Nursing homeActive
Maryhill Manor
501 Madison Ave, Niagara, WI 54151715251317250 certified beds · 48 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
18
● 0● 17● 1
Penalties · 3 yrs
$50,606
1 fine
Last survey
2026-06-16
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
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 |
|---|---|---|---|---|
| 2026-06-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-03-25 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2026-02-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-03-10 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-12-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-11-06 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-06-25 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2023-09-27 | Standard | 040 | 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.
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 2026-07-07Record 525467-20260616-F609
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 525467-20260325-F640
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 525467-20260325-F641
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-04-08Record 525467-20260325-F812
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-26Record 525467-20260204-F686
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-26Record 525467-20260204-F880
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 2025-03-24Record 525467-20250310-F580
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-24Record 525467-20250310-F657
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-07Record 525467-20241218-F583
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-18Record 525467-20241106-F812
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-18Record 525467-20241106-F883
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-10Record 525467-20240625-F600
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 2024-07-10Record 525467-20240625-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-10Record 525467-20240625-F610
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 2023-10-20Record 525467-20230927-F580
F803Ensure 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.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 525467-20230927-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 525467-20230927-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-11Record 525467-20230927-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-06-25 | Civil money penalty | $50,606 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.96
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day3.86
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.58
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover45%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover50%
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 | 2.3% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.1% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 7.2% | 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 | 14.9% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.8% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.4% | 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 |
|---|---|---|---|---|
| Baier, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brasure, Ann Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Crockford, Lynne Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Decker, Dan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ebli, Jim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Frantz, Lana Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fredrick, Audrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hayes, Paul Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Healthdirect Institutional Pharmacy Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Herriges, Rosemary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kaldor, Carrie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mattson, Ann Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Prime Time Healthcare LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pultz, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sikora, Christy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Up Rehab Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baier, Patricia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Baier, Patricia Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brasure, Ann Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Brasure, Ann Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Crockford, Lynne Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Crockford, Lynne Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Decker, Dan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Decker, Dan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ebli, Jim Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ebli, Jim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| First Bank Upper Michigan Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Frantz, Lana Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Frantz, Lana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fredrick, Audrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fredrick, Audrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hayes, Paul Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Healthdirect Institutional Pharmacy Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herriges, Rosemary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Herriges, Rosemary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kaldor, Carrie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mattson, Ann Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mattson, Ann Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Prime Time Healthcare LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pultz, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pultz, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sikora, Christy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Up Rehab Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wipfli LLP Organization | ADP OF THE SNF | 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 Marinette.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Optalis Health and Rehabilitation of Kingsford Kingsford | 4.2 mi | 2026-05-13 | 0464 |
| Freeman Nursing & Rehabilitation Community Kingsford | 4.7 mi | 2025-12-11 | 2171 |
| Florence Health Services Florence | 15.5 mi | 2026-04-08 | 1441 |
| Iron County Medical Care Facility Crystal Falls | 28.0 mi | 2026-06-24 | 1110 |
| Pinecrest Medical Care Facility Powers | 24.1 mi | 2025-07-17 | 0180 |
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 |