Elder Care Record

Wisconsin › Marathon County › Marshfield

Three Oaks Health Services

209 Wilderness View Drive, Marshfield, WI 54449

CCN 525684 · For-profit, limited liability company · 75 certified beds · chain North Shore 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.

Three Oaks Health Services, in Marshfield, Wisconsin, is certified for 75 beds under for-profit, limited liability company ownership and belongs to the North Shore Healthcare chain.

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 3.

Inspectors recorded 20 health deficiencies across the three most recent survey cycles (5, 12, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 26.7 per 100 beds, about the same as the state median of 31.8.

CMS lists 2 penalties in the period covered: fines totalling $32K.

Reported nurse staffing is 3.5 hours per resident per day (0.9 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 40.9%.

20health deficiencies, 3 survey cycles2 at actual harm or worse
$32Kfines listed by CMS2 penalties in period
3.5nurse hours per resident per daystate median 4.0
89%occupancy (residents ÷ beds)67 residents a day

Compared with county, state and nation

MeasureThis facilityMarathon Co. medianWisconsin medianUS average
Overall star rating2333.0
Health citations, 3 cycles20202128.7
Citations per 100 beds26.726.731.826.8
Total nurse hours per resident day3.54.14.03.9
RN hours per resident day0.91.20.90.7
Nursing staff turnover40.9%44.4%46.2%45.8%
Fines listed$31,778$15,939$0—

County and state figures are medians across facilities (8 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)5
Cycle 212
Cycle 33

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 12 Dec 2024.

Severity mix: J ×2 D ×11 E ×2 F ×5

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
5 Mar 2026F0814Dispose of garbage and refuse properly.FStandard survey3 Apr 2026
5 Mar 2026F0880Provide and implement an infection prevention and control program.FStandard survey3 Apr 2026
5 Mar 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey3 Apr 2026
17 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation16 Jan 2026
17 Dec 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint investigation16 Jan 2026
11 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation2 Apr 2025
11 Mar 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation2 Apr 2025
11 Mar 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation2 Apr 2025
11 Mar 2025F0758Implement 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 investigation2 Apr 2025
12 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Jan 2025
12 Dec 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey12 Jan 2025
12 Dec 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey12 Jan 2025
12 Dec 2024F0625Notify 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.EStandard survey12 Jan 2025
12 Dec 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey12 Jan 2025
12 Dec 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Jan 2025
12 Dec 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey12 Jan 2025
12 Dec 2024F0880Provide and implement an infection prevention and control program.DStandard survey12 Jan 2025
4 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation19 Feb 2024
1 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey17 Nov 2023
1 Nov 2023F0880Provide and implement an infection prevention and control program.DStandard survey17 Nov 2023

Penalties

DateTypeAmountDetail
11 Mar 2025Fine$17,345
4 Mar 2024Fine$14,433

Staffing

Total nursing3.51 h
Nurse aides2.06 h
LPN0.52 h
RN0.92 h
Weekend total3.05 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 40.9%, RNs 47.1%; 3 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 Stay23.8%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.9%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay24.6%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.3%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.0%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: Nsh Three Oaks Llc. Chain: North Shore Healthcare (59 facilities).

OrganisationRole in the CMS recordInterestSince
Nshc Wisconsin LLC5% or greater direct ownership interest100%12/01/2016
North Shore Healthcare LLC5% or greater indirect ownership interest100%12/01/2016
Cibc Bank USA5% or greater security interestNOT APPLICABLE12/31/2024
Cibc Bank USAOperational/managerial controlNOT APPLICABLE12/31/2024
Cliftonlarsonallen LLPOperational/managerial controlNOT APPLICABLE05/22/2018
Continuum Therapy Partners LLCOperational/managerial controlNOT APPLICABLE03/01/2025
North Shore Healthcare LLCOperational/managerial controlNOT APPLICABLE12/01/2016
Nsh Rehab LLCOperational/managerial controlNOT APPLICABLE03/01/2025
Wipfli LLPOperational/managerial controlNOT APPLICABLE02/01/2025
Beverly Enterprises - Wisconsin IncAdp of the snfNOT APPLICABLE12/01/2016
Cliftonlarsonallen LLPAdp of the snfNOT APPLICABLE10/20/2025
Continuum Therapy Partners LLCAdp of the snfNOT APPLICABLE04/14/2025
North Shore Healthcare LLCAdp of the snfNOT APPLICABLE04/14/2025
Nsh Rehab LLCAdp of the snfNOT APPLICABLE06/13/2025
Nshc Wisconsin LLCAdp of the snfNOT APPLICABLE05/14/2025
Wipfli LLPAdp of the snfNOT APPLICABLE02/01/2025

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 Marathon County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Pride Tlc Therapy and Living CampusWeston25555832.0—16 Jul 2025
Rennes Health and Rehab Center-WestonWeston13055486.2—15 May 2025
Wausau Manor Health ServicesWausau683341420.6—2 Oct 2025
Wood Aven Health and RehabilitationWausau823341720.7—27 May 2026
Abbotsford Health Care CenterAbbotsford782234557.7$16K29 Jun 2026
North Central Health CareWausau1592232012.6$56K17 Mar 2026
Amethyst Health of Wausauabuse iconSFF CandidateWausau801134556.3$35K6 Nov 2025

All 8 facilities in Marathon County

Questions and answers

How many deficiencies has Three Oaks Health Services been cited for?

20 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Three Oaks Health Services been fined?

Yes. CMS lists fines totalling $32K in the period covered.

How does staffing at Three Oaks Health Services 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 Three Oaks Health Services?

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

When was Three Oaks Health Services last inspected?

The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 5 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.