Nursing homeActive
Door County Memorial Hospital SNF
323 S 18TH Ave, Sturgeon Bay, WI 54235920743556632 certified beds · 31 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
9
● 0● 9● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-28
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-28 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-02 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2025-02-19 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-01-04 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-08Record 525377-20260428-F689
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-23Record 525377-20250702-F580
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-27Record 525377-20250702-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 525377-20250702-F610
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-23Record 525377-20250702-F842
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-22Record 525377-20250219-F580
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-12Record 525377-20250219-F755
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-27Record 525377-20250219-F880
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-12Record 525377-20240104-F610
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.59
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day4.78
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours4.58
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover64%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover39%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.9% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.9% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.8% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.4% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.7% | 16.9% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Alberts, Jamie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Andreae, Bradley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Antonio, Maria Chona Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bohrman, Nancy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Collison, Edgar Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dahl, Corwin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dempster, Dorene Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Erickson, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Helgeson, Erin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Helm, Pauline Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Jarosh, Jonathan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kitchens, Joel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Laluzerne, Andrew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rabas, Jeffrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rebhan, Joseph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Richmond, Andrew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| St Jean, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| St Vincent Hospital-Hospital Sisters-Third Order Of St Francis Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stephens, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sternard, Tammy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Urban, Caroline Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Vickman, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ziegelbauer, Martha Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Alberts, Jamie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Alberts, Jamie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Andreae, Bradley Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Andreae, Bradley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Antonio, Maria Chona Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bohrman, Nancy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Collison, Edgar Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Collison, Edgar Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dahl, Corwin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dahl, Corwin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dempster, Dorene Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dempster, Dorene Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Erickson, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Erickson, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Helgeson, Erin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Helgeson, Erin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Helm, Pauline Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Helm, Pauline Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Jarosh, Jonathan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jarosh, Jonathan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kitchens, Joel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kitchens, Joel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Laluzerne, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Laluzerne, Andrew Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rabas, Jeffrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rabas, Jeffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rebhan, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rebhan, Joseph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Richmond, Andrew Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Richmond, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| St Jean, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| St Jean, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| St Vincent Hospital-Hospital Sisters-Third Order Of St Francis Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stephens, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stephens, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sternard, Tammy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sternard, Tammy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Urban, Caroline Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vickman, Patricia Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vickman, Patricia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ziegelbauer, Martha Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ziegelbauer, Martha Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.
No county cost figures on file for Door.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Sturgeon Bay Health Services Sturgeon Bay | 1.1 mi | 2026-03-04 | 1111 |
| Amethyst Health of Algoma Algoma | 16.4 mi | 2026-03-25 | 1192 |
| Luther Home Marinette | 21.2 mi | 2026-07-01 | 0210 |
| Menominee Health Services Menominee | 23.8 mi | 2026-04-22 | 0110 |
| Kewaunee Health Services Kewaunee | 27.6 mi | 2025-04-08 | 020 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |