Serenity Spring Senior Living at Scandia VillageCMS ratings, inspections and fines
- Address
- 10560 Applewood Rd, Sister Bay, WI 54234
- CCN
- 525494
- Ownership type
- For-profit, limited liability company
- Certified beds
- 50
- Chain
- Continuum Healthcare
- Residents per day
- 42
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Serenity Spring Senior Living at Scandia Village an overall rating of 2 of 5 stars. The last standard survey was on 3 Jun 2026. The latest survey cycle has 16 health citations. The median for nursing homes in Wisconsin is 7. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Door County median | Wisconsin median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 323 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wisconsin median |
|---|---|---|---|
| Cycle 1 (latest) | 3 Jun 2026 | 16 | 7 |
| Cycle 2 | 7 May 2025 | 14 | 7 |
| Cycle 3 | No date | 18 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Jun 2026 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Standard survey | 1 Jul 2026 |
| 3 Jun 2026 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 1 Jul 2026 |
| 3 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Jul 2026 |
| 3 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 Jul 2026 |
| 3 Jun 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 1 Jul 2026 |
| 3 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Jul 2026 |
| 3 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Jul 2026 |
| 3 Jun 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 1 Jul 2026 |
| 3 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 1 Jul 2026 |
| 3 Jun 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 1 Jul 2026 |
| 3 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Jul 2026 |
| 3 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Jul 2026 |
| 3 Jun 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 1 Jul 2026 |
| 10 Feb 2026 | 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 | 7 Mar 2026 |
| 10 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 1 Jul 2026 |
| 10 Feb 2026 | 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. | E | Complaint investigation | 7 Mar 2026 |
Survey cycle 2: 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0585 | Honor 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. | D | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 7 Jun 2025 |
| 7 May 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 | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 7 Jun 2025 |
| 7 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Jun 2025 |
| 17 Sep 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 17 Oct 2024 |
| 17 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Oct 2024 |
| 17 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Oct 2024 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0758 | Implement 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. | D | Standard survey | 24 May 2024 |
| 24 Apr 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 | 24 May 2024 |
| 24 Apr 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 24 May 2024 |
| 24 Apr 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 24 May 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 10 Feb 2026 | Payment denial | 131 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wisconsin median | Wisconsin average (CMS) |
|---|---|---|---|
| All nurse staff | 3.45 | 4.00 | 4.21 |
| Registered nurses (RN) | 0.65 | 0.90 | 0.99 |
| Licensed practical nurses (LPN) | 0.58 | 0.64 | |
| Nurse aides | 2.22 | 2.58 | |
| All nurse staff, weekends | 2.94 | 3.60 | 3.77 |
- Nurse staff turnover in a year
- 70.4%
- Nurse staff turnover, Wisconsin median
- 46.2%
- RN turnover in a year
- 58.3%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.6% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.4% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 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 | 17.3% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.3% | 14.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Setting
- Continuing care retirement community
- Legal business name
- Sister Bay SNF Opco, LLC
- Chain
- Continuum Healthcare (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Scandia Village Member LLC | Direct ownership interest | 25 Jan 2024 | |
| Sister Bay SNF Realty LLC | 5% or greater mortgage interest | 25 Jan 2024 | |
| Continuum Healthcare I Inc | Operational/managerial control | 1 Jun 2023 | |
| Fasten Halberstam LLP | Operational/managerial control | 25 Jan 2024 | |
| Wipfli Advisory LLC | Operational/managerial control | 25 Nov 2024 | |
| Continuum Healthcare I Inc | Adp of the snf | 6 Nov 2025 | |
| Fasten Halberstam LLP | Adp of the snf | 17 Nov 2025 | |
| Grape Tree Medical Staffing LLC | Adp of the snf | 1 Jun 2023 | |
| Scandia Village Member LLC | Adp of the snf | 25 Jan 2024 | |
| Sister Bay SNF Realty LLC | Adp of the snf | 25 Jan 2024 | |
| Wipfli Advisory LLC | Adp of the snf | 17 Nov 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Door County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Door County Memorial Hospital SNF | Sturgeon Bay | 5 of 5 | 1 | $0 | 28 Apr 2026 | |
| Sturgeon Bay Health Services | Sturgeon Bay | 3 of 5 | 2 | $0 | 4 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Serenity Spring Senior Living at Scandia Village (CCN 525494). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/serenity-spring-senior-living-at-scandia-village-sister-bay-wi-525494/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Serenity Spring Senior Living at Scandia Village last inspected?
- The latest inspection with a citation in the CMS record was on 3 Jun 2026. It was a standard survey and a complaint investigation. It gave 13 citations. The standard survey before the last one was on 7 May 2025.
- Who operates Serenity Spring Senior Living at Scandia Village?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Continuum Healthcare. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is Serenity Spring Senior Living at Scandia Village a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.