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Door County Memorial Hospital Snf

323 S 18th Ave, Sturgeon Bay, WI 54235
9207435566
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Overall CMS Rating

5.0/5

vs State Average: 3.0 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

5.0/5

Staffing Level

vs State Average: 3.7/5

5.0/5

Quality Measures

vs State Average: 3.1/5

0 penalties in last 3 years
Penalties
vs State Average: 1.2 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Jul 2, 2025 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Jul 2, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D
Jul 2, 2025 Respond appropriately to all alleged violations. E
Jul 2, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D
Feb 19, 2025 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Score
5.0
State Average
3.7
National Average
2.9
1.8 RN Hours / Resident / Day
4.8 Total Nurse Hours / Resident / Day
26.7% RN Turnover Rate
Score
5.0
State Average
3.1
National Average
3.6
5.0 Long-Stay QM Rating
Short-Stay QM Rating
31.4 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
OPERATIONAL/MANAGERIAL CONTROL ALBERTS, JAMIE
OPERATIONAL/MANAGERIAL CONTROL ANDREAE, BRADLEY
OPERATIONAL/MANAGERIAL CONTROL ANTONIO, MARIA CHONA
OPERATIONAL/MANAGERIAL CONTROL BOHRMAN, NANCY
OPERATIONAL/MANAGERIAL CONTROL COLLISON, EDGAR
OPERATIONAL/MANAGERIAL CONTROL CONROY, BERNADETTE
OPERATIONAL/MANAGERIAL CONTROL DAHL, CORWIN
OPERATIONAL/MANAGERIAL CONTROL DEMPSTER, DORENE
OPERATIONAL/MANAGERIAL CONTROL ERICKSON, ROBERT
Recent Penalties

No penalty records found.

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