 2026	D · Potential for harm, one-off	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.
Feb 24, 2026	D · Potential for harm, one-off	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.
Feb 24, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 24, 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.
Feb 24, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 24, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Dec 8, 2025	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
Aug 11, 2025	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
Nov 13, 2024	F · Potential for harm, facility-wide	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.
Nov 13, 2024	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Nov 13, 2024	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.
Nov 30, 2023	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
Nov 30, 2023	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

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 13).

Year	Citations	Worst severity that year
2023	2	D
2024	3	F
2025	2	D
2026	14	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.

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)	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, 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. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Do you accept Medicaid from day one, and will you put in writing that no private payment is required as a condition of admission?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"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?"
"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
Care & Rehab - Ladysmith 2	0.0 mi	Ladysmith, WI	★★★★★	5/5

Compare this facility with the 1 closest →

All facilities in Ladysmith →

Facility data as of CMS processing date 2026-08-01. CCN 525592.

The Care File

Visit checklist — Care & Rehab - Ladysmith 1

1001 E 11th St N, Ladysmith, WI 54848 · 7155325546

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Do you accept Medicaid from day one, and will you put in writing that no private payment is required as a condition of admission?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "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?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 525592 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)