Three Oaks Health Services
209 Wilderness View Drive, Marshfield, WI 54449 · Marathon County · 75 certified beds · avg 67 residents/day · certified since Jun 30, 2005
Part of chain: NORTH SHORE HEALTHCARE (59 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Mar 11, 2025 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 2, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 4, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 19, 2024 (Past Non-Compliance)
All citations in the current public record (20)
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 |
|---|---|---|
| Mar 5, 2026 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Mar 5, 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. |
| Mar 5, 2026 | 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. |
| Dec 17, 2025 | 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. · from a complaint |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Mar 11, 2025 | ▲ J · Immediate jeopardy, 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 |
| Mar 11, 2025 | 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. · from a complaint |
| Mar 11, 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. · from a complaint |
| Mar 11, 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. · from a complaint |
| Dec 12, 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. |
| Dec 12, 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. |
| Dec 12, 2024 | E · Potential for harm, repeated | The 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. |
| Dec 12, 2024 | E · Potential for harm, repeated | The 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. |
| Dec 12, 2024 | 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. |
| Dec 12, 2024 | 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 |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Dec 12, 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. |
| Mar 4, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 1, 2023 | 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. |
| Nov 1, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 9 | 1 | J ▲ |
| 2025 | 6 | 1 | J ▲ |
| 2026 | 3 | 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.
Fines and enforcement (last 3 years)
2 fines totaling $31,778.
| Date | Type | Amount / length |
|---|---|---|
| Mar 11, 2025 | Fine | $17,345 |
| Mar 4, 2024 | Fine | $14,433 |
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) | 3.71 | 4.29 | 3.95 | bottom 35% in Wisconsin; bottom 47% in the U.S. |
| Registered Nurse hours | 0.98 | 1.01 | 0.69 | top 45% in Wisconsin; top 17% in the U.S. |
| Weekend total nurse staffing | 3.22 | 3.84 | 3.50 | bottom 28% in Wisconsin; bottom 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.68 | 0.48 | top 50% in Wisconsin; top 21% in the U.S. |
| Total nursing staff turnover (%) | 40.9 | 46.9 | 45.8 | top 33% in Wisconsin; top 39% in the U.S. |
| RN turnover (%) | 47.1 | 39.7 | 42.9 | bottom 38% in Wisconsin; bottom 40% 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 3.51, RN 0.92, weekend 3.05. Staffing rating: 3/5.
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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baumann, Troy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 12/01/2016 |
| North Shore Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 12/01/2016 |
| NSHC Wisconsin LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/01/2016 |
| Baumann, Troy | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2016 |
| Baumann, Troy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2016 |
| Baumann, Troy | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2016 |
| Belongia, Christina | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2019 |
| Belongia, Christina | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2019 |
| Beverly Enterprises - Wisconsin INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2016 |
| Cibc Bank USA | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 12/31/2024 |
| Cibc Bank USA | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Cliftonlarsonallen LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/22/2018 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 10/20/2025 |
| Continuum Therapy Partners LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Continuum Therapy Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Gee, Darren | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/30/2021 |
| Gee, Darren | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 06/02/2026 |
| Gee, Darren | Individual | ADP of the SNF | NOT APPLICABLE | 11/30/2021 |
| Greer, Lauren | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/29/2023 |
| Greer, Lauren | Individual | ADP of the SNF | NOT APPLICABLE | 11/29/2023 |
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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Norwood Health Ctr-Central | 1.0 mi | Marshfield, WI | ★★★★★ | 5/5 | |
| North Shore Healthcare at Marshfield | 3.3 mi | Marshfield, WI | ★★★★☆ | 4/5 | |
| Colonial Health Services | 17.4 mi | Colby, WI | ★★☆☆☆ | 2/5 | |
| Abbotsford Health Care Center | 18.9 mi | Abbotsford, WI | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525684.