Wisconsin ›Sheboygan

Sheboygan Senior Community INC

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3505 County Road Y, Sheboygan, WI 53083 (opens Google Maps) · Sheboygan County · (920) 458-2137· 60 certified beds · avg 56 residents/day · certified since Oct 1, 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 →

2/5
Health inspection rating (on-site)
inspected Jan 20, 2026
1
Serious findings on record
most recent Jan 20, 2026
$0
Fines, last 3 years
4.52
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jan 20, 2026 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 10, 2026 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 28 inspection findings. Open the full record below to read every finding.

  1. G · Actual 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. · from a complaint F-0684

  2. 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

  3. D · Potential for more than minimal harm, isolated

    The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552

View all 28 inspection findingsShow only the latest 3 findings

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.

DateSeverityWhat the facility was cited for
Jan 20, 2026▲ G · Actual harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jan 20, 2026F · Potential for more than minimal harm, widespreadThe 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
Jan 20, 2026D · Potential for more than minimal harm, isolatedThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Jan 20, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628
Jan 20, 2026D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jan 20, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Jan 20, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 20, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Jan 20, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe 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
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe 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
Sep 25, 2024F · Potential for more than minimal harm, widespreadThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Sep 25, 2024F · Potential for more than minimal harm, widespreadThe 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
Sep 25, 2024F · Potential for more than minimal harm, widespreadThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868
Sep 25, 2024F · Potential for more than minimal harm, widespreadThe 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
Sep 25, 2024F · Potential for more than minimal harm, widespreadThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
Sep 25, 2024E · Potential for more than minimal harm, patternThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Sep 25, 2024E · Potential for more than minimal harm, patternThe 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. · F-0758
Sep 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553
Sep 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Sep 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Sep 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Sep 25, 2024D · Potential for more than minimal harm, isolatedThe 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
Sep 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Sep 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Sep 25, 2024D · Potential for more than minimal harm, isolatedThe facility did not bring in qualified outside professionals to provide a required service when it didn't have a qualified professional on staff. · F-0840
Jul 19, 2023F · Potential for more than minimal harm, widespreadThe 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
Jul 19, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0758

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 9).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 15
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202320F
2024150F
202520D
202691G ▲

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityWisconsin averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.52
Wisconsin average: 4.29
U.S. average: 3.95
Registered Nurse hours
This facility: 0.31
Wisconsin average: 1.01
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.29
Wisconsin average: 3.84
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityWisconsin avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.524.293.95top 34% in Wisconsin; top 23% in the U.S.
Registered Nurse hours0.311.010.69bottom 1% in Wisconsin; bottom 10% in the U.S.
Weekend total nurse staffing4.293.843.50top 27% in Wisconsin; top 16% in the U.S.
Weekend RN hours (not acuity-adjusted)0.110.680.48bottom 1% in Wisconsin; bottom 2% in the U.S.
Total nursing staff turnover (%)36.846.945.8top 22% in Wisconsin; top 28% in the U.S.
RN turnover (%)—39.742.9—

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 4.26, RN 0.29, weekend 4.04.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.26 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

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: 4/5 · long-stay residents: 1/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Sheboygan Senior Community INC. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

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 →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Bank First NationalOrganization5% or Greater Mortgage InterestNOT APPLICABLE02/26/2010
Clapp, RogerIndividualCorporate DirectorNOT APPLICABLE07/01/2011
Fritz, PerryIndividualCorporate DirectorNOT APPLICABLE07/01/2014
Gensch, BrianIndividualCorporate DirectorNOT APPLICABLE05/01/2017
Hamer, StephenIndividualCorporate DirectorNOT APPLICABLE07/01/2011
Holzem, TaraIndividualW-2 Managing EmployeeNOT APPLICABLE05/24/2014
Houwers, JamesIndividualCorporate DirectorNOT APPLICABLE07/01/2011
Houwers, JamesIndividualCorporate OfficerNOT APPLICABLE07/01/2011
Isken, KeithIndividualCorporate DirectorNOT APPLICABLE05/01/2017
Kerpe, MarshaIndividualCorporate DirectorNOT APPLICABLE07/01/2011
Price, JamesIndividualCorporate DirectorNOT APPLICABLE07/01/2011
Theune, DorisIndividualCorporate DirectorNOT APPLICABLE07/01/2011
Theune, DorisIndividualCorporate OfficerNOT APPLICABLE07/01/2011
Thompson, CynthiaIndividualCorporate DirectorNOT APPLICABLE07/01/2015
Trager, MargaretIndividualCorporate DirectorNOT APPLICABLE05/01/2017
Treffert, PaulIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2016
United States Department of Agriculture - Rural DevelopmentOrganization5% or Greater Mortgage InterestNOT APPLICABLE12/01/2016
Vandewater, DavidIndividualCorporate DirectorNOT APPLICABLE07/01/2014
Vandewater, DavidIndividualCorporate OfficerNOT APPLICABLE07/01/2014

All 19 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "How do you explain health changes and treatment options to residents and their families?"
  • "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 37% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Sheboygan Health Services2.3 miSheboygan, WI★★★☆☆3/5
Edenbrook Sheboygan2.6 miSheboygan, WI★☆☆☆☆1/5
Morningside Health Services2.9 miSheboygan, WI★★★☆☆4/5
Sheboygan Progressive Health Services4.5 miSheboygan, WI★☆☆☆☆2/5
Meadow View Health Services5.3 miSheboygan, WI★★★★☆3/5
Plymouth Health Services9.9 miPlymouth, WI★☆☆☆☆2/5
Rocky Knoll Health Care10.0 miPlymouth, WI★★★☆☆3/5
Willowdale Health Services18.6 miNew Holstein, WI★★★☆☆4/5
Homestead Health Services19.3 miNew Holstein, WI★★★☆☆2/5

Compare this facility with the 3 closest →

All facilities in Sheboygan →

Facility data as of CMS processing date 2026-08-01. CCN 525598.

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