Waunakee Valley Senior Living
801 Klein Dr, Waunakee, WI 53597 · Dane County · 84 certified beds · avg 54 residents/day · certified since Jan 1, 1967
Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Nov 11, 2024 · 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: Oct 30, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Aug 6, 2024 · F-0686 · triggered by a complaint
The 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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Oct 18, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 9, 2026 · F-0684
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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 8, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 9, 2026 · F-0695
The 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.
Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 8, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (24)
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 |
|---|---|---|
| Apr 9, 2026 | ▲ G · Actual 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. |
| Apr 9, 2026 | ▲ G · Actual harm, one-off | The 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. |
| Apr 9, 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. |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Apr 9, 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. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jan 23, 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. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jan 23, 2025 | 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. |
| Nov 11, 2024 | ▲ 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 |
| Nov 11, 2024 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint |
| Nov 11, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Nov 11, 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. · from a complaint |
| Aug 6, 2024 | ▲ J · Immediate jeopardy, one-off | The 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. · from a complaint |
| Aug 6, 2024 | E · Potential for harm, repeated | 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 6, 2024 | E · Potential for harm, repeated | 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 |
| Aug 6, 2024 | 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 |
| Jan 8, 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. · from a complaint |
| Jan 8, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jan 8, 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. |
| Jan 8, 2024 | 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. |
| Jan 8, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jan 8, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 14 | 2 | J ▲ |
| 2025 | 5 | 0 | D |
| 2026 | 5 | 2 | G ▲ |
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 $32,856, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 11, 2024 | Fine | $16,055 |
| Aug 6, 2024 | Fine | $16,801 |
| Aug 6, 2024 | Payment Denial | 44 days from Sep 4, 2024 |
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) | 3.61 | 4.29 | 3.95 | bottom 30% in Wisconsin; bottom 42% in the U.S. |
| Registered Nurse hours | 0.51 | 1.01 | 0.69 | bottom 6% in Wisconsin; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.84 | 3.50 | bottom 34% in Wisconsin; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.68 | 0.48 | bottom 4% in Wisconsin; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 62.5 | 46.9 | 45.8 | bottom 16% in Wisconsin; bottom 13% in the U.S. |
| RN turnover (%) | 75.0 | 39.7 | 42.9 | bottom 6% in Wisconsin; bottom 9% 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 3.64, RN 0.51, weekend 3.32. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 03/01/2023 |
| Barney, Leigh | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Barney, Leigh | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/16/2026 |
| Conner, Gregory | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Corbin, Kathy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2015 |
| Davis, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Fightmaster, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Gahc3 Trilogy JV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2026 |
| Gahc4 Trilogy JV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2026 |
| Hoekstra, Ryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2025 |
| Hoekstra, Ryan | Individual | ADP of the SNF | NOT APPLICABLE | 02/05/2026 |
| Kuehn, Lucas | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Mehaffey, Todd | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Pietrowski, Cristina | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2026 |
| Pietrowski, Cristina | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
| Prosky, Danny | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2023 |
| Trilogy Investors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2026 |
| Trilogy Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/17/2025 |
| Trilogy Property Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2026 |
| Trilogy Real Estate Investment Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2026 |
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?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What mental health services do you provide on-site, and who delivers them?"
- "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 |
|---|---|---|---|---|---|
| Middleton Village Nursing and Rehab | 6.7 mi | Middleton, WI | ★☆☆☆☆ | 1/5 | |
| Capitol Lakes Health Center | 8.8 mi | Madison, WI | ★★★★☆ | 3/5 | |
| Oakwood Village East Health and Rehab Center | 9.2 mi | Madison, WI | ★★★☆☆ | 2/5 | |
| Madison Health and Rehabilitation Center | 9.8 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Dove Healthcare - Lodi | 10.0 mi | Lodi, WI | ★★★☆☆ | 3/5 | |
| Oak Park Place of Nakoma | 10.1 mi | Madison, WI | ★★★☆☆ | 3/5 | |
| Hebron Oaks | 10.7 mi | Madison, WI | ★★★★☆ | 3/5 | |
| Avina of Sun Prairie | 11.3 mi | Sun Prairie, WI | ★★★★★ | 4/5 | |
| Oak Park Nursing and Rehab Center | 11.4 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Complete Care at Maple Grove LLC | 12.2 mi | Madison, WI | ★☆☆☆☆ | 1/5 | |
| Sun Prairie Senior Living | 12.5 mi | Sun Prairie, WI | ★★★☆☆ | 3/5 | |
| Badger Prairie HCC | 13.6 mi | Verona, WI | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 525098.