Door County Memorial Hospital SNF
323 S 18th Ave, Sturgeon Bay, WI 54235
Door County Memorial Hospital SNF, a 32-bed non profit - corporation nursing facility in Sturgeon Bay, WI, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 9207435566
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- 4.78
- Well above average · nurse hrs/day · nat'l 3.89
- 8
- Inspection findings
- $0
- Federal penalties (0)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 525377
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 32
- Residents
- 31
- In Hospital
- Yes
- County
- Door
- Last Inspection
- Feb 19, 2025
Staffing Data
How the 4.78 total nursing hours per resident-day are staffed:
- RN Hours
- 1.76 (nat'l avg: 0.68)
- LPN Hours
- 0.17
- CNA Hours
- 2.85
- Total Nursing Hours
- 4.78 (nat'l avg: 3.89)
- PT Hours
- 0.01
- Nursing Turnover
- 48.8%
- RN Turnover
- 26.7%
What the CMS Record Reveals About Door County Memorial Hospital SNF
Door County Memorial Hospital SNF operates 32 certified beds in Sturgeon Bay, WI with approximately 31 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 5★).
The inspection file contains 8 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 4.78 total hours per resident day (national average 3.89); RN hours specifically are 1.76 per resident day.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Door County Memorial Hospital SNF falls into a category where comparative context matters. Reported nursing turnover at this facility is 48.8%, within a range generally associated with stable care teams.
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (8 most recent)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 23, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 25, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 27, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Jul 23, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 27, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Mar 12, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Feb 22, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 12, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.8% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 6.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 28.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 21.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Door County Memorial Hospital SNF?
What are the staffing levels at Door County Memorial Hospital SNF?
How many beds does Door County Memorial Hospital SNF have?
Does Door County Memorial Hospital SNF have any deficiencies on record?
Has Door County Memorial Hospital SNF received any fines or penalties?
Who owns Door County Memorial Hospital SNF?
When was Door County Memorial Hospital SNF last inspected?
What quality measures are tracked for Door County Memorial Hospital SNF?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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