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DOOR COUNTY MEMORIAL HOSPITAL SNF

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DOOR COUNTY MEMORIAL HOSPITAL SNF is a non profit - corporation facility in STURGEON BAY, WI with 32 certified beds and a 5-star overall CMS rating. The facility has 8 deficiency records on file.

323 S 18TH AVE, STURGEON BAY, WI 54235

Phone: 9207435566

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

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

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. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (5★). 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.

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. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.78 total nursing hours per resident day (national average 3.89), with RN coverage at 1.76 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

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. 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. Reported nursing turnover at this facility is 48.8%, within a range generally associated with stable care teams. 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)

D — Isolated - Minimal harm Jul 2, 2025 Tag: 0842

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

E — Pattern - Minimal harm Jul 2, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 25, 2025

D — Isolated - Minimal harm Jul 2, 2025 Tag: 0609

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

D — Isolated - Minimal harm Jul 2, 2025 Tag: 0580

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

E — Pattern - Minimal harm Feb 19, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 27, 2025

D — Isolated - Minimal harm Feb 19, 2025 Tag: 0755

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

D — Isolated - Minimal harm Feb 19, 2025 Tag: 0580

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

E — Pattern - Minimal harm Jan 4, 2024 Tag: 0610

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 who lose too much weight Long Stay 1.2% No
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 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 experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.0% Yes
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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 1.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 21.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for DOOR COUNTY MEMORIAL HOSPITAL SNF?
DOOR COUNTY MEMORIAL HOSPITAL SNF has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at DOOR COUNTY MEMORIAL HOSPITAL SNF?
DOOR COUNTY MEMORIAL HOSPITAL SNF reports 4.78 total nursing hours per resident day (national average: 3.89). RN hours are 1.76 per resident day (national average: 0.68). Nursing staff turnover is 48.8%.
How many beds does DOOR COUNTY MEMORIAL HOSPITAL SNF have?
DOOR COUNTY MEMORIAL HOSPITAL SNF has 32 certified beds with approximately 31 residents. The facility is located at 323 S 18TH AVE, STURGEON BAY, WI 54235.
Does DOOR COUNTY MEMORIAL HOSPITAL SNF have any deficiencies on record?
Yes, DOOR COUNTY MEMORIAL HOSPITAL SNF has 8 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has DOOR COUNTY MEMORIAL HOSPITAL SNF received any fines or penalties?
No, DOOR COUNTY MEMORIAL HOSPITAL SNF has no fines or penalties on record.
Who owns DOOR COUNTY MEMORIAL HOSPITAL SNF?
DOOR COUNTY MEMORIAL HOSPITAL SNF is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was DOOR COUNTY MEMORIAL HOSPITAL SNF last inspected?
The most recent health inspection for DOOR COUNTY MEMORIAL HOSPITAL SNF was on Feb 19, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for DOOR COUNTY MEMORIAL HOSPITAL SNF?
DOOR COUNTY MEMORIAL HOSPITAL SNF is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

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.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial