Elder Care Record

Wisconsin › Washington County › Slinger

Pavilion At Glacier Valley

1900 American Eagle Drive, Slinger, WI 53086

CCN 525461 · For-profit, limited liability company · 106 certified beds · chain Fundamental Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 106 beds, Pavilion At Glacier Valley serves Slinger in Washington County, Wisconsin and has taken Medicare and Medicaid residents since 1989.

CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 3 and quality measures 2.

Inspectors recorded 46 health deficiencies across the three most recent survey cycles (11, 13, 22 by cycle, most recent first), none at the actual-harm level. That is 43.4 per 100 beds, more than the state median of 31.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 49.3%.

46health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.5nurse hours per resident per daystate median 4.0
70%occupancy (residents ÷ beds)74 residents a day

Compared with county, state and nation

MeasureThis facilityWashington Co. medianWisconsin medianUS average
Overall star rating2433.0
Health citations, 3 cycles46462128.7
Citations per 100 beds43.443.431.826.8
Total nurse hours per resident day3.54.94.03.9
RN hours per resident day0.61.30.90.7
Nursing staff turnover49.3%57.1%46.2%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (4 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 213
Cycle 322

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Feb 2026, 12 Nov 2024.

Severity mix: D ×37 E ×5 F ×3 C ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
11 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation25 Jun 2026
11 Jun 2026F0732Post nurse staffing information every day.CComplaint investigation1 Jul 2026
17 Feb 2026F0803Ensure 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.FStandard survey12 Mar 2026
17 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Mar 2026
17 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Mar 2026
17 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Mar 2026
17 Feb 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey12 Mar 2026
17 Feb 2026F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey12 Mar 2026
17 Feb 2026F0880Provide and implement an infection prevention and control program.DStandard survey12 Mar 2026
8 Oct 2025F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint investigation5 Dec 2025
8 Aug 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation29 Aug 2025
12 Nov 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey6 Dec 2024
12 Nov 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey6 Dec 2024
12 Nov 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation6 Dec 2024
12 Nov 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey6 Dec 2024
12 Nov 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey6 Dec 2024
12 Nov 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey6 Dec 2024
12 Nov 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey6 Dec 2024
12 Nov 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard survey6 Dec 2024
12 Nov 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey6 Dec 2024
12 Nov 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey6 Dec 2024
12 Nov 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation6 Dec 2024
12 Nov 2024F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DStandard survey6 Dec 2024
12 Nov 2024F0880Provide and implement an infection prevention and control program.DStandard survey6 Dec 2024
10 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation5 Aug 2024
10 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation5 Aug 2024
10 Jul 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint investigation5 Aug 2024
10 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation5 Aug 2024
10 Jul 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation5 Aug 2024
16 Jan 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint investigation5 Feb 2024
16 Jan 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation5 Feb 2024
13 Dec 2023F0880Provide and implement an infection prevention and control program.EStandard survey8 Jan 2024
13 Dec 2023F0551Give the resident's representative the ability to exercise the resident's rights.DStandard survey5 Jan 2024
13 Dec 2023F0610Respond appropriately to all alleged violations.DComplaint investigation8 Jan 2024
13 Dec 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey8 Jan 2024
13 Dec 2023F0641Ensure each resident receives an accurate assessment.DStandard survey8 Jan 2024
13 Dec 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey8 Jan 2024
13 Dec 2023F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard survey18 Dec 2023
13 Dec 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey5 Jan 2024
13 Dec 2023F0760Ensure that residents are free from significant medication errors.DStandard survey5 Jan 2024
4 Oct 2023F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint investigation27 Oct 2023
4 Oct 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation27 Oct 2023
4 Oct 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation27 Oct 2023
4 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation27 Oct 2023
4 Oct 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation27 Oct 2023
4 Oct 2023F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DComplaint investigation27 Oct 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.49 h
Nurse aides2.09 h
LPN0.76 h
RN0.65 h
Weekend total3.22 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 49.3%, RNs 28.6%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.8%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.6%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.6%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay40.6%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.8%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.4%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: for-profit, limited liability company. Legal business name: Thi Of Wisconsin At Hartford, Llc. Chain: Fundamental Healthcare (66 facilities).

OrganisationRole in the CMS recordInterestSince
Thi of Wisconsin, LLC5% or greater direct ownership interest100%08/30/2003

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 Washington County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Cedar Lake Health and Rehab CenterWest Bend755451418.7—24 Jun 2026
Complete Care At GermantownGermantown1214421814.9—5 Mar 2025
Samaritan Nursing and Rehababuse iconWest Bend1311146549.6$210K18 May 2026

All 4 facilities in Washington County

Questions and answers

How many deficiencies has Pavilion At Glacier Valley been cited for?

46 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Pavilion At Glacier Valley been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Pavilion At Glacier Valley compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Pavilion At Glacier Valley?

It is part of the Fundamental Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Thi of Wisconsin, LLC. Individual owners and managers are not listed on this site.

When was Pavilion At Glacier Valley last inspected?

The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 17 Feb 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.