Villa Marina Health and Rehabilitation Center

Name: Villa Marina Health and Rehabilitation Center
Address: 35 N 28TH ST, Superior, WI, 54880, US
Telephone: 7153923300

35 N 28th St, Superior, WI 54880 · Douglas County · 72 certified beds · avg 67 residents/day · certified since Mar 1, 1997

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.22

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: 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.

All citations in the current public record (15)

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
Feb 9, 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
Feb 9, 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
Sep 18, 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.
Sep 18, 2025	E · Potential for harm, repeated	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.
Sep 18, 2025	D · Potential for harm, one-off	The 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).
Jul 24, 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.
Jul 24, 2024	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.
Jul 24, 2024	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
Jul 24, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jul 24, 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
Jul 24, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 24, 2024	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.
Jul 24, 2024	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.
Jul 24, 2024	D · Potential for harm, one-off	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.
Jul 12, 2023	E · Potential for harm, repeated	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 (9 → 3).

Year	Citations	Worst severity that year
2023	1	E
2024	9	F
2025	3	F
2026	2	D

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)	4.22	4.29	3.95	top 45% in Wisconsin; top 31% in the U.S.
Registered Nurse hours	1.12	1.01	0.69	top 33% in Wisconsin; top 11% in the U.S.
Weekend total nurse staffing	3.73	3.84	3.50	top 47% in Wisconsin; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.80	0.68	0.48	top 28% in Wisconsin; top 11% in the U.S.
Total nursing staff turnover (%)	36.7	46.9	45.8	top 22% in Wisconsin; top 28% in the U.S.
RN turnover (%)	6.3	39.7	42.9	top 2% in Wisconsin; top 3% 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 3.95, RN 1.05, weekend 3.49. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Kutz, Lawrence	Individual	5% or Greater Direct Ownership Interest	100%	01/01/2021
Holm, Margo	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Holm, Margo	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
Johnstad, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Johnstad, Jennifer	Individual	ADP of the SNF	NOT APPLICABLE	11/17/2005
Kleinschmidt, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Kutz, Lawrence	Individual	Corporate Director	NOT APPLICABLE	09/07/2005
Kutz, Lawrence	Individual	Corporate Officer	NOT APPLICABLE	09/07/2005
Kutz, Lawrence	Individual	Operational/Managerial Control	NOT APPLICABLE	09/07/2005
Kutz, Lawrence	Individual	Trustee of the SNF	NOT APPLICABLE	01/01/2021
Kutz, Lawrence	Individual	ADP of the SNF	NOT APPLICABLE	09/07/2005
Randa, Lori	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2022
Simonich, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2001
Simonich, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2001

Questions to ask on your visit

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

"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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"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
Twin Ports Health Services	1.3 mi	Superior, WI	★★★★★	4/5
Franciscan Health Center	2.6 mi	Duluth, MN	★☆☆☆☆	2/5
Dove Healthcare - Superior	2.7 mi	Superior, WI	★★☆☆☆	2/5
Bayshore Residence and Rehabilitation Center	4.3 mi	Duluth, MN	★★☆☆☆	2/5
The North Shore Estates LLC	5.6 mi	Duluth, MN	★★☆☆☆	2/5
Viewcrest Health Center	6.7 mi	Duluth, MN	★★★☆☆	3/5
Benedictine Health Center	7.5 mi	Duluth, MN	★☆☆☆☆	1/5	abuse
Aftenro Home	7.5 mi	Duluth, MN	★☆☆☆☆	1/5
Hilltop Healthcare Rehabilitation and Skilled Nurs	8.1 mi	Duluth, MN	★★☆☆☆	2/5
Ecumen Lakeshore	8.2 mi	Duluth, MN	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Superior →

Facility data as of CMS processing date 2026-08-01. CCN 525613.

The Care File

Visit checklist — Villa Marina Health and Rehabilitation Center

35 N 28th St, Superior, WI 54880 · 7153923300

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "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 525613 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)