Wisconsin › Marinette County › Niagara
Maryhill Manor
501 Madison Ave, Niagara, WI 54151
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Maryhill Manor, in Niagara, Wisconsin, is certified for 50 beds under non-profit, church related ownership.
CMS gives it 4 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (6, 5, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 36.0 per 100 beds, about the same as the state median of 31.8.
CMS lists 1 penalty in the period covered: fines totalling $51K.
Reported nurse staffing is 3.9 hours per resident per day (1.0 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 45.3%.
Compared with county, state and nation
| Measure | This facility | Marinette Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 17 | 21 | 28.7 |
| Citations per 100 beds | 36.0 | 31.3 | 31.8 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.7 | 4.0 | 3.9 |
| RN hours per resident day | 1.0 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | 45.3% | 45.3% | 46.2% | 45.8% |
| Fines listed | $50,606 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Mar 2026, 6 Nov 2024.
Severity mix: J ×1 D ×13 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Jul 2026 |
| 25 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 8 Apr 2026 |
| 25 Mar 2026 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 8 Apr 2026 |
| 25 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Apr 2026 |
| 4 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 26 Feb 2026 |
| 4 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Feb 2026 |
| 10 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 24 Mar 2025 |
| 10 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 24 Mar 2025 |
| 18 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 7 Jan 2025 |
| 6 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Nov 2024 |
| 6 Nov 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 18 Nov 2024 |
| 25 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 10 Jul 2024 |
| 25 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Jul 2024 |
| 25 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 10 Jul 2024 |
| 27 Sep 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 20 Oct 2023 |
| 27 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Oct 2023 |
| 27 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 20 Oct 2023 |
| 27 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jun 2024 | Fine | $50,606 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 45.3%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.9% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.2% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.6% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.1% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Maryhill Manor Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| First Bank Upper Michigan | 5% or greater mortgage interest | NOT APPLICABLE | 11/30/2022 |
| Healthdirect Institutional Pharmacy Services Inc | Operational/managerial control | NOT APPLICABLE | 06/01/2018 |
| Prime Time Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2019 |
| Up Rehab Services LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2018 |
| Wipfli LLP | Operational/managerial control | NOT APPLICABLE | 01/01/1999 |
| Healthdirect Institutional Pharmacy Services Inc | Adp of the snf | NOT APPLICABLE | 12/02/2025 |
| Prime Time Healthcare LLC | Adp of the snf | NOT APPLICABLE | 12/02/2025 |
| Up Rehab Services LLC | Adp of the snf | NOT APPLICABLE | 12/02/2025 |
| Wipfli LLP | Adp of the snf | NOT APPLICABLE | 12/02/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Marinette County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Rennes Health and Rehab Center-East | Peshtigo | 50 | 5 | 5 | 4 | 7 | 14.0 | — | 24 Mar 2026 |
| Rennes Health and Rehab Center-West | Peshtigo | 90 | 5 | 5 | 4 | 1 | 1.1 | — | 2 Oct 2024 |
| Newcare | Crivitz | 43 | 4 | 4 | 4 | 17 | 39.5 | — | 20 Aug 2025 |
| Luther Home | Marinette | 80 | 3 | 3 | 4 | 25 | 31.3 | — | 1 Jul 2026 |
All 5 facilities in Marinette County
Questions and answers
How many deficiencies has Maryhill Manor been cited for?
18 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Maryhill Manor been fined?
Yes. CMS lists fines totalling $51K in the period covered.
How does staffing at Maryhill Manor compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Maryhill Manor?
Ownership type is non-profit, church related. Organisations in the CMS ownership record include Healthdirect Institutional Pharmacy Services Inc, Prime Time Healthcare LLC and Up Rehab Services LLC. Individual owners and managers are not listed on this site.
When was Maryhill Manor last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 25 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.