Wood Aven Health and Rehabilitation

Name: Wood Aven Health and Rehabilitation
Address: 1821 N 4TH AVE, Wausau, WI, 54401, US
Telephone: 7156759451

1821 N 4th Ave, Wausau, WI 54401 · Marathon County · 82 certified beds · avg 71 residents/day · certified since Jan 1, 1993

Part of chain: THE ENSIGN GROUP (342 facilities, chain avg rating 3.2★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.37

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 8, 2025 · 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: Jan 27, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (17)

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
May 27, 2026	D · Potential for harm, one-off	The 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. · from a complaint
Apr 1, 2026	E · Potential for harm, repeated	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).
Apr 1, 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 1, 2026	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.
Apr 1, 2026	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.
Apr 1, 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.
Apr 1, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 1, 2026	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.
Apr 1, 2026	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.
Apr 1, 2026	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.
Dec 23, 2025	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
Mar 26, 2025	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
Jan 8, 2025	▲ 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.
Jan 8, 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.
Jan 8, 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.
Nov 30, 2023	D · Potential for harm, 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.
Nov 30, 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 increased between the last two inspection cycles (3 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	0	D
2025	5	1	G ▲
2026	10	0	E

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)	4.37	4.29	3.95	top 41% in Wisconsin; top 27% in the U.S.
Registered Nurse hours	1.30	1.01	0.69	top 20% in Wisconsin; top 7% in the U.S.
Weekend total nurse staffing	3.68	3.84	3.50	top 49% in Wisconsin; top 34% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.78	0.68	0.48	top 30% in Wisconsin; top 12% in the U.S.
Total nursing staff turnover (%)	60.2	46.9	45.8	bottom 19% in Wisconsin; bottom 16% in the U.S.
RN turnover (%)	50.0	39.7	42.9	bottom 36% in Wisconsin; bottom 39% 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 3.90, RN 1.16, weekend 3.29. Staffing rating: 4/5.

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 - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Brauer, Amy	Individual	Corporate Officer	NOT APPLICABLE	07/25/2024
Burnam, Soon	Individual	Corporate Officer	NOT APPLICABLE	07/25/2024
Jorgensen, David	Individual	Corporate Officer	NOT APPLICABLE	07/25/2024
Nichols, Steven	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/01/2024
Nichols, Steven	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Nichols, Steven	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Sato, Ami	Individual	Corporate Officer	NOT APPLICABLE	09/09/2024
Spaulding, Jared	Individual	Managing Control - Governing Body	NOT APPLICABLE	11/27/2024
Spaulding, Jared	Individual	Operational/Managerial Control	NOT APPLICABLE	11/27/2024
Spaulding, Jared	Individual	ADP of the SNF	NOT APPLICABLE	03/14/2025

Questions to ask on your visit

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?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"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
Amethyst Health of Wausau	1.6 mi	Wausau, WI	★☆☆☆☆	1/5	abuseSFF
Wausau Manor Health Services	2.2 mi	Wausau, WI	★★★☆☆	3/5
North Central Health Care	2.8 mi	Wausau, WI	★★☆☆☆	2/5
Rennes Health and Rehab Center-Weston	7.3 mi	Weston, WI	★★★★★	5/5
Pride TLC Therapy and Living Campus	7.7 mi	Weston, WI	★★★★★	5/5
Pine Crest Health and Memory Care	13.6 mi	Merrill, WI	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Wausau →

Facility data as of CMS processing date 2026-08-01. CCN 525503.

The Care File

Visit checklist — Wood Aven Health and Rehabilitation

1821 N 4th Ave, Wausau, WI 54401 · 7156759451

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

Most serious findings on record:

▲ Jan 8, 2025 (F-0684, 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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "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 525503 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)