Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 1 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
VILLA PINES LIVING CENTER
201 PARK ST
(608
) 339-3
361
(608
) 339-9
468
SARA NILES
ADAMS
Southern
Lic. 3089
Skilled Care
50 Beds 525351
Title 18 SNF Title 19 NFFRIENDSHIP, WI 53934
COMPLETE CARE AT VILLA PINES LLC
(LIMITED LIABILITY COMPANY)
ASHLAND HEALTH SERVICES
1319 BEASER AVE
(715
) 682-3
468
(715
) 682-8
872
KAITLYN WIEZOREK
ASHLAND
Northwestern
Lic. 3204
Skilled Care
117 Beds 525386
Title 18 SNF Title 19 NFASHLAND, WI 54806
NSH ASHLAND LLC (FOR PROFIT
CORPORATION)
COURT MANOR HEALTH SERVICES
911 3RD ST WEST
(715
) 682-8
172
(715
) 682-6
662
RHONDA O'DOVERO
ASHLAND
Northwestern
Lic. 2731
Skilled Care
50 Beds 525328
Title 18 SNF Title 19 NFASHLAND, WI 54806
NSH COURT MANOR LLC (LIMITED LIABILITY
COMPANY)
BARRON CARE AND REHABILITATION
660 E BIRCH AVE
(715
) 537-5
643
(715
) 537-5
911
LEN FAST
BARRON
Northwestern
Lic. 3038
Skilled Care
50 Beds 525648
Title 18 SNF Title 19 NFBARRON, WI 54812
SENIOR MANAGEMENT, INC. (FOR PROFIT
CORPORATION)
MEADOWBROOK AT CHETEK
725 KNAPP ST
(715
) 924-4
891
(715
) 924-4
896
JENNIFER BOHL
BARRON
Northwestern
Lic. 1038
Skilled Care
97 Beds 525672
Title 18 SNF Title 19 NFCHETEK, WI 54728
CHETEK NURSING AND REHAB LLC (FOR
PROFIT CORPORATION)
CARE AND REHAB - CUMBERLAND
1100 7TH AVE
(715
) 822-7
050
(715
) 822-7
051
KRISTIN VOELTZ
BARRON
Northwestern
Lic. 952
Skilled Care
50 Beds 525712
Title 18 SNF Title 19 NFCUMBERLAND, WI 54829
CUMBERLAND CARE AND REHAB, INC (FOR
PROFIT CORPORATION)
HERITAGE LAKESIDE
1016 LAKESHORE DR
(715
) 234-9
101
(715
) 234-4
021
JOSEPH GATES
BARRON
Northwestern
Lic. 2462
Skilled Care
90 Beds 525654
Title 18 SNF Title 19 NFRICE LAKE, WI 54868
RICE LAKE REHABILITATION AND CARE
CENTER LLC (FOR PROFIT CORPORATION)
RICE LAKE REHABILITATION AND NURSING CENTER
LLC
910 BEAR PAW AVE
(715
) 234-2
604
(715
) 234-2
605
HANNAH OVERLIEN
BARRON
Northwestern
Lic. 2021
Skilled Care
50 Beds 525715
Title 18 SNF Title 19 NFRICE LAKE, WI 54868
RICE LAKE REHABILITATION AND NURSING
CENTER LLC (FOR PROFIT CORPORATION)
NORTHERN LIGHTS HEALTH CARE CENTER
706 BRATLEY DR
(715
) 373-5
621
(715
) 373-1
006
CONNOR DOPPLER
BAYFIELD
Northwestern
Lic. 2624
Skilled Care
50 Beds 525567
Title 18 SNF Title 19 NFWASHBURN, WI 54891
NORTHERN LIGHTS SERVICES, INC.
(NONPROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 2 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
RENNES HEALTH AND REHAB CENTER-DEPERE
200 S NINTH ST
(920) 336-5680
(920) 336-5882
CHARITY BESCHTA
BROWN
Northeastern
Lic. 2860
Skilled Care
137 Beds 525573
Title 18 SNF Title 19 NFDE PERE, WI 54115
TDR INC (FOR PROFIT CORPORATION)
BROWN COUNTY COMMUNITY TREATMENT CENTER-
BAYSHORE VILLAGE
3150 GERSHWIN DRIVE
(920) 391-4700
(920) 391-4872
KARA GRUBER
BROWN
Northeastern
Lic. 2405
Skilled Care
63 Beds 525693
Title 18 SNF Title 19 NFGREEN BAY, WI 54311
BROWN COUNTY (GOVERNMENT COUNTY)
CROSSROADS CARE CENTER OF WEST GREEN BAY
1760 SHAWANO AVE
(920) 499-5191
(866) 800-9258
AMANDA KACZROUSKE
BROWN
Northeastern
Lic. 2745
Skilled Care
105 Beds 525232
Title 18 SNF Title 19 NFGREEN BAY, WI 54303
CCC OF WEST GREEN BAY (FOR PROFIT
CORPORATION)
EDENBROOK OF GREEN BAY
2961 ST ANTHONY DR
(920) 468-0861
(920) 468-5897
MEGAN DENNISON
BROWN
Northeastern
Lic. 2680
Skilled Care
90 Beds 525307
Title 18 SNF Title 19 NFGREEN BAY, WI 54311
PARKVIEW NURSING AND REHAB, LLC (FOR
PROFIT CORPORATION)
GRANCARE NURSING CENTER
1555 DOUSMAN ST
(920) 494-4525
(920) 494-2816
BRITTANY COBB
BROWN
Northeastern
Lic. 3131
Skilled Care
64 Beds 525486
Title 18 SNF Title 19 NFGREEN BAY, WI 54303
ZUNKER HEALTH CARE INC (FOR PROFIT
CORPORATION)
GREEN BAY HEALTH SERVICES
1640 SHAWANO AVE
(920) 499-5177
(920) 499-6035
KRISTIN MOLSKI
BROWN
Northeastern
Lic. 2911
Skilled Care
125 Beds 525342
Title 18 SNF Title 19 NFGREEN BAY, WI 54303
NSH GREEN BAY LLC (LIMITED LIABILITY
COMPANY)
ODD FELLOW HOME
1229 S JACKSON ST
(920) 437-6523
(920) 437-9896
DAN-A KOHN
BROWN
Northeastern
Lic. 2544
Skilled Care
88 Beds 525559
Title 18 SNF Title 19 NFGREEN BAY, WI 54301
ODD FELLOW REBEKAH HOME ASSOCIATION
INC (NONPROFIT CORPORATION)
WOODSIDE LUTHERAN HOME
1040 PILGRIM WAY
(920) 499-1481
(920) 499-1501
LISA GERVAIS
BROWN
Northeastern
Lic. 2177
Skilled Care
130 Beds 525557
Title 18 SNF Title 19 NFGREEN BAY, WI 54304
BAY AREA LUTHERAN HOMES INC
(NONPROFIT CHURCH/CORP)
ANNA JOHN RESIDENT CENTERED CARE COMMUNITY
2901 SOUTH OVERLAND ROAD
(920) 869-2797
(920) 869-6790
DAVID LARSON
BROWN
Northeastern
Lic. 2553
Skilled Care
48 Beds 525695
Title 18 SNF Title 19 NFONEIDA, WI 54155
ONEIDA TRIBE OF INDIANS OF WISC INC
(GOVERNMENT FEDERAL)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 3 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
AMERICAN LUTHERAN HOME-MONDOVI
200 MEMORIAL DR
(715) 926-4962
(715) 926-3933
TONYA LISOWSKI
BUFFALO
Northwestern
Lic. 3223
Skilled Care
35 Beds 525383
Title 18 SNF Title 19 NFMONDOVI, WI 54755
AMERICAN LUTHERAN HOMES INC
(NONPROFIT CHURCH/CORP)
BURNETT MEDICAL CENTER
257 W ST GEORGE AVE
(715) 463-5353
(715) 463-2423
GORDON LEWIS
BURNETT
Northwestern
Lic. 2197
Skilled Care
50 Beds 525558
Title 18 SNF Title 19 NFGRANTSBURG, WI 54840
BURNETT MEDICAL CENTER INC
(NONPROFIT CORPORATION)
HOMESTEAD HEALTH SERVICES
1712 MONROE ST
(920) 898-4296
(920) 898-4931
NIKOLL FRIET
CALUMET
Northeastern
Lic. 2366
Skilled Care
50 Beds 525546
Title 18 SNF Title 19 NFNEW HOLSTEIN, WI 53061
NSH NEW HOLSTEIN-MONROE LLC (FOR
PROFIT CORPORATION)
WILLOWDALE HEALTH SERVICES
1610 HOOVER ST
(920) 898-5706
(920) 898-5664
CYNTHIA KILGAS
CALUMET
Northeastern
Lic. 2246
Skilled Care
49 Beds 525411
Title 18 SNF Title 19 NFNEW HOLSTEIN, WI 53061
NSH NEW HOLSTEIN LLC (LIMITED LIABILITY
COMPANY)
DOVE HEALTHCARE - BLOOMER
2217 DUNCAN ROAD
(715) 568-9770
(715) 568-9772
ERICA SALSBURY
CHIPPEWA
Northwestern
Lic. 2028
Skilled Care
50 Beds 525479
Title 18 SNF Title 19 NFBLOOMER, WI 54724
BLOOMER REHABILITATION AND NURSING
CENTER LLC (FOR PROFIT CORPORATION)
MEADOWBROOK AT BLOOMER
1840 PRIDDY ST
(715) 568-2503
(715) 568-2518
KAIYA SHRADER
CHIPPEWA
Northwestern
Lic. 2807
Skilled Care
31 Beds 525580
Title 18 SNF Title 19 NFBLOOMER, WI 54724
BLOOMER NURSING AND REHAB (FOR
PROFIT CORPORATION)
CHIPPEWA MANOR NURSING AND REHABILITATION
222 CHAPMAN RD
(715) 723-4437
(715) 723-0524
JILL GENGLER
CHIPPEWA
Northwestern
Lic. 2627
Skilled Care
50 Beds 525419
Title 18 SNF Title 19 NFCHIPPEWA FALLS, WI 54729
CHIPPEWA MANOR NURSING AND
REHABILITATION CORP (FOR PROFIT
CORPORATION)
DOVE HEALTHCARE - REGIONAL VENT CENTER
2815 COUNTY HIGHWAY I
(715) 723-9341
(715) 723-3376
CAYCI WATHKE
CHIPPEWA
Northwestern
Lic. 3168
Skilled Care
40 Beds 525379
Title 18 SNF Title 19 NFCHIPPEWA FALLS, WI 54729
REGIONAL VENT CENTER LLC (FOR PROFIT
CORPORATION)
WI VETERANS HOME AT CHIPPEWA FALLS
2175 E PARK AVE
(715) 720-6775
(715) 720-6672
KATIE PLENDL
CHIPPEWA
Northwestern
Lic. 5039
Skilled Care
72 Beds 525708
Title 18 SNF Title 19 NFCHIPPEWA FALLS, WI 54729
STATE OF WI DEPT OF VETERANS AFFAIRS
(GOVERNMENT STATE)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 4 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
CORNELL HEALTH SERVICES
320 N 7TH ST
(715) 239-6288
(715) 239-6608
ALEXANDRIA MCCONNELL
CHIPPEWA
Northwestern
Lic. 3216
Skilled Care
50 Beds 525637
Title 18 SNF Title 19 NFCORNELL, WI 54732
NSH CORNELL LLC (LIMITED LIABILITY
COMPANY)
OCOEE COLBY HEALTHCARE CENTER LLC
702 W DOLF ST
(715) 223-2352
(715) 223-3972
TRUDY ERICKSON
CLARK
Northwestern
Lic. 3080
Skilled Care
70 Beds 525350
Title 18 SNF Title 19 NFCOLBY, WI 54421
OCOEE COLBY HEALTHCARE CENTER LLC
(LIMITED LIABILITY COMPANY)
CLARK COUNTY REHABILITATION & LIVING CENTER
W4266 COUNTY HIGHWAY X
(715) 229-2172
(715) 229-0228
JANE SCHMITZ
CLARK
Northwestern
Lic. 2387
Skilled Care
172 Beds 525403
Title 18 SNF Title 19 NFOWEN, WI 54460
WOODLAND ENHANCED HEALTH SERVICES
COMMISSION (GOVERNMENT COUNTY)
OAKBROOK HEALTH AND REHABILITATION
206 W PROSPECT ST
(715) 669-5321
(715) 669-5223
TRACY SCHULTZE
CLARK
Northwestern
Lic. 2983
Skilled Care
58 Beds 525472
Title 18 SNF Title 19 NFTHORP, WI 54771
THORP NURSING HOME INC (FOR PROFIT
CORPORATION)
COLUMBUS HEALTH AND REHAB
825 WESTERN AVE
(920) 623-2520
(920) 623-0579
BRENDA REIERSON
COLUMBIA
Southern
Lic. 3116
Skilled Care
50 Beds 525445
Title 18 SNF Title 19 NFCOLUMBUS, WI 53925
COLUMBUS OPERATOR, LLC (LIMITED
LIABILITY COMPANY)
DOVE HEALTHCARE - LODI
700 CLARK ST
(608) 592-3241
(608) 592-3293
ANN MARIE KUTZKE
COLUMBIA
Southern
Lic. 2086
Skilled Care
50 Beds 525520
Title 18 SNF Title 19 NFLODI, WI 53555
DIVINE REHABILITATION AND NURSING AT
LODI LLC (FOR PROFIT CORPORATION)
WISCONSIN DELLS HEALTH SERVICES
300 RACE ST
(608) 254-2574
(608) 253-7411
JORDYN HAMMERLY
COLUMBIA
Southern
Lic. 2875
Skilled Care
90 Beds 525391
Title 18 SNF Title 19 NFWISCONSIN DELLS, WI 53965
NSH WISCONSIN DELLS LLC (LIMITED
LIABILITY COMPANY)
COLUMBIA HEALTH CARE CENTER
323 W MONROE ST
(608) 429-2181
(608) 429-2281
AMY YAMRISKA
COLUMBIA
Southern
Lic. 2418
Skilled Care
95 Beds 525372
Title 18 SNF Title 19 NFWYOCENA, WI 53969
COLUMBIA COUNTY (GOVERNMENT COUNTY)
PRAIRIE MAISON
700 SOUTH FREMONT
(608) 326-8471
(608) 326-3205
RITA MOORE
CRAWFORD
Southern
Lic. 3170
Skilled Care
50 Beds 525525
Title 18 SNF Title 19 NFPRAIRIE DU CHIEN, WI 53821
PRAIRIE NURSING FACILITY LLC (LIMITED
LIABILITY COMPANY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 5 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
SOLDIERS GROVE HEALTH SERVICES
101 SUNSHINE BLVD
(608) 624-5244
(608) 624-3478
STEVEN BARGAR
CRAWFORD
Southern
Lic. 2607
Skilled Care
50 Beds 525622
Title 18 SNF Title 19 NFSOLDIERS GROVE, WI 54655
NSH SOLDIERS GROVE LLC (LIMITED
LIABILITY COMPANY)
HEARTLAND COUNTRY VILLAGE
634 CENTER ST
(608) 767-2572
(608) 767-2565
BRITTANY PAULUS
DANE
Southern
Lic. 2944
Skilled Care
50 Beds 525521
Title 18 SNF Title 19 NFBLACK EARTH, WI 53515
BENCHMARK HEALTHCARE OF DANE CO INC
(NONPROFIT OTHER)
CAPITOL LAKES HEALTH CENTER
333 W MAIN ST
(608) 283-2000
(608) 283-2019
KRISTIN VATER
DANE
Southern
Lic. 2934
Skilled Care
72 Beds 525305
Title 18 SNF Title 19 NFMADISON, WI 53703
CAPITOL LAKES, INC. (NONPROFIT
CORPORATION)
HEBRON OAKS
510 GENOMIC DRIVE
(608) 230-4000
(608) 230-4330
MADELINE WIGER
DANE
Southern
Lic. 81
Skilled Care
70 Beds 525375
Title 18 SNF Title 19 NFMADISON, WI 53719
OAKWOOD LUTHERAN HOMES ASSOCIATION
INC (NONPROFIT CHURCH/CORP)
MADISON HEALTH AND REHABILITATION CENTER
110 BELMONT RD
(608) 249-7391
(608) 249-7906
ERIC JACOBSON
DANE
Southern
Lic. 3153
Skilled Care
83 Beds 525074
Title 18 SNF Title 19 NFMADISON, WI 53714
MADISON HEALTH AND REHABILITATION
CENTER (FOR PROFIT CORPORATION)
OAK PARK NURSING AND REHABILITATION CENTER
718 JUPITER DRIVE
(608) 663-8600
(608) 251-2868
BECKY BALOUSEK
DANE
Southern
Lic. 2858
Skilled Care
100 Beds 525266
Title 18 SNF Title 19 NFMADISON, WI 53718
OAK PARK NURSING AND REHABILITATION
CENTER LLC (LIMITED LIABILITY COMPANY)
OAK PARK PLACE OF NAKOMA
4327 NAKOMA RD
(608) 640-4100
(608) 251-2955
HOLLY BAH
DANE
Southern
Lic. 5053
33 Beds 525729
Title 18 SNFMADISON, WI 53711
OAK PARK PLACE OF NAKOMA, LLC (FOR
PROFIT CORPORATION)
OAKWOOD VILLAGE EAST HEALTH AND
REHABILITATION CENTER
5833 AMERICAN PARKWAY
(608) 230-4000
(608) 230-4001
RONNIE SCHAETZL
DANE
Southern
Lic. 5029
Skilled Care
40 Beds 525692
Title 18 SNF Title 19 NFMADISON, WI 53718
OAKWOOD VILLAGE EAST LUTHERAN
HOMES, INC. (LIMITED LIABILITY COMPANY)
SSM HEALTH ST MARY'S CARE CENTER
3401 MAPLE GROVE DR
(608) 845-1000
(608) 845-1001
LISA KRAUS
DANE
Southern
Lic. 3101
Skilled Care
184 Beds 525276
Title 18 SNF Title 19 NFMADISON, WI 53719
SSM HEALTH CARE OF WISCONSIN INC
(NONPROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 6 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
MIDDLETON VILLAGE NURSING AND REHAB LLC
6201 ELMWOOD AVE
(608) 831-8300
(608) 831-4253
JOSH BENNETT
DANE
Southern
Lic. 2737
Skilled Care
97 Beds 525330
Title 18 SNF Title 19 NFMIDDLETON, WI 53562
MIDDLETON VILLAGE NURSING AND REHAB
LLC (FOR PROFIT CORPORATION)
INGLESIDE MANOR
407 N EIGHTH ST
(608) 437-5511
(608) 470-4065
KEVIN LAWRENCE
DANE
Southern
Lic. 2287
Skilled Care
80 Beds 525331
Title 18 SNF Title 19 NFMOUNT HOREB, WI 53572
WISCONSIN ILLINOIS SENIOR HOUSING INC
(NONPROFIT CORPORATION)
GRACE HEALTHCARE OF OREGON
354 N MAIN ST
(608) 835-3535
(608) 835-3890
ANNA JOHNSON
DANE
Southern
Lic. 2604
Skilled Care
30 Beds 525536
Title 18 SNF Title 19 NFOREGON, WI 53575
OREGON HEALTHCARE LLC (FOR PROFIT
CORPORATION)
NAZARETH HEALTH AND REHAB CENTER
814 JACKSON ST
(608) 873-6448
(608) 873-0829
JASON WILLIAMS
DANE
Southern
Lic. 1159
Skilled Care
99 Beds 525681
Title 18 SNF Title 19 NFSTOUGHTON, WI 53589
COMPLETE CARE AT NAZARETH LLC
(LIMITED LIABILITY COMPANY)
SKAALEN NURSING AND REHABILITATION CENTER
400 N MORRIS ST
(608) 873-5651
(608) 873-5748
MAGGIE SCHELLHORN
DANE
Southern
Lic. 2114
Skilled Care
91 Beds 525512
Title 18 SNF Title 19 NFSTOUGHTON, WI 53589
SKAALEN NURSING AND REHABILITATION
CENTER, INC. (NONPROFIT CORPORATION)
CROSSROADS CARE CENTER OF SUN PRAIRIE
41 RICKEL RD
(608) 837-8529
(608) 837-9484
REBECCA KERN
DANE
Southern
Lic. 2224
Skilled Care
50 Beds 525313
Title 18 SNF Title 19 NFSUN PRAIRIE, WI 53590
CROSSROADS CARE CENTER OF SUN
PRAIRIE LLC (LIMITED LIABILITY COMPANY)
SUN PRAIRIE SENIOR LIVING
228 W MAIN ST
(608) 837-5959
(608) 825-4390
NICHOLAS SHEAR
DANE
Southern
Lic. 2598
Skilled Care
37 Beds 525380
Title 18 SNF Title 19 NFSUN PRAIRIE, WI 53590
AHR SUN PRAIRIE TRS SUB LLC (FOR PROFIT
CORPORATION)
BADGER PRAIRIE HEALTH CARE CENTER
1100 E VERONA AVE
(608) 845-6601
(608) 845-1264
WILLIAM BROTZMAN
DANE
Southern
Lic. 2969
Skilled Care
120 Beds 525516
Title 18 SNF Title 19 NFVERONA, WI 53593
DANE CO BOARD (GOVERNMENT COUNTY)
FOUR WINDS MANOR
303 S JEFFERSON ST
(608) 845-6465
(608) 848-8315
CORY NUGENT
DANE
Southern
Lic. 1002
Skilled Care
44 Beds 525656
Title 18 SNF Title 19 NFVERONA, WI 53593
FOUR WINDS MANOR, INC. (FOR PROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 7 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
WAUNAKEE VALLEY SENIOR LIVING
801 KLEIN DR
(608) 849-5016
(608) 849-9353
EMILY KORNHOFF
DANE
Southern
Lic. 2450
Skilled Care
99 Beds 525098
Title 18 SNF Title 19 NFWAUNAKEE, WI 53597
AHR WAUNAKEE TRS SUB LLC (FOR PROFIT
CORPORATION)
BEDROCK HCS AT BEAVER DAM LLC
410 ROEDL CT
(920) 887-7191
(920) 887-8699
SHIMON GRUNHUT
DODGE
Southern
Lic. 2695
Skilled Care
90 Beds 525338
Title 18 SNF Title 19 NFBEAVER DAM, WI 53916
BEDROCK HCS AT BEAVER DAM LLC (FOR
PROFIT CORPORATION)
HILLSIDE MANOR
803 S UNIVERSITY AVE
(920) 887-5901
(920) 887-3040
LAURIE MCKUEN
DODGE
Southern
Lic. 3140
Skilled Care
115 Beds 525447
Title 18 SNF Title 19 NFBEAVER DAM, WI 53916
BEAVER DAM COMMUNITY HOSPITALS INC
(NONPROFIT CORPORATION)
CLEARVIEW
198 COUNTY DF
(920) 386-3400
(920) 386-3405
EDWARD SOMERS
DODGE
Southern
Lic. 2380
Skilled Care
120 Beds 525453
Title 18 SNF Title 19 NFJUNEAU, WI 53039
MARSH COUNTRY HEALTH ALLIANCE
(GOVERNMENT COUNTY)
CLEARVIEW BEHAVIORAL HEALTH I
198 COUNTY DF
(920) 386-3400
(920) 386-3405
EDWARD SOMERS
DODGE
Southern
Lic. 5026
Skilled Care
10 Beds
JUNEAU, WI 53039
DODGE COUNTY (GOVERNMENT COUNTY)
CLEARVIEW BEHAVIORAL HEALTH II
198 COUNTY DF
(920) 386-3400
(920) 386-3405
EDWARD SOMERS
DODGE
Southern
Lic. 5036
Skilled Care
10 Beds
JUNEAU, WI 53039
DODGE COUNTY (GOVERNMENT COUNTY)
CLEARVIEW BEHAVIORAL HEALTH III
198 COUNTY DF
(920) 386-3400
(920) 386-3405
EDWARD SOMERS
DODGE
Southern
Lic. 5049
Skilled Care
10 Beds
JUNEAU, WI 53039
DODGE COUNTY (GOVERNMENT COUNTY)
CLEARVIEW BEHAVIORAL HEALTH IV
198 COUNTY DF
(920) 386-3400
(920) 386-3405
EDWARD SOMERS
DODGE
Southern
Lic. 5050
Skilled Care
10 Beds
JUNEAU, WI 53039
DODGE COUNTY (GOVERNMENT COUNTY)
CLEARVIEW BRAIN INJURY CENTER
198 COUNTY DF
(920) 386-3400
(920) 386-3405
EDWARD SOMERS
DODGE
Southern
Lic. 5034
Skilled Care
30 Beds 52A461
Title 19 NFJUNEAU, WI 53039
DODGE COUNTY (GOVERNMENT COUNTY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 8 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
HOPE HEALTH AND REHABILITATION
438 ASHFORD AVE
(920) 269-4386
(920) 269-4978
JULIA SCHRAMEK
DODGE
Southern
Lic. 3222
Skilled Care
38 Beds 525642
Title 18 SNF Title 19 NFLOMIRA, WI 53048
OAK RIDGE CARE CENTER INC (FOR PROFIT
CORPORATION)
CROSSROADS CARE CENTER OF MAYVILLE
305 S CLARK ST
(920) 387-0354
(920) 387-5194
MAR'QUE ANDERSON
DODGE
Southern
Lic. 3193
Skilled Care
80 Beds 525616
Title 18 SNF Title 19 NFMAYVILLE, WI 53050
CROSSROADS CARE CENTER OF MAYVILLE,
LLC (LIMITED LIABILITY COMPANY)
RANDOLPH HEALTH SERVICES
502 S HIGH ST
(920) 326-3171
(920) 326-3239
ALEXIS PETERS
DODGE
Southern
Lic. 2290
Skilled Care
84 Beds 525355
Title 18 SNF Title 19 NFRANDOLPH, WI 53956
NSH RANDOLPH LLC (LIMITED LIABILITY
COMPANY)
BEDROCK HCS AT WATERTOWN
121 HOSPITAL DR
(920) 261-9220
(920) 261-9208
ROBERT FISHER
DODGE
Southern
Lic. 2696
Skilled Care
112 Beds 525333
Title 18 SNF Title 19 NFWATERTOWN, WI 53098
BEDROCK HCS AT WATERTOWN LLC (FOR
PROFIT CORPORATION)
MARQUARDT MEMORIAL MANOR
1020 HILL ST
(920) 261-0400
(920) 261-4840
JENNIFER JOHNSON
DODGE
Southern
Lic. 2143
Skilled Care
140 Beds 525543
Title 18 SNF Title 19 NFWATERTOWN, WI 53098
MARQUARDT MEMORIAL MANOR INC
(NONPROFIT CORPORATION)
CHRISTIAN HOME AND REHABILITATION CENTER
452 FOX LAKE ROAD
(920) 324-9051
(920) 324-0890
DAVID RADEMACHER
DODGE
Southern
Lic. 525
Skilled Care
50 Beds 525531
Title 18 SNF Title 19 NFWAUPUN, WI 53963
CHRISTIAN HOME AND REHABILITATION
CENTER INC (NONPROFIT CHURCH/CORP)
SERENITY SPRING SENIOR LIVING AT SCANDIA
VILLAGE
10560 APPLEWOOD RD
(920) 854-2317
(920) 854-9529
JASMINE HILANDER
DOOR
Northeastern
Lic. 3111
Skilled Care
50 Beds 525494
Title 18 SNF Title 19 NFSISTER BAY, WI 54234
SISTER BAY SNF OPCO LLC (FOR PROFIT
CORPORATION)
PETE AND JELAINE HORTON CENTER
323 S 18TH AVE
(920) 743-5566
(920) 746-0492
NANCY BOHRMAN
DOOR
Northeastern
Lic. 2196
Skilled Care
32 Beds 525377
Title 18 SNF Title 19 NFSTURGEON BAY, WI 54235
DOOR COUNTY MEMORIAL HOSPITAL INC
(NONPROFIT CORPORATION)
STURGEON BAY HEALTH SERVICES
200 N SEVENTH AVE
(920) 743-6274
(920) 743-5604
NICHOLE KOLOSSO
DOOR
Northeastern
Lic. 2681
Skilled Care
50 Beds 525306
Title 18 SNF Title 19 NFSTURGEON BAY, WI 54235
NSH DORCHESTER LLC (LIMITED LIABILITY
COMPANY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 9 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
MIDDLE RIVER HEALTH AND REHABILITATION CENTER
8274 E SAN RD
(715) 398-3523
(715) 374-2236
TAMMY KURTZ
DOUGLAS
Northwestern
Lic. 3138
Skilled Care
86 Beds 525408
Title 18 SNF Title 19 NFSOUTH RANGE, WI 54874
MIDDLE RIVER REHABILITATION LLC (FOR
PROFIT CORPORATION)
DOVE HEALTHCARE - SUPERIOR
1800 NEW YORK AVE
(715) 394-5591
(715) 394-5098
NOLAN SANTIKKO
DOUGLAS
Northwestern
Lic. 2578
Skilled Care
118 Beds 525397
Title 18 SNF Title 19 NFSUPERIOR, WI 54880
GREAT LAKES REHABILITATION AND
NURSING CENTER LLC (FOR PROFIT
CORPORATION)
TWIN PORTS HEALTH SERVICES
1612 N 37TH ST
(715) 392-5144
(715) 392-1406
VIANA JOHNSON
DOUGLAS
Northwestern
Lic. 2900
Skilled Care
90 Beds 525370
Title 18 SNF Title 19 NFSUPERIOR, WI 54880
NSH SUPERIOR LLC (LIMITED LIABILITY
COMPANY)
VILLA MARINA HEALTH AND REHABILITATION CENTER
35 N 28TH ST
(715) 392-3300
(715) 392-9660
LORI RANDA
DOUGLAS
Northwestern
Lic. 3215
Skilled Care
72 Beds 525613
Title 18 SNF Title 19 NFSUPERIOR, WI 54880
VILLA MARINA HEALTH & REHABILITATION
CENTER INC (FOR PROFIT CORPORATION)
AMERICAN LUTHERAN HOME - MENOMONIE UNIT
915 ELM AVE E
(715) 235-9041
(715) 235-2289
RANDALL RENNOCK
DUNN
Northwestern
Lic. 2012
Skilled Care
37 Beds 525480
Title 18 SNF Title 19 NFMENOMONIE, WI 54751
AMERICAN LUTHERAN HOMES INC
(NONPROFIT CHURCH/CORP)
COUNTY OF DUNN
651 HOWISON CIRCLE
(715) 232-2661
(715) 232-4010
CARMEN MEYER
DUNN
Northwestern
Lic. 5042
Skilled Care
46 Beds 525714
Title 18 SNF Title 19 NFMENOMONIE, WI 54751
DUNN COUNTY (GOVERNMENT COUNTY)
THE NEIGHBORS - CENTRAL NEIGHBORHOOD
2901 FORBES AVE
(715) 232-2661
(715) 232-4010
CARMEN MEYER
DUNN
Northwestern
Lic. 2356
Skilled Care
45 Beds 525433
Title 18 SNF Title 19 NFMENOMONIE, WI 54751
DUNN COUNTY (GOVERNMENT COUNTY)
THE NEIGHBORS -EAST NEIGHBORHOOD
658 HOWISON CIRCLE
(715) 232-2661
(715) 232-4010
CARMEN MEYER
DUNN
Northwestern
Lic. 5041
Skilled Care
46 Beds 525713
Title 18 SNF Title 19 NFMENOMONIE, WI 54751
DUNN COUNTY (GOVERNMENT COUNTY)
GRACE LUTHERAN COMMUNITIES - RIVER PINES
206 N WILLSON DR
(715) 598-7800
(715) 598-7998
JENNIFER COHEN
EAU CLAIRE
Northwestern
Lic. 5047
Skilled Care
50 Beds 525724
Title 18 SNF Title 19 NFALTOONA, WI 54720
GRACE LUTHERAN FOUNDATION INC
(NONPROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 10 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
OAKWOOD HEALTH SERVICES
2512 NEW PINE DR
(715) 833-0400
(715) 833-0546
JON RICHARDSON
EAU CLAIRE
Northwestern
Lic. 3167
Skilled Care
80 Beds 525454
Title 18 SNF Title 19 NFALTOONA, WI 54720
NSH ALTOONA LLC (LIMITED LIABILITY
COMPANY)
AUGUSTA HEALTH AND REHABILITATION
901 BRIDGE CREEK LANE
(715) 286-2266
(715) 286-2653
JAHN BRADLEY
EAU CLAIRE
Northwestern
Lic. 2083
Skilled Care
50 Beds 525535
Title 18 SNF Title 19 NFAUGUSTA, WI 54722
AUGUSTA AREA HOME, INC (NONPROFIT
OTHER)
DOVE HEALTHCARE - SOUTH EAU CLAIRE
3656 MALL DRIVE
(715) 552-1035
(715) 552-4567
DAVID JACOBSON
EAU CLAIRE
Northwestern
Lic. 5031
Skilled Care
50 Beds 525701
Title 18 SNF Title 19 NFEAU CLAIRE, WI 54701
SOUTH EAU CLAIRE REHABILITATION AND
NURSING CENTER (FOR PROFIT
CORPORATION)
DOVE HEALTHCARE - WEST EAU CLAIRE
1405 TRUAX BLVD
(715) 552-1030
(715) 552-1033
ASHLEY SMETANA
EAU CLAIRE
Northwestern
Lic. 3195
Skilled Care
74 Beds 525387
Title 18 SNF Title 19 NFEAU CLAIRE, WI 54703
WEST EAU CLAIRE REHABILITATION AND
NURSING CENTER (FOR PROFIT
CORPORATION)
FLORENCE HEALTH SERVICES
5778 CHAPIN ST
(715) 528-4833
(715) 528-4988
SUSANNE MATTSON
FLORENCE
Northeastern
Lic. 2909
Skilled Care
73 Beds 525358
Title 18 SNF Title 19 NFFLORENCE, WI 54121
NSH FLORENCE LLC (LIMITED LIABILITY
COMPANY)
CROSSROADS CARE CENTER OF FOND DU LAC
115 E ARNDT ST
(920) 923-7040
(920) 923-6967
ROSALINDA RHODE
FOND DU LAC
Northeastern
Lic. 2792
Skilled Care
50 Beds 525270
Title 18 SNF Title 19 NFFOND DU LAC, WI 54935
CROSSROADS CARE CENTER OF FOND DU
LAC LLC (LIMITED LIABILITY COMPANY)
EDENBROOK OF FOND DU LAC
265 S NATIONAL AVE
(920) 922-7342
(920) 922-4737
MIRIAH SEYLER
FOND DU LAC
Northeastern
Lic. 2743
Skilled Care
90 Beds 525274
Title 18 SNF Title 19 NFFOND DU LAC, WI 54935
FOND DU LAC NURSING AND REHAB, LLC
(FOR PROFIT CORPORATION)
FOND DU LAC LUTHERAN HOME
244 N MACY ST
(920) 921-9520
(920) 921-0819
STANLEY KAYMEN
FOND DU LAC
Northeastern
Lic. 47
Skilled Care
85 Beds 525655
Title 18 SNF Title 19 NFFOND DU LAC, WI 54935
FOND DU LAC LUTHERAN HOME INC
(NONPROFIT CHURCH/CORP)
HARBOR HAVEN HEALTH AND REHABILITATION
459 E FIRST STREET
(920) 929-3500
(920) 929-7046
MARK RADMER
FOND DU LAC
Northeastern
Lic. 2437
Skilled Care
85 Beds 525534
Title 18 SNF Title 19 NFFOND DU LAC, WI 54935
FOND DU LAC COUNTY (GOVERNMENT
COUNTY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 11 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
MANOR OF FOND DU LAC
517 E DIVISION ST
(920) 921-6800
(920) 921-6875
ROSALINDA RHODE
FOND DU LAC
Northeastern
Lic. 1044
Skilled Care
50 Beds 525522
Title 18 SNF Title 19 NFFOND DU LAC, WI 54935
MANOR OF FOND DU LAC LLC (FOR PROFIT
CORPORATION)
ST FRANCIS HOME
33 EVERETT ST
(920) 923-7980
(920) 923-7995
DAWN QUEDNOW
FOND DU LAC
Northeastern
Lic. 2561
Skilled Care
107 Beds 525595
Title 18 SNF Title 19 NFFOND DU LAC, WI 54935
ST FRANCIS HOME OF FOND DU LAC
WISCONSIN INC (NONPROFIT CHURCH/CORP)
WHISPERING PINES NURSING AND REHAB, LLC
50 WOLVERTON AVE
(920) 748-5638
(920) 748-5613
ERIC LEHOCKY
FOND DU LAC
Northeastern
Lic. 3186
Skilled Care
50 Beds 525551
Title 18 SNF Title 19 NFRIPON, WI 54971
WHISPERING PINES NURSING AND REHAB,
LLC (FOR PROFIT CORPORATION)
NU ROC HEALTH AND REHABILITATION CENTER
3576A NU ROC LN
(715) 674-4477
(715) 674-4016
MEGAN BACHAND
FOREST
Northeastern
Lic. 913
Skilled Care
50 Beds 525623
Title 18 SNF Title 19 NFLAONA, WI 54541
NU ROC HEALTH AND REHAB CENTER LLC
(LIMITED LIABILITY COMPANY)
CARE AND REHAB - BOSCOBEL
207 PARKER ST
(608) 375-6342
(608) 375-6358
LONA ELLIS
GRANT
Southern
Lic. 2123
Skilled Care
50 Beds 525373
Title 18 SNF Title 19 NFBOSCOBEL, WI 53805
SENIOR MANAGEMENT, INC. (FOR PROFIT
CORPORATION)
DOVE HEALTHCARE - FENNIMORE
1850 11TH ST
(608) 822-6100
(608) 822-3011
JOSEPH MUENCH
GRANT
Southern
Lic. 2062
Skilled Care
50 Beds 525425
Title 18 SNF Title 19 NFFENNIMORE, WI 53809
DIVINE REHABILITATION AND NURSING AT
FENNIMORE LLC (FOR PROFIT
CORPORATION)
ST DOMINIC VILLA
2375 SINSINAWA RD
(608) 748-9814
(608) 748-9945
JOSH BRUNER
GRANT
Southern
Lic. 5006
Skilled Care
62 Beds 525660
Title 18 SNF Title 19 NFHAZEL GREEN, WI 53811
SINSINAWA NURSING INC (NONPROFIT
CHURCH/CORP)
LANCASTER HEALTH SERVICES
1350 S MADISON ST
(608) 723-4143
(608) 723-7278
JAMIE LENZ-STONEY
GRANT
Southern
Lic. 3077
Skilled Care
50 Beds 525352
Title 18 SNF Title 19 NFLANCASTER, WI 53813
NSH LANCASTER LLC (FOR PROFIT
CORPORATION)
ORCHARD MANOR
8800 HWY 61
(608) 723-2113
(608) 723-2210
ALESHA ERDENBERGER
GRANT
Southern
Lic. 3108
Skilled Care
99 Beds 525290
Title 18 SNF Title 19 NFLANCASTER, WI 53813
COUNTY OF GRANT (GOVERNMENT COUNTY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 12 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
BEDROCK HCS AT RIVERDALE LLC
1000 N WISCONSIN AVE
(608) 739-3186
(608) 739-3486
JILL AMEDA
GRANT
Southern
Lic. 3188
Skilled Care
58 Beds 525321
Title 18 SNF Title 19 NFMUSCODA, WI 53573
BEDROCK HCS AT RIVERDALE LLC (FOR
PROFIT CORPORATION)
EDENBROOK OF PLATTEVILLE
1300 N WATER ST
(608) 348-2453
(608) 348-2944
KATHERINE BATTON
GRANT
Southern
Lic. 3174
Skilled Care
80 Beds 525219
Title 18 SNF Title 19 NFPLATTEVILLE, WI 53818
PLATTEVILLE NURSING AND REHAB, LLC
(FOR PROFIT CORPORATION)
MONROE HEALTH SERVICES
516 26TH AVE
(608) 325-9141
(608) 329-6594
TRAVAS TUCKER
GREEN
Southern
Lic. 2116
Skilled Care
50 Beds 525292
Title 18 SNF Title 19 NFMONROE, WI 53566
NSH MONROE LLC (LIMITED LIABILITY
COMPANY)
PLEASANT VIEW NURSING HOME
N3150 WI-81
(608) 325-2171
(608) 325-1352
MARIA JOHNSON
GREEN
Southern
Lic. 2432
Skilled Care
96 Beds 525643
Title 18 SNF Title 19 NFMONROE, WI 53566
COUNTY OF GREEN (GOVERNMENT COUNTY)
NEW GLARUS HOME, INC
600 2ND AVE
(608) 527-2126
(608) 527-5365
DANIEL RITTER
GREEN
Southern
Lic. 2605
Skilled Care
87 Beds 525630
Title 18 SNF Title 19 NFNEW GLARUS, WI 53574
NEW GLARUS HOME INC (NONPROFIT
CHURCH/CORP)
JULIETTE MANOR
482 OAK STREET
(920) 361-3092
(920) 361-3438
DENNIS VIDETIC
GREEN LAKE
Northeastern
Lic. 1102
Skilled Care
37 Beds 525286
Title 18 SNF Title 19 NFBERLIN, WI 54923
THEDACARE MEDICAL CENTER-BERLIN, INC.
(NONPROFIT OTHER)
MARKESAN RESIDENT HOME, INC.
1130 N MARGARET
(920) 398-2751
(920) 398-3937
JENNIFER SAUER
GREEN LAKE
Northeastern
Lic. 3184
Skilled Care
50 Beds 525550
Title 18 SNF Title 19 NFMARKESAN, WI 53946
MARKESAN RESIDENT HOME INC
(NONPROFIT CORPORATION)
UPLAND HILLS NURSING AND REHABILITATION
800 COMPASSION WAY
(608) 930-7600
(608) 930-7271
MICHELLE HENDRICKS
IOWA
Southern
Lic. 2443
Skilled Care
44 Beds 525376
Title 18 SNF Title 19 NFDODGEVILLE, WI 53533
UPLAND HILLS HEALTH INC (NONPROFIT
CORPORATION)
MINERAL POINT HEALTH SERVICES
109 N IOWA ST
(608) 987-2381
(608) 987-2365
PATRICIA REYNOLDS
IOWA
Southern
Lic. 3078
Skilled Care
30 Beds 525354
Title 18 SNF Title 19 NFMINERAL POINT, WI 53565
NSH MINERAL POINT LLC (FOR PROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 13 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
SKY VIEW NURSING CENTER
309 IRON ST
(715) 561-5646
(715) 561-5448
ALAINA SWARTZ
IRON
Northwestern
Lic. 2632
Intermediate Care
33 Beds 52A429
Title 19 NFHURLEY, WI 54534
SKY VIEW NURSING CENTER LLC (LIMITED
LIABILITY COMPANY)
VILLA MARIA HEALTH AND REHABILITATION CENTER
300 VILLA DR
(715) 561-3200
(715) 561-5556
LAWRENCE KUTZ
IRON
Northwestern
Lic. 2660
Skilled Care
70 Beds 525540
Title 18 SNF Title 19 NFHURLEY, WI 54534
VILLA MARIA HEALTH AND REHABILITATION
CENTER LLC (LIMITED LIABILITY COMPANY)
MEADOWBROOK AT BLACK RIVER FALLS
1311 TYLER ST
(715) 284-4396
(715) 284-1668
JESSICA KALLENBACH
JACKSON
Northwestern
Lic. 3211
Skilled Care
45 Beds 525488
Title 18 SNF Title 19 NFBLACK RIVER FALLS, WI 54615
BRF NURSING AND REHAB LLC (FOR PROFIT
CORPORATION)
PINE VIEW CARE CENTER
400 COUNTY RD R
(715) 284-5396
(715) 284-1502
LAURIANN FILLA
JACKSON
Northwestern
Lic. 2440
Skilled Care
95 Beds 525409
Title 18 SNF Title 19 NFBLACK RIVER FALLS, WI 54615
JACKSON PINE VIEW HEALTHCARE, LLC
(LIMITED LIABILITY COMPANY)
BEDROCK HCS AT ATKINSON LLC
430 WILCOX ST
(920) 563-5533
(920) 563-0169
KIM JUNG
JEFFERSON
Southeastern
Lic. 2683
Skilled Care
87 Beds 525262
Title 18 SNF Title 19 NFFORT ATKINSON, WI 53538
BEDROCK HCS AT ATKINSON LLC (FOR
PROFIT CORPORATION)
ALDEN ESTATES OF JEFFERSON
1130 COLLINS ROAD
(920) 674-3170
(872) 469-1689
LESA VANDERMEER
JEFFERSON
Southeastern
Lic. 2390
Skilled Care
120 Beds 525271
Title 18 SNF Title 19 NFJEFFERSON, WI 53549
ALDEN ESTATES OF COUNTRYSIDE, INC
(FOR PROFIT CORPORATION)
LAKE MILLS HEALTH SERVICES
901 MULBERRY ST
(920) 648-8344
(920) 648-3441
SEAN MURPHY
JEFFERSON
Southeastern
Lic. 2794
Skilled Care
50 Beds 525314
Title 18 SNF Title 19 NFLAKE MILLS, WI 53551
NSH LAKE MILLS LLC (LIMITED LIABILITY
COMPANY)
ELROY HEALTH SERVICES
307 ROYALL AVE
(608) 462-8491
(608) 462-5088
COLLIN HIRST
JUNEAU
Southern
Lic. 2852
Skilled Care
80 Beds 525452
Title 18 SNF Title 19 NFELROY, WI 53929
NSH ELROY LLC (LIMITED LIABILITY
COMPANY)
FAIR VIEW NURSING AND REHABILITATION CENTER
1050 DIVISION ST
(608) 847-6161
(608) 847-6017
SCOTT KNIPRATH
JUNEAU
Southern
Lic. 2650
Skilled Care
50 Beds 525437
Title 18 SNF Title 19 NFMAUSTON, WI 53948
MILE BLUFF MEDICAL CENTER INC
(NONPROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 14 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
CREST VIEW NURSING HOME
612 VIEW ST
(608) 562-3667
(608) 562-6590
THOMAS GRAVES
JUNEAU
Southern
Lic. 2367
Skilled Care
60 Beds 525581
Title 18 SNF Title 19 NFNEW LISBON, WI 53950
MILE BLUFF MEDICAL CENTER INC
(NONPROFIT CORPORATION)
BROOKSIDE CARE CENTER
3506 WASHINGTON RD
(262) 653-3800
(262) 653-3850
LYNDA BOGDALA
KENOSHA
Southeastern
Lic. 3155
Skilled Care
154 Beds 525556
Title 18 SNF Title 19 NFKENOSHA, WI 53144
KENOSHA COUNTY (GOVERNMENT COUNTY)
CLAIRIDGE HOUSE
1519 60TH ST
(262) 656-7500
(262) 656-7515
DAVID EGAN
KENOSHA
Southeastern
Lic. 2823
Skilled Care
87 Beds 525431
Title 18 SNF Title 19 NFKENOSHA, WI 53140
MIDWAY MANOR CORP (FOR PROFIT
CORPORATION)
CROSSROADS CARE CENTER OF KENOSHA
8633 32ND AVE
(262) 694-8300
(262) 694-3622
STEVE KLEKAMP
KENOSHA
Southeastern
Lic. 2793
Skilled Care
110 Beds 525282
Title 18 SNF Title 19 NFKENOSHA, WI 53142
CROSSROADS CARE CENTER OF KENOSHA
(LIMITED LIABILITY COMPANY)
SHERIDAN HEALTH AND REHABILITATION CENTER
8400 SHERIDAN RD
(262) 658-4141
(262) 658-0618
QUINTEN HOSKINS
KENOSHA
Southeastern
Lic. 3244
Skilled Care
81 Beds 525318
Title 18 SNF Title 19 NFKENOSHA, WI 53143
BAY AT SHERIDAN HEALTH AND
REHABILITATION LLC (LIMITED LIABILITY
COMPANY)
THE MANOR OF KENOSHA
3100 WASHINGTON RD
(262) 658-4622
(262) 658-1503
CHARLEAN ADAMS
KENOSHA
Southeastern
Lic. 3124
Skilled Care
153 Beds 525179
Title 18 SNF Title 19 NFKENOSHA, WI 53144
THE MANOR OF KENOSHA (FOR PROFIT
CORPORATION)
WATERS EDGE HEALTH AND REHABILITATION
CENTER
3415 N SHERIDAN RD
(262) 657-6175
(262) 657-5756
KARI ROBERTS
KENOSHA
Southeastern
Lic. 3246
Skilled Care
128 Beds 525281
Title 18 SNF Title 19 NFKENOSHA, WI 53140
BAY AT WATERS EDGE HEALTH AND
REHABILITATION LLC (LIMITED LIABILITY
COMPANY)
GRANDE PRAIRIE CARE AND REHAB CTR LLC
10330 PRAIRIE RIDGE BLVD
(262) 612-2800
(262) 612-2850
WILLIAM STEELE
KENOSHA
Southeastern
Lic. 5005
Skilled Care
118 Beds 525659
Title 18 SNF Title 19 NFPLEASANT PRAIRIE, WI 53158
GRANDE PRAIRIE CARE AND REHAB CENTER
LLC (FOR PROFIT CORPORATION)
WATERFALL HEALTH OF ALGOMA
1510 FREMONT ST
(920) 487-5511
(920) 487-2668
JENSEN PATRICK
KEWAUNEE
Northeastern
Lic. 2952
Skilled Care
50 Beds 525533
Title 18 SNF Title 19 NFALGOMA, WI 54201
FREMONT SNF OPCO LLC (FOR PROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 15 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
KEWAUNEE HEALTH SERVICES
1308 LINCOLN ST
(920) 388-4111
(920) 388-3955
TASHA SCHULKE
KEWAUNEE
Northeastern
Lic. 3198
Skilled Care
50 Beds 525357
Title 18 SNF Title 19 NFKEWAUNEE, WI 54216
NSH KEWAUNEE LLC (FOR PROFIT
CORPORATION)
BENEDICTINE MANOR OF LACROSSE
2902 EAST AVENUE SOUTH
(608) 788-9870
(608) 787-8889
LESLIE ELLEFSEN
LA CROSSE
Northwestern
Lic. 2809
Skilled Care
80 Beds 525438
Title 18 SNF Title 19 NFLA CROSSE, WI 54601
CATHOLIC RESIDENTIAL SERVICES INC
(NONPROFIT CORPORATION)
BETHANY ST JOSEPH CARE CENTER
2501 SHELBY RD
(608) 788-5700
(608) 788-4030
MEGAN FEIRTAG
LA CROSSE
Northwestern
Lic. 2540
Skilled Care
100 Beds 525265
Title 18 SNF Title 19 NFLA CROSSE, WI 54601
BETHANY-ST JOSEPH CORPORATION
(NONPROFIT CORPORATION)
HILLVIEW - STATE ONLY NURSING HOME
3501 PARK LANE DRIVE
(608) 789-4800
KELLY KRAMER
LA CROSSE
Northwestern
Lic. 5055
10 Beds
LA CROSSE, WI 54601
LA CROSSE COUNTY (GOVERNMENT
COUNTY)
HILLVIEW HEALTH CARE CENTER
3501 PARK LANE DR
(608) 789-4800
(608) 793-6516
KELLY KRAMER
LA CROSSE
Northwestern
Lic. 2657
Skilled Care
60 Beds 525426
Title 18 SNF Title 19 NFLA CROSSE, WI 54601
LA CROSSE COUNTY BOARD OF
SUPERVISORS (GOVERNMENT COUNTY)
RIVERSIDE
2575 S 7TH ST
(608) 406-3900
(608) 406-3914
PATRICK SENZIG
LA CROSSE
Northwestern
Lic. 2707
Skilled Care
123 Beds 525455
Title 18 SNF Title 19 NFLA CROSSE, WI 54601
BETHANY LUTHERAN HOMES INC
(NONPROFIT CHURCH/CORP)
ONALASKA CARE CENTER
1600 MAIN ST
(608) 783-4681
(608) 781-8148
HALEY HALL
LA CROSSE
Northwestern
Lic. 3160
Skilled Care
80 Beds 525443
Title 18 SNF Title 19 NFONALASKA, WI 54650
BETHANY-ST JOSEPH CORPORATION
(NONPROFIT CORPORATION)
MISSISSIPPI VALLEY HEALTH SERVICES COMMISSION
962 E GARLAND ST E
(608) 786-1400
(608) 793-6601
WANDA PLACHECKI
LA CROSSE
Northwestern
Lic. 2395
Skilled Care
50 Beds 525726
Title 18 SNF Title 19 NFWEST SALEM, WI 54669
MISSISSIPPI VALLEY HEALTH SERVICES
(GOVERNMENT COUNTY)
MULDER HEALTH CARE FACILITY
713 LEONARD ST N
(608) 786-1600
(608) 786-0740
JOANN SHEPHERD
LA CROSSE
Northwestern
Lic. 1031
Skilled Care
87 Beds 525209
Title 18 SNF Title 19 NFWEST SALEM, WI 54669
ORION WEST SALEM LLC (FOR PROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 16 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
RAVENWOOD BEHAVIORAL HEALTH
962 GARLAND STREET EAST
(608) 612-0640
WANDA PLACHECKI
LA CROSSE
Northwestern
Lic. 5025
Skilled Care
10 Beds
WEST SALEM, WI 54669
LA CROSSE COUNTY (GOVERNMENT
COUNTY)
LAFAYETTE MANOR
719 E CATHERINE ST BOX 167
(608) 776-4210
(608) 776-2441
STEPHANIE CROWTHER
LAFAYETTE
Southern
Lic. 2448
Skilled Care
50 Beds 525362
Title 18 SNF Title 19 NFDARLINGTON, WI 53530
LAFAYETTE COUNTY BOARD (GOVERNMENT
COUNTY)
EASTVIEW HEALTH AND REHABILITATION CENTER
729 PARK ST
(715) 623-2356
(715) 623-6345
MADELYN CHRISTIANSEN
LANGLADE
Northeastern
Lic. 3233
Skilled Care
118 Beds 525410
Title 18 SNF Title 19 NFANTIGO, WI 54409
BAY AT EASTVIEW HEALTH AND
REHABILITATION LLC (LIMITED LIABILITY
COMPANY)
PINE CREST NURSING HOME
2100 E SIXTH ST
(715) 536-0355
(715) 539-3202
RYAN HANSON
LINCOLN
Northwestern
Lic. 2368
Skilled Care
120 Beds 525326
Title 18 SNF Title 19 NFMERRILL, WI 54452
LINCOLN COUNTY (GOVERNMENT COUNTY)
RIVERVIEW HEALTH SERVICES
428 N 6TH ST
(715) 453-2511
(715) 453-1062
JESSICA HEIKKINEN
LINCOLN
Northwestern
Lic. 2734
Skilled Care
50 Beds 525332
Title 18 SNF Title 19 NFTOMAHAWK, WI 54487
NSH RIVERVIEW LLC (LIMITED LIABILITY
COMPANY)
TOMAHAWK HEALTH SERVICES
720 E KINGS RD
(715) 453-2164
(715) 224-2254
GERALD HODGES
LINCOLN
Northwestern
Lic. 2733
Skilled Care
50 Beds 525334
Title 18 SNF Title 19 NFTOMAHAWK, WI 54487
NSH GOLDEN AGE LLC (LIMITED LIABILITY
COMPANY)
MANITOWOC HEALTHCARE CENTER
2021 S ALVERNO RD
(920) 683-4100
(920) 683-4694
CINDY GRINDHEIM
MANITOWOC
Northeastern
Lic. 2398
Skilled Care
150 Beds 525441
Title 18 SNF Title 19 NFMANITOWOC, WI 54220
COMPLETE CARE AT MANITOWOC LLC
(LIMITED LIABILITY COMPANY)
NORTH RIDGE HEALTH AND REHABILITATION CENTER
1445 N 7TH ST
(920) 682-0314
(920) 682-0553
MARY DUFEK
MANITOWOC
Northeastern
Lic. 3240
Skilled Care
94 Beds 525389
Title 18 SNF Title 19 NFMANITOWOC, WI 54220
BAY AT NORTH RIDGE HEALTH AND
REHABILITATION LLC (LIMITED LIABILITY
COMPANY)
RIVER'S BEND HEALTH SERVICES
960 S RAPIDS RD
(920) 684-1144
(920) 684-0199
MICHAEL FREE
MANITOWOC
Northeastern
Lic. 3210
Skilled Care
100 Beds 525475
Title 18 SNF Title 19 NFMANITOWOC, WI 54220
NSH MANITOWOC LLC (LIMITED LIABILITY
COMPANY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 17 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
SHADY LANE NURSING CARE CENTER
1235 S 24TH ST
(920) 682-8254
(920) 682-8315
TODD MEERDINK
MANITOWOC
Northeastern
Lic. 2250
Skilled Care
50 Beds 525575
Title 18 SNF Title 19 NFMANITOWOC, WI 54220
SHADY LANE INC (NONPROFIT
CORPORATION)
ST MARYS HOME FOR THE AGED
1635 S 21ST STREET
(920) 684-7171
(920) 684-0240
LUCAS SCHUBERT
MANITOWOC
Northeastern
Lic. 540
Skilled Care
84 Beds 525609
Title 18 SNF Title 19 NFMANITOWOC, WI 54220
ST MARYS HOME FOR THE AGED INC
(NONPROFIT CHURCH/CORP)
HAMILTON HEALTH SERVICES
1 HAMILTON DR
(920) 793-2261
(920) 794-6934
BRANDON MORGAN
MANITOWOC
Northeastern
Lic. 2225
Skilled Care
125 Beds 525664
Title 18 SNF Title 19 NFTWO RIVERS, WI 54241
NSH TWO RIVERS LLC (FOR PROFIT
CORPORATION)
BEDROCK HCS AT ABBOTSFORD LLC
600 E ELM ST
(715) 223-2359
(715) 223-6539
MICHAEL WENZEL
MARATHON
Northwestern
Lic. 2874
Skilled Care
78 Beds 525435
Title 18 SNF Title 19 NFABBOTSFORD, WI 54405
BEDROCK HCS AT ABBOTSFORD LLC (FOR
PROFIT CORPORATION)
THREE OAKS HEALTH SERVICES
209 WILDERNESS VIEW DRIVE
(715) 389-6000
(715) 389-6090
DIANE NOWAK
MARATHON
Northwestern
Lic. 5018
Skilled Care
75 Beds 525684
Title 18 SNF Title 19 NFMARSHFIELD, WI 54449
NSH THREE OAKS LLC (LIMITED LIABILITY
COMPANY)
BENEDICTINE MANOR OF WAUSAU
1821 N 4TH AVE
(715) 675-9451
(715) 675-4051
GARY HIXON
MARATHON
Northwestern
Lic. 2674
Skilled Care
82 Beds 525503
Title 18 SNF Title 19 NFWAUSAU, WI 54401
CATHOLIC RESIDENTIAL SERVICES INC
(NONPROFIT CHURCH/CORP)
NORTH CENTRAL HEALTH CARE
2400 MARSHALL STREET, STE A
(715) 841-5178
(715) 843-5733
KRISTIN WOLLER
MARATHON
Northwestern
Lic. 2931
Skilled Care
159 Beds 525132
Title 18 SNF Title 19 NFWAUSAU, WI 54403
NORTH CENTRAL HEALTH CARE FACILITIES
(GOVERNMENT COUNTY)
WATERFALL HEALTH OF WAUSAU
1010 E WAUSAU AVE
(715) 842-2028
(715) 845-5810
MIRAYRA RAU
MARATHON
Northwestern
Lic. 3234
Skilled Care
80 Beds 525405
Title 18 SNF Title 19 NFWAUSAU, WI 54403
E WAUSAU SNF OPCO, LLC (FOR PROFIT
CORPORATION)
WAUSAU MANOR HEALTH SERVICES
3107 WESTHILL DR
(715) 842-0575
(715) 842-0577
RACHAEL BOLDER
MARATHON
Northwestern
Lic. 2890
Skilled Care
68 Beds 525369
Title 18 SNF Title 19 NFWAUSAU, WI 54401
NSH WAUSAU LLC (LIMITED LIABILITY
COMPANY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 18 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
PRIDE TLC THERAPY AND LIVING CAMPUS
7805 BIRCH ST
(715) 298-3833
(715) 298-4284
SALLY CONWAY
MARATHON
Northwestern
Lic. 5040
Skilled Care
25 Beds 525711
Title 18 SNF Title 19 NFWESTON, WI 54476
FPG & LCD LLC (LIMITED LIABILITY COMPANY)
RENNES HEALTH AND REHAB CENTER - WESTON
4810 BARBICAN AVE
(715) 393-0400
(715) 393-0435
HANNAH ANGELO
MARATHON
Northwestern
Lic. 5030
Skilled Care
130 Beds 525699
Title 18 SNF Title 19 NFWESTON, WI 54476
TDR INC (FOR PROFIT CORPORATION)
NEWCARE INC
903 MAIN AVE
(715) 854-2717
(715) 854-2554
SHERRI BENJAMIN
MARINETTE
Northeastern
Lic. 3110
Skilled Care
43 Beds 525489
Title 18 SNF Title 19 NFCRIVITZ, WI 54114
NEWCARE INC (FOR PROFIT CORPORATION)
LUTHER HOME
831 PINE BEACH RD
(715) 732-0155
(715) 732-5833
DARRELL LANCOUR
MARINETTE
Northeastern
Lic. 2155
Skilled Care
80 Beds 525476
Title 18 SNF Title 19 NFMARINETTE, WI 54143
NORTHLAND LUTHERAN SERVICES FOR THE
ELDERLY INC (NONPROFIT CHURCH/CORP)
MARYHILL MANOR, INC
501 MADISON AVE
(715) 251-3172
(715) 251-1193
LYNNE CROCKFORD
MARINETTE
Northeastern
Lic. 2964
Skilled Care
50 Beds 525467
Title 18 SNF Title 19 NFNIAGARA, WI 54151
MARYHILL MANOR INC (NONPROFIT
CHURCH/CORP)
RENNES HEALTH AND REHAB CENTER-EAST
701 WILLOW ST
(715) 582-3962
(715) 582-9115
BRANDON WILLMS
MARINETTE
Northeastern
Lic. 3118
Skilled Care
50 Beds 525457
Title 18 SNF Title 19 NFPESHTIGO, WI 54157
TDR INC (FOR PROFIT CORPORATION)
RENNES HEALTH AND REHAB CENTER-WEST
501 N LAKE ST
(715) 582-3906
(715) 582-3141
RACHEL BAXTER
MARINETTE
Northeastern
Lic. 2957
Skilled Care
90 Beds 525451
Title 18 SNF Title 19 NFPESHTIGO, WI 54157
MAGNICARE INC (FOR PROFIT
CORPORATION)
MONTELLO CARE CENTER
251 FOREST LANE
(608) 297-2153
(608) 297-9328
JULEANNA JOHNSON
MARQUETTE
Northeastern
Lic. 2633
Skilled Care
50 Beds 525657
Title 18 SNF Title 19 NFMONTELLO, WI 53949
WISCONSIN ILLINOIS SENIOR HOUSING INC
(NONPROFIT CORPORATION)
BEDROCK HCS AT GLENDALE
1300 WEST SILVER SPRING DR
(414) 228-8120
(414) 247-8620
KARI GROSENICK
MILWAUKEE
Southeastern
Lic. 2842
Skilled Care
112 Beds 525371
Title 18 SNF Title 19 NFGLENDALE, WI 53209
BEDROCK HCS AT GLENDALE LLC (FOR
PROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 19 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
GLENDALE CARE AND REHAB CENTER LLC
6263 N GREEN BAY AVE
(414) 351-0543
(414) 351-7977
LAKISHA HAYDEN
MILWAUKEE
Southeastern
Lic. 3218
Skilled Care
94 Beds 525547
Title 18 SNF Title 19 NFGLENDALE, WI 53209
GLENDALE CARE AND REHAB CENTER LLC
(FOR PROFIT CORPORATION)
BEDROCK HCS AT GREENDALE LLC
5404 W LOOMIS RD
(414) 421-0088
(414) 421-2163
BENNY WAKNIN
MILWAUKEE
Southeastern
Lic. 3142
Skilled Care
105 Beds 525549
Title 18 SNFGREENDALE, WI 53129
BEDROCK HCS AT GREENDALE LLC (FOR
PROFIT CORPORATION)
CLEMENT MANOR HEALTH CARE CENTER
3939 S 92ND ST
(414) 321-1800
(414) 546-7333
CARLY LOEWUS
MILWAUKEE
Southeastern
Lic. 2724
Skilled Care
50 Beds 525327
Title 18 SNF Title 19 NFGREENFIELD, WI 53228
CLEMENT MANOR INC (NONPROFIT
CHURCH/CORP)
SOUTHPOINTE CARE AND REHAB CENTER LLC
4500 W LOOMIS RD
(414) 325-5300
(414) 325-5475
REBECCA RIEBER
MILWAUKEE
Southeastern
Lic. 3177
Skilled Care
174 Beds 525604
Title 18 SNF Title 19 NFGREENFIELD, WI 53220
SOUTHPOINTE CARE AND REHAB CENTER
LLC (FOR PROFIT CORPORATION)
HALES CORNERS CARE CENTER
9449 W FOREST HOME AVE
(414) 529-6888
(414) 529-1271
SARA JACOBS
MILWAUKEE
Southeastern
Lic. 3172
Skilled Care
62 Beds 525596
Title 18 SNF Title 19 NFHALES CORNERS, WI 53130
REGENCY TERRACE SOUTH INC (FOR
PROFIT CORPORATION)
ASCENSION LIVING ALEXIAN VILLAGE MILWAUKEE
9255 N 76TH ST
(414) 355-9300
(414) 357-5108
ROBERT OWENS
MILWAUKEE
Southeastern
Lic. 3066
Skilled Care
108 Beds 525523
Title 18 SNF Title 19 NFMILWAUKEE, WI 53223
ALEXIAN VILLAGE OF MILWAUKEE INC
(NONPROFIT CORPORATION)
AUTUMN LAKE HEALTHCARE AT GREENFIELD
5790 S 27TH ST
(414) 282-1300
(414) 282-9211
ANNETTE BOHMAN
MILWAUKEE
Southeastern
Lic. 2230
Skilled Care
112 Beds 525504
Title 18 SNF Title 19 NFMILWAUKEE, WI 53221
CAMEO NURSING HOME, LLC (LIMITED
LIABILITY COMPANY)
BRADLEY ESTATES NURSING AND REHAB LLC
6735 W BRADLEY RD
(414) 354-3300
(414) 355-7328
JENNIFER BEZOTTE
MILWAUKEE
Southeastern
Lic. 2684
Skilled Care
198 Beds 525325
Title 18 SNF Title 19 NFMILWAUKEE, WI 53223
BRADLEY ESTATES NURSING AND REHAB
LLC (FOR PROFIT CORPORATION)
CROSSROADS CARE CENTER OF MILWAUKEE
3216 W HIGHLAND BLVD
(414) 344-6515
(414) 344-6731
DOMINIQUE KITTELL
MILWAUKEE
Southeastern
Lic. 3162
Skilled Care
95 Beds 525417
Title 18 SNF Title 19 NFMILWAUKEE, WI 53208
CROSSROADS CARE CENTER OF
MILWAUKEE, LLC (LIMITED LIABILITY
COMPANY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 20 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
EASTCASTLE PLACE BRADFORD TERRACE
CONVALESCENT CENTER
2505 E BRADFORD AVE
(414) 963-6151
(414) 963-6146
LINDSEY VIEGUT
MILWAUKEE
Southeastern
Lic. 1032
Skilled Care
40 Beds 525085
Title 18 SNF Title 19 NFMILWAUKEE, WI 53211
EASTCASTLE PLACE, INC (NONPROFIT
CORPORATION)
EDENBROOK LAKESIDE
2115 E WOODSTOCK PL
(414) 271-1020
(414) 758-2002
GLENN CARVINO
MILWAUKEE
Southeastern
Lic. 3150
Skilled Care
130 Beds 525319
Title 18 SNF Title 19 NFMILWAUKEE, WI 53202
LAKE TERRACE NURSING AND
REHABILITATION LLC (FOR PROFIT
CORPORATION)
JEWISH HOME AND CARE CENTER
1414 N PROSPECT AVE
(414) 276-2627
(414) 276-4828
KATIE QUINTANILLA
MILWAUKEE
Southeastern
Lic. 2159
Skilled Care
136 Beds 525172
Title 18 SNF Title 19 NFMILWAUKEE, WI 53202
JEWISH HOME AND CARE CENTER INC
(NONPROFIT CORPORATION)
LUTHER MANOR
4545 N 92ND ST
(414) 464-3880
(414) 464-9050
KAREN GIBBS
MILWAUKEE
Southeastern
Lic. 934
Skilled Care
99 Beds 525588
Title 18 SNF Title 19 NFMILWAUKEE, WI 53225
UNITED LUTHERAN PROGRAM FOR THE
AGING INC (NONPROFIT CHURCH/CORP)
MAPLE RIDGE HEALTH SERVICES
2730 W RAMSEY AVE
(414) 282-2600
(414) 282-2051
KASIE SPEAKS
MILWAUKEE
Southeastern
Lic. 3212
Skilled Care
80 Beds 525359
Title 18 SNF Title 19 NFMILWAUKEE, WI 53221
NSH MAPLE RIDGE LLC (LIMITED LIABILITY
COMPANY)
MERCY HEALTH SERVICES
2727 W MITCHELL ST
(414) 383-3699
(414) 383-3866
NATYRA LENA
MILWAUKEE
Southeastern
Lic. 2838
Skilled Care
60 Beds 525414
Title 18 SNF Title 19 NFMILWAUKEE, WI 53215
NSH MERCY LLC (LIMITED LIABILITY
COMPANY)
MILWAUKEE CATHOLIC HOME
2330 N PROSPECT AVE
(414) 220-4610
(414) 278-1252
PATRICK SHAUGHNESSY
MILWAUKEE
Southeastern
Lic. 3213
Skilled Care
107 Beds 525635
Title 18 SNF Title 19 NFMILWAUKEE, WI 53211
MILWAUKEE CATHOLIC HOME INC
(NONPROFIT CORPORATION)
SAINT JOHNS ON THE LAKE
1858 N PROSPECT AVE
(414) 272-2022
(414) 897-8247
MATTHEW LOYD
MILWAUKEE
Southeastern
Lic. 2611
Skilled Care
27 Beds 525539
Title 18 SNF Title 19 NFMILWAUKEE, WI 53202
SAINT JOHN'S COMMUNITIES INC
(NONPROFIT CHURCH/CORP)
ST ANN HEALTH AND REHABILITATION CENTER
2020 S MUSKEGO AVE
(414) 383-2630
(414) 383-0305
NEIMISIES RIVERA
MILWAUKEE
Southeastern
Lic. 245
Skilled Care
50 Beds 525731
Title 18 SNF Title 19 NFMILWAUKEE, WI 53204
ST ANN HEALTH AND REHABILITATION
CENTER (FOR PROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 21 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
ST ANNE'S SALVATORIAN CAMPUS
3800 N 92ND ST
(414) 463-7570
(414) 463-2311
ANGELA TURNER
MILWAUKEE
Southeastern
Lic. 2056
Skilled Care
50 Beds 525524
Title 18 SNF Title 19 NFMILWAUKEE, WI 53222
ST ANNE'S SALVATORIAN CAMPUS
(NONPROFIT CHURCH/CORP)
SUNRISE HEALTH SERVICES
3540 S 43RD ST
(414) 541-1000
(414) 328-2159
LAUREN BEAUMONT
MILWAUKEE
Southeastern
Lic. 3134
Skilled Care
99 Beds 525493
Title 18 SNF Title 19 NFMILWAUKEE, WI 53220
NSH SUNRISE LLC (LIMITED LIABILITY
COMPANY)
WATERFALL HEALTH OF BROWN DEER
7500 W DEAN RD
(414) 371-7500
(414) 371-7548
VICTORIA WALLEY
MILWAUKEE
Southeastern
Lic. 2444
Skilled Care
87 Beds 525498
Title 18 SNF Title 19 NFMILWAUKEE, WI 53223
WATERFALL HEALTH OF BROWN DEER, LLC
(FOR PROFIT CORPORATION)
WHEATON FRANCISCAN HC - TERRACE AT ST
FRANCIS
3200 S 20TH ST
(414) 389-3200
(414) 389-3300
EDGAR MARTHIENS
MILWAUKEE
Southeastern
Lic. 3147
Skilled Care
81 Beds 525552
Title 18 SNF Title 19 NFMILWAUKEE, WI 53215
WHEATON FRANCISCAN HLTHCARE-
TERRACE AT ST FRANCIS (NONPROFIT
CORPORATION)
MEDICAL SUITES AT OAK CREEK (THE)
2700 HONADEL BOULEVARD
(414) 435-2005
(414) 574-4045
ANN MARKWARDT
MILWAUKEE
Southeastern
Lic. 5054
144 Beds 525730
Title 18 SNF Title 19 NFOAK CREEK, WI 53154
OAK CREEK HEALTH AND REHABILIATION
CENTER LLC (FOR PROFIT CORPORATION)
ST FRANCIS HEALTH SERVICES
1915 E TRIPOLI AVE
(414) 483-3611
(414) 483-1139
ANN LOPEZ
MILWAUKEE
Southeastern
Lic. 2922
Skilled Care
34 Beds 525477
Title 18 SNF Title 19 NFSAINT FRANCIS, WI 53235
NSH SOUTH SHORE LLC (LIMITED LIABILITY
COMPANY)
CHI FRANCISCAN VILLA
3601 S CHICAGO AVE
(414) 764-4100
(414) 570-6208
CODY PENKWITZ
MILWAUKEE
Southeastern
Lic. 2185
Skilled Care
90 Beds 525526
Title 18 SNF Title 19 NFSOUTH MILWAUKEE, WI 53172
CHI LIVING COMMUNITIES (NONPROFIT
CORPORATION)
WILLOWCREST HEALTH SERVICES
3821 S CHICAGO AVE
(414) 762-7336
(414) 762-5077
CHRISTINA SAID
MILWAUKEE
Southeastern
Lic. 2798
Skilled Care
135 Beds 525413
Title 18 SNF Title 19 NFSOUTH MILWAUKEE, WI 53172
NSH SOUTH MILWAUKEE LLC (LIMITED
LIABILITY COMPANY)
LUTHERAN HOME
7500 W NORTH AVE
(414) 258-6170
(414) 258-0784
DANIELLE UNGER
MILWAUKEE
Southeastern
Lic. 293
Skilled Care
160 Beds 525545
Title 18 SNF Title 19 NFWAUWATOSA, WI 53213
LUTHERAN HOME INC (NONPROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 22 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
ST CAMILLUS HEALTH CENTER
10101 W WISCONSIN AVE
(414) 258-1814
(414) 259-4987
COURTNEY WILSON
MILWAUKEE
Southeastern
Lic. 3074
Skilled Care
50 Beds 525382
Title 18 SNF Title 19 NFWAUWATOSA, WI 53226
ST CAMILLUS HEALTH CENTER INC
(NONPROFIT CHURCH/CORP)
ALLIS CARE CENTER
9047 W GREENFIELD AVE
(414) 453-9290
(414) 777-7356
KRISTINE WELCHMAN
MILWAUKEE
Southeastern
Lic. 1029
Skilled Care
152 Beds 525108
Title 18 SNF Title 19 NFWEST ALLIS, WI 53214
LEXINGTON HEALTHCARE LLC (LIMITED
LIABILITY COMPANY)
ARIA AT MITCHELL MANOR
5301 W LINCOLN AVE
(414) 615-7100
(414) 616-7710
ERICK KNUDTSON
MILWAUKEE
Southeastern
Lic. 3181
Skilled Care
50 Beds 525600
Title 18 SNF Title 19 NFWEST ALLIS, WI 53219
ARIA AT MITCHELL MANOR (FOR PROFIT
CORPORATION)
MAPLEWOOD CENTER
8615 W BELOIT RD
(414) 607-4100
(414) 607-4502
KIM ODIVIN
MILWAUKEE
Southeastern
Lic. 2153
Skilled Care
150 Beds 525069
Title 18 SNF Title 19 NFWEST ALLIS, WI 53227
METHODIST MANOR HEALTH CENTER INC
(NONPROFIT CORPORATION)
MORROW MEMORIAL HOME
331 S WATER ST
(608) 269-3168
(608) 269-7642
JENNIFER BRIESKE
MONROE
Northwestern
Lic. 440
Skilled Care
80 Beds 525662
Title 18 SNF Title 19 NFSPARTA, WI 54656
MORROW MEM HOME FOR THE AGED INC
(NONPROFIT CHURCH/CORP)
ROLLING HILLS REHABILITATION CENTER
14400 CTY HWY B
(608) 269-8800
(608) 269-4386
LINDA SMITH
MONROE
Northwestern
Lic. 2379
Skilled Care
50 Beds 525430
Title 18 SNF Title 19 NFSPARTA, WI 54656
MONROE COUNTY BOARD (GOVERNMENT
COUNTY)
TOMAH NURSING AND REHABILITATION
1505 BUTTS AVE
(608) 372-3241
(608) 372-3250
BRANDI SHEA
MONROE
Northwestern
Lic. 2825
Skilled Care
74 Beds 525442
Title 18 SNF Title 19 NFTOMAH, WI 54660
ATRIUM CENTERS, LLC (LIMITED LIABILITY
COMPANY)
OCONTO HEALTH AND REHABILITATION CENTER
101 FIRST ST
(920) 834-4575
(920) 834-2537
LONNA SCHMIDT
OCONTO
Northeastern
Lic. 5009
Skilled Care
50 Beds 525670
Title 18 SNF Title 19 NFOCONTO, WI 54153
OCONTO HEALTH AND REHABILITATION
CENTER (FOR PROFIT CORPORATION)
MEADOWBROOK AT OCONTO FALLS
100 E HIGHLAND DR
(920) 848-3272
(920) 848-2516
JULIE FLEURY
OCONTO
Northeastern
Lic. 2727
Skilled Care
75 Beds 525449
Title 18 SNF Title 19 NFOCONTO FALLS, WI 54154
OCONTO FALLS NURSING AND REHAB LLC
(FOR PROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 23 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
SURING HEALTH AND REHABILIATION CENTER
430 MANOR DR
(920) 842-2191
(920) 842-2176
KRISTINA WRIGHT
OCONTO
Northeastern
Lic. 2698
Skilled Care
50 Beds 525363
Title 18 SNF Title 19 NFSURING, WI 54174
SURING HEALTH AND REHABILIATION
CENTER (FOR PROFIT CORPORATION)
MINOCQUA HEALTH AND REHAB
9969 OLD HWY 70 RD
(715) 356-6016
(715) 356-2392
JEANNIE ZAZESKI
ONEIDA
Northwestern
Lic. 2629
Skilled Care
72 Beds 525678
Title 18 SNF Title 19 NFMINOCQUA, WI 54548
MINOCQUA HEALTH AND REHAB (FOR
PROFIT CORPORATION)
FRIENDLY VILLAGE NURSING AND REHABILITATION
CENTER
900 BOYCE DR
(715) 365-6832
(715) 365-6665
BILLIE NOVAK
ONEIDA
Northwestern
Lic. 2751
Skilled Care
100 Beds 525459
Title 18 SNF Title 19 NFRHINELANDER, WI 54501
FRIENDLY VILLAGE NURSING AND REHAB,
LLC (LIMITED LIABILITY COMPANY)
RENNES HEALTH AND REHAB CENTER-RHINELANDER
1970 NAVAJO ST
(715) 420-0728
(715) 362-1970
ANNA KELMANN
ONEIDA
Northwestern
Lic. 1124
Skilled Care
122 Beds 525589
Title 18 SNF Title 19 NFRHINELANDER, WI 54501
RG-RHINELANDER, INC. (FOR PROFIT
CORPORATION)
BREWSTER VILLAGE
3300 W BREWSTER ST
(920) 832-5400
(920) 832-4922
TAYA WALK
OUTAGAMIE
Northeastern
Lic. 2371
Skilled Care
204 Beds 525574
Title 18 SNF Title 19 NFAPPLETON, WI 54914
BOARD OF TRUSTEES-OUTAGAMIE COUNTY
BOARD (GOVERNMENT COUNTY)
EDENBROOK ON MEADE NURSING AND REHAB LLC
2915 N MEADE ST
(920) 993-6800
(920) 997-1735
MADELYN PROCESS
OUTAGAMIE
Northeastern
Lic. 2943
Skilled Care
95 Beds 525484
Title 18 SNF Title 19 NFAPPLETON, WI 54911
EDENBROOK ON MEADE NURSING AND
REHAB LLC (FOR PROFIT CORPORATION)
MEADOWBROOK AT APPLETON
1335 S ONEIDA ST
(920) 731-6646
(920) 731-5177
ALISON BIEDERWOLF
OUTAGAMIE
Northeastern
Lic. 2742
Skilled Care
104 Beds 525264
Title 18 SNF Title 19 NFAPPLETON, WI 54915
APPLETON NURSING AND REHAB LLC (FOR
PROFIT CORPORATION)
RENNES HEALTH AND REHAB CENTER-APPLETON
325 E FLORIDA AVE
(920) 731-7310
(920) 733-3050
KENDRA VANDENHEUVEL
OUTAGAMIE
Northeastern
Lic. 3016
Skilled Care
88 Beds 525583
Title 18 SNF Title 19 NFAPPLETON, WI 54911
TDR INC (FOR PROFIT CORPORATION)
ST PAUL ELDER SERVICES, INC
316 EAST 14TH STREET
(920) 766-6020
(920) 766-9161
MEGAN MASHL
OUTAGAMIE
Northeastern
Lic. 2988
Skilled Care
105 Beds 525617
Title 18 SNF Title 19 NFKAUKAUNA, WI 54130
ST PAUL ELDER SERVICES INC (NONPROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 24 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
LITTLE CHUTE HEALTH SERVICES
1201 GARFIELD AVE
(920) 788-5806
(920) 788-5797
ALLIE STECKLER
OUTAGAMIE
Northeastern
Lic. 2478
Skilled Care
50 Beds 525579
Title 18 SNF Title 19 NFLITTLE CHUTE, WI 54140
NSH LITTLE CHUTE LLC (FOR PROFIT
CORPORATION)
GOOD SHEPHERD SERVICES, LTD
607 BRONSON RD
(920) 833-6856
(920) 833-1846
CAYLA PIEHL
OUTAGAMIE
Northeastern
Lic. 2659
Skilled Care
50 Beds 525509
Title 18 SNF Title 19 NFSEYMOUR, WI 54165
GOOD SHEPHERD SERVICES LTD (LIMITED
LIABILITY COMPANY)
CEDARBURG HEALTH SERVICES
N27 W5707 LINCOLN BLVD
(262) 376-7676
(262) 375-8161
EVAN KINNEY
OZAUKEE
Northeastern
Lic. 3156
Skilled Care
78 Beds 525578
Title 18 SNF Title 19 NFCEDARBURG, WI 53012
NSH CEDARBURG LLC (LIMITED LIABILITY
COMPANY)
LASATA CARE CENTER
W76 N677 WAUWATOSA RD
(262) 377-5060
(262) 377-4202
BARTON SMITH
OZAUKEE
Northeastern
Lic. 2361
Skilled Care
106 Beds 525537
Title 18 SNF Title 19 NFCEDARBURG, WI 53012
OZAUKEE COUNTY BOARD (GOVERNMENT
COUNTY)
NEWCASTLE PLACE
12600 N PORT WASHINGTON RD #300
(262) 387-8850
(262) 387-8894
GEOFF MINARIK
OZAUKEE
Northeastern
Lic. 235
Skilled Care
47 Beds 525668
Title 18 SNFMEQUON, WI 53092
NEWCASTLE PLACE, LLC (NONPROFIT
CORPORATION)
HERITAGE HEALTH SERVICES
1119 N WISCONSIN ST
(262) 284-5892
(262) 284-1612
LORRAINE LEHNERZ
OZAUKEE
Northeastern
Lic. 2328
Skilled Care
74 Beds 525586
Title 18 SNF Title 19 NFPORT WASHINGTON, WI 53074
NSH PORT WASHINGTON LLC (LIMITED
LIABILITY COMPANY)
ELLSWORTH HEALTH SERVICES
403 N MAPLE ST
(715) 273-5821
(715) 273-6182
RHONDA BLODGETT
PIERCE
Northwestern
Lic. 3146
Skilled Care
50 Beds 525483
Title 18 SNF Title 19 NFELLSWORTH, WI 54011
NSH ELLSWORTH LLC (FOR PROFIT
CORPORATION)
PLUM CITY CARE CENTER
301 CHERRY AVENUE WEST
(715) 647-2401
(715) 647-2054
CARLA HUTTER
PIERCE
Northwestern
Lic. 3171
Skilled Care
50 Beds 525440
Title 18 SNF Title 19 NFPLUM CITY, WI 54761
PLUM CITY CARE CENTER INC (FOR PROFIT
CORPORATION)
PRESCOTT NURSING AND REHABILITATION
COMMUNITY
1505 ORRIN RD
(715) 262-5661
(715) 262-4899
KAFAYAT OWOKONIRAN
PIERCE
Northwestern
Lic. 3249
Skilled Care
65 Beds 525398
Title 18 SNF Title 19 NFPRESCOTT, WI 54021
ORION PRESCOTT, LLC (LIMITED LIABILITY
COMPANY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 25 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
SPRING VALLEY HEALTH AND REHABILITATION
CENTER
S830 - WESTLAND DR
(715) 778-5545
(715) 778-5575
NICOLE VERDON
PIERCE
Northwestern
Lic. 995
Skilled Care
40 Beds 525466
Title 18 SNF Title 19 NFSPRING VALLEY, WI 54767
VILLAGE OF SPRING VALLEY, WI
(GOVERNMENT COUNTY)
GOLDEN AGE MANOR
220 SCHOLL CT
(715) 268-7107
(715) 268-6167
DANA REESE
POLK
Northwestern
Lic. 2376
Skilled Care
85 Beds 525507
Title 18 SNF Title 19 NFAMERY, WI 54001
POLK COUNTY BOARD (GOVERNMENT
COUNTY)
WILLOW RIDGE HEALTHCARE
400 DERONDA ST
(715) 268-8171
(715) 268-6361
EILEEN LAFAVOR
POLK
Northwestern
Lic. 2642
Skilled Care
83 Beds 525402
Title 18 SNF Title 19 NFAMERY, WI 54001
WILLOW RIDGE HEALTHCARE FACILITIES
LLC (LIMITED LIABILITY COMPANY)
FREDERIC NURSING AND REHABILITATION
COMMUNITY
205 UNITED WAY
(715) 327-4297
(715) 327-4950
TAMMY FARMER
POLK
Northwestern
Lic. 3086
Skilled Care
60 Beds 525665
Title 18 SNF Title 19 NFFREDERIC, WI 54837
ORION FREDERIC LLC (LIMITED LIABILITY
COMPANY)
UNITED PIONEER HOME, INC
623 S SECOND ST
(715) 472-2164
(715) 472-2180
JAY ANDRESS
POLK
Northwestern
Lic. 450
Skilled Care
50 Beds 525680
Title 18 SNF Title 19 NFLUCK, WI 54853
UNITED PIONEER HOME INC (NONPROFIT
CHURCH/CORP)
CHRISTIAN COMMUNITY HOME OF OSCEOLA, INC
2650 65TH AVE
(715) 294-1100
(715) 294-1139
HEIDI MCGEEHAN
POLK
Northwestern
Lic. 5037
Skilled Care
40 Beds 525706
Title 18 SNF Title 19 NFOSCEOLA, WI 54020
CHRISTIAN COMMUNITY HOME OF OSCEOLA,
INC (NONPROFIT CORPORATION)
DOVE HEALTHCARE - ST CROIX FALLS
750 E LOUISIANA ST
(715) 483-9815
(715) 483-5113
CHAD KETCHAM
POLK
Northwestern
Lic. 2080
Skilled Care
50 Beds 525532
Title 18 SNF Title 19 NFST CROIX FALLS, WI 54024
DIVINE REHABILITATION AND NURSING AT ST
CROIX LLC (FOR PROFIT CORPORATION)
PORTAGE COUNTY HEALTH CARE CENTER
825 WHITING AVE
(715) 346-1374
(715) 346-1628
MARCIA MCDONALD
PORTAGE
Northeastern
Lic. 2394
Skilled Care
48 Beds 525611
Title 18 SNF Title 19 NFSTEVENS POINT, WI 54481
PORTAGE COUNTY (GOVERNMENT COUNTY)
STEVENS POINT HEALTH SERVICES
1800 SHERMAN AVE
(715) 344-1800
(715) 344-7294
JOSEPH WAIYAKI
PORTAGE
Northeastern
Lic. 3082
Skilled Care
50 Beds 525353
Title 18 SNF Title 19 NFSTEVENS POINT, WI 54481
NSH STEVENS POINT LLC (FOR PROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 26 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
PARK MANOR LTD
250 LAWRENCE AVE
(715) 762-2449
(715) 762-3321
KRISTA BOLEY
PRICE
Northwestern
Lic. 2452
Skilled Care
92 Beds 525612
Title 18 SNF Title 19 NFPARK FALLS, WI 54552
PARK MANOR LTD (FOR PROFIT
CORPORATION)
BURLINGTON HEALTH AND REHABILITATION CENTER
677 E STATE ST
(262) 763-9531
(262) 763-7579
KRISTI RICHTER
RACINE
Southeastern
Lic. 3239
Skilled Care
123 Beds 525482
Title 18 SNF Title 19 NFBURLINGTON, WI 53105
BAY AT BURLINGTON HEALTH AND
REHABILITATION LLC (LIMITED LIABILITY
COMPANY)
LAKESHORE AT SIENA
5643 ERIE STREET
(262) 898-9100
(262) 687-2561
MICHAEL PHILLIPS
RACINE
Southeastern
Lic. 3087
Skilled Care
60 Beds 525495
Title 18 SNF Title 19 NFRACINE, WI 53402
ASCENSION LIVING - LAKESHORE AT SIENA,
INC. (FOR PROFIT CORPORATION)
LINCOLN PARK NURSING AND REHAB LLC
1700 C A BECKER DR
(262) 637-9751
(262) 637-9329
KIMBERLY STORLIE
RACINE
Southeastern
Lic. 2269
Skilled Care
122 Beds 525061
Title 18 SNF Title 19 NFRACINE, WI 53406
LINCOLN PARK NURSING AND REHAB, LLC
(FOR PROFIT CORPORATION)
RIDGEWOOD CARE CENTER
3205 WOOD RD
(262) 554-6440
(262) 554-2015
SCOTT MYERS
RACINE
Southeastern
Lic. 2925
Skilled Care
200 Beds 525608
Title 18 SNF Title 19 NFRACINE, WI 53406
COMPLETE CARE AT RIDGEWOOD, LLC
(LIMITED LIABILITY COMPANY)
OAK RIDGE CARE CENTER
1400 8TH AVE
(262) 878-2788
(262) 878-4456
STEVEN KURANZ
RACINE
Southeastern
Lic. 3068
Skilled Care
74 Beds 525542
Title 18 SNF Title 19 NFUNION GROVE, WI 53182
OAK RIDGE CARE CENTER INC (FOR PROFIT
CORPORATION)
WI VETERANS HOME-BOLAND HALL
21425 E SPRING ST
(262) 878-6702
(262) 878-6758
TERESA PHILLIPSON
RACINE
Southeastern
Lic. 5024
Skilled Care
158 Beds 525688
Title 18 SNF Title 19 NFUNION GROVE, WI 53182
STATE OF WI DEPT OF VETERANS AFFAIRS
(GOVERNMENT STATE)
PINE VALLEY COMMUNITY VILLAGE
25951 CIRCLE VIEW LANE
(608) 647-2138
(608) 647-8955
ANGELA WALL
RICHLAND
Southern
Lic. 2365
Skilled Care
80 Beds 525365
Title 18 SNF Title 19 NFRICHLAND CENTER, WI 53581
RICHLAND COUNTY (GOVERNMENT COUNTY)
SCHMITT WOODLAND HILLS
1400 W SEMINARY ST
(608) 647-8931
(608) 647-8050
ADDISON PLATT
RICHLAND
Southern
Lic. 1139
Skilled Care
50 Beds 525671
Title 18 SNF Title 19 NFRICHLAND CENTER, WI 53581
SCHMITT WOODLAND HILLS INC (NONPROFIT
OTHER)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 27 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
AUTUMN LAKE HEALTHCARE AT BELOIT
2121 PIONEER DR
(608) 365-9526
(608) 365-9761
SUSAN VIKEN
ROCK
Southern
Lic. 3061
Skilled Care
120 Beds 525663
Title 18 SNF Title 19 NFBELOIT, WI 53511
AJ OPERATIONS LLC (FOR PROFIT
CORPORATION)
BELOIT HEALTH AND REHABILITATION CENTER
1905 W HART RD
(608) 365-2554
(608) 466-6611
MARSHA MANTHEI
ROCK
Southern
Lic. 3187
Skilled Care
110 Beds 525273
Title 18 SNF Title 19 NFBELOIT, WI 53511
BELOIT HEALTH AND REHABILITATION
CENTER (FOR PROFIT CORPORATION)
ALDEN MEADOW PARK HEALTH CARE CENTER, INC
709 MEADOW PARK DR
(608) 676-2202
(608) 676-4989
ALYSSA SCHULTE
ROCK
Southern
Lic. 3100
Skilled Care
94 Beds 525508
Title 18 SNF Title 19 NFCLINTON, WI 53525
ALDEN-MEADOW PARK HEALTH CARE
CENTER INC (FOR PROFIT CORPORATION)
EDGERTON CARE CENTER, INC
313 STOUGHTON RD
(608) 884-1330
(608) 884-1405
AMY RAMIEREZ
ROCK
Southern
Lic. 2235
Skilled Care
61 Beds 525241
Title 18 SNF Title 19 NFEDGERTON, WI 53534
WISCONSIN ILLINOIS SENIOR HOUSING INC
(NONPROFIT CORPORATION)
EVANSVILLE MANOR NURSING AND REHAB, LLC
470 GARFIELD AVE
(608) 882-5700
(608) 882-9100
COURTNEY POTTER
ROCK
Southern
Lic. 2259
Skilled Care
71 Beds 525418
Title 18 SNF Title 19 NFEVANSVILLE, WI 53536
EVANSVILLE MANOR NURSING AND REHAB,
LLC (FOR PROFIT CORPORATION)
CEDAR CREST HEALTH CENTER
1702 S RIVER RD
(608) 756-0344
(608) 756-9275
DAVID TANCK
ROCK
Southern
Lic. 2201
Skilled Care
71 Beds 525649
Title 18 SNF Title 19 NFJANESVILLE, WI 53546
CEDAR CREST INC (NONPROFIT
CORPORATION)
MERCY MANOR TRANSITION CENTER
1000 MINERAL POINT AVE
(608) 756-6050
(608) 755-3856
KATHERINE KUS
ROCK
Southern
Lic. 5007
Skilled Care
28 Beds 525666
Title 18 SNFJANESVILLE, WI 53547
MERCY HEALTH SYSTEM CORPORATION
(NONPROFIT CORPORATION)
OAK PARK PLACE OF JANESVILLE
700 MYRTLE WAY
(608) 530-5700
(608) 251-2955
WILLIAM SEKALIAS
ROCK
Southern
Lic. 5052
35 Beds 525728
Title 18 SNFJANESVILLE, WI 53545
OAK PARK PLACE OF JANESVILLE, LLC (FOR
PROFIT CORPORATION)
ROCK HAVEN
3400 N CTY TRK HWY F
(608) 757-5076
(608) 757-5026
NATALIE ROLLING-EDLEBECK
ROCK
Southern
Lic. 2425
Skilled Care
128 Beds 525390
Title 18 SNF Title 19 NFJANESVILLE, WI 53547
COUNTY OF ROCK COUNTY CLERK
(GOVERNMENT COUNTY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 28 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
ST ELIZABETH NURSING HOME
109 S ATWOOD AVENUE
(608) 752-6709
(608) 752-6436
VICTORIA THELEN
ROCK
Southern
Lic. 624
Skilled Care
43 Beds 525639
Title 18 SNF Title 19 NFJANESVILLE, WI 53545
SISTERS OF CHARITY OF OUR LADY MOTHER
OF/CHURCH (NONPROFIT CORPORATION)
CARE & REHAB - LADYSMITH 1
1001 E 11TH ST N
(715) 532-5546
(715) 532-5498
ANN NOVAK
RUSK
Northwestern
Lic. 3062
Skilled Care
32 Beds 525592
Title 18 SNF Title 19 NFLADYSMITH, WI 54848
SENIOR MANAGEMENT, INC. (FOR PROFIT
CORPORATION)
CARE & REHAB - LADYSMITH 2
1001 E 11TH ST N
(715) 532-5546
(715) 532-5498
ANN NOVAK
RUSK
Northwestern
Lic. 5038
Skilled Care
30 Beds 525710
Title 18 SNF Title 19 NFLADYSMITH, WI 54848
SENIOR MANAGEMENT, INC. (FOR PROFIT
CORPORATION)
BALDWIN CARE CENTER, INC
650 BIRCH ST
(715) 684-3231
(715) 684-3608
ALEXANDRA KUMMER
SAINT CROIX
Northwestern
Lic. 2285
Skilled Care
50 Beds 525502
Title 18 SNF Title 19 NFBALDWIN, WI 54002
BALDWIN CARE CENTER INC (NONPROFIT
CORPORATION)
GLENHAVEN, INC
612 E OAK ST
(715) 265-4555
(715) 265-7344
KEVIN LARSON
SAINT CROIX
Northwestern
Lic. 852
Skilled Care
44 Beds 525602
Title 18 SNF Title 19 NFGLENWOOD CITY, WI 54013
GLENHAVEN, INC (NONPROFIT
CORPORATION)
HAMMOND HEALTH SERVICES
425 DAVIS ST
(715) 796-2218
(715) 796-5286
LAURIE EDELMAN
SAINT CROIX
Northwestern
Lic. 3217
Skilled Care
50 Beds 525499
Title 18 SNF Title 19 NFHAMMOND, WI 54015
NSH HAMMOND LLC (LIMITED LIABILITY
COMPANY)
CHRISTIAN COMMUNITY HOME
1320 WISCONSIN ST
(715) 386-9303
(715) 381-4200
JENNIE ORMAN
SAINT CROIX
Northwestern
Lic. 2664
Skilled Care
50 Beds 525626
Title 18 SNF Title 19 NFHUDSON, WI 54016
CHRISTIAN COMMUNITY HOME OF HUDSON
INC (NONPROFIT CORPORATION)
DEERFIELD CARE CENTER, LLC
575 HOSPITAL RD
(715) 243-3930
(715) 243-3931
JENNIFER ANDERSON
SAINT CROIX
Northwestern
Lic. 2706
Skilled Care
50 Beds 525019
Title 18 SNF Title 19 NFNEW RICHMOND, WI 54017
DEERFIELD CARE CENTER, LLC (LIMITED
LIABILITY COMPANY)
ST CROIX HEALTH CENTER
1445 N FOURTH ST
(715) 246-8211
(715) 246-8225
SANDRA HACKENMUELLER
SAINT CROIX
Northwestern
Lic. 2415
Skilled Care
50 Beds 525468
Title 18 SNF Title 19 NFNEW RICHMOND, WI 54017
ST CROIX COUNTY BOARD (GOVERNMENT
COUNTY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 29 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
KINNIC HEALTH AND REHABILITATION CENTER
1663 E DIVISION ST
(715) 426-6000
(715) 426-6007
KRISTIN HERUM
SAINT CROIX
Northwestern
Lic. 3095
Skilled Care
68 Beds 525513
Title 18 SNF Title 19 NFRIVER FALLS, WI 54022
RIVER FALLS WI OPCO LLC (FOR PROFIT
CORPORATION)
PARK VIEW HOME
220 LOCKWOOD ST
(715) 698-2451
(715) 698-2363
MELISSA WALTHALL
SAINT CROIX
Northwestern
Lic. 859
Skilled Care
50 Beds 525458
Title 18 SNF Title 19 NFWOODVILLE, WI 54028
PARK VIEW HOME INC (NONPROFIT
CORPORATION)
SSM HEALTH ST CLARE MEADOWS CARE CENTER
1414 JEFFERSON ST
(608) 356-4838
(608) 356-5441
EMILY GREENWOOD
SAUK
Southern
Lic. 3099
Skilled Care
102 Beds 525317
Title 18 SNF Title 19 NFBARABOO, WI 53913
SSM HEALTH CARE OF WISCONSIN INC
(NONPROFIT CORPORATION)
RIDGEVIEW TERRACE LONG TERM CARE
2350 N DEWEY AVE
(608) 524-6577
(608) 524-0757
RYAN SHEAR
SAUK
Southern
Lic. 2297
Skilled Care
25 Beds 525667
Title 18 SNF Title 19 NFREEDSBURG, WI 53959
REEDSBURG AREA SENIOR LIFE CENTER INC
(NONPROFIT CORPORATION)
SAUK COUNTY HEALTH CARE CENTER
1051 CLARK ST
(608) 524-7500
(608) 524-7599
KERRI MENKE
SAUK
Southern
Lic. 2397
Skilled Care
82 Beds 525114
Title 18 SNF Title 19 NFREEDSBURG, WI 53959
SAUK COUNTY (GOVERNMENT COUNTY)
MAPLEWOOD OF SAUK PRAIRIE
245 SYCAMORE ST
(608) 643-3383
(608) 643-2629
PAUL FISCUS
SAUK
Southern
Lic. 2249
Skilled Care
120 Beds 525462
Title 18 SNF Title 19 NFSAUK CITY, WI 53583
NURSING HOMES INC (FOR PROFIT
CORPORATION)
GREENWAY MANOR
501 S WINSTED
(608) 588-2586
(608) 588-7410
BRIAN GORMAN
SAUK
Southern
Lic. 2470
Skilled Care
50 Beds 525396
Title 18 SNF Title 19 NFSPRING GREEN, WI 53588
RIVER VALLEY NH INC (FOR PROFIT
CORPORATION)
HAYWARD HEALTH SERVICES
10775 NYMAN AVE
(715) 634-2202
(715) 634-5776
JENNIFER ABERNATHY
SAWYER
Northwestern
Lic. 2923
Skilled Care
59 Beds 525434
Title 18 SNF Title 19 NFHAYWARD, WI 54843
NSH VALLEY OF HAYWARD LLC (LIMITED
LIABILITY COMPANY)
WATER'S EDGE
11040 NORTH STATE RD 77
(715) 934-4321
(715) 934-4270
MITCHELL GORDON
SAWYER
Northwestern
Lic. 2929
Skilled Care
50 Beds 525632
Title 18 SNF Title 19 NFHAYWARD, WI 54843
MEDICAL SERVICES INC (NONPROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 30 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
BIRCH HILL HEALTH SERVICES
1475 BIRCH HILL LANE
(715) 526-3161
(715) 524-5896
CHERYL JASHINSKY
SHAWANO
Northeastern
Lic. 2895
Skilled Care
50 Beds 525412
Title 18 SNF Title 19 NFSHAWANO, WI 54166
NSH SHAWANO-BIRCH HILL LLC (FOR PROFIT
CORPORATION)
EVERGREEN HEALTH SERVICES
1250 EVERGREEN ST
(715) 526-3107
(715) 524-8037
JENNIFER GOSSEN
SHAWANO
Northeastern
Lic. 2896
Skilled Care
50 Beds 525343
Title 18 SNF Title 19 NFSHAWANO, WI 54166
NSH SHAWANO-EVERGREEN LLC (FOR
PROFIT CORPORATION)
SHAWANO HEALTH SERVICES
1436 S LINCOLN ST
(715) 526-6111
(715) 524-5708
JESSICA HAMMONS
SHAWANO
Northeastern
Lic. 3175
Skilled Care
100 Beds 525335
Title 18 SNF Title 19 NFSHAWANO, WI 54166
SHAWANO HEALTH SERVICES LLC (LIMITED
LIABILITY COMPANY)
PLYMOUTH HEALTH SERVICES
916 E CLIFFORD ST
(920) 893-4777
(920) 893-2470
JENNIFER MABRY
SHEBOYGAN
Northeastern
Lic. 3169
Skilled Care
50 Beds 525685
Title 18 SNF Title 19 NFPLYMOUTH, WI 53073
NSH PLYMOUTH LLC (FOR PROFIT
CORPORATION)
ROCKY KNOLL HEALTH CARE FACILITY
N7135 ROCKY KNOLL PARKWAY
(920) 893-6441
(855) 716-7528
KAYLA CLINTON
SHEBOYGAN
Northeastern
Lic. 2362
Skilled Care
149 Beds 525337
Title 18 SNF Title 19 NFPLYMOUTH, WI 53073
SHEBOYGAN COUNTY (GOVERNMENT
COUNTY)
MEADOW VIEW HEALTH SERVICES
3613 S 13TH ST
(920) 458-4040
(920) 458-0474
COLIN SUMNER
SHEBOYGAN
Northeastern
Lic. 3226
Skilled Care
50 Beds 525605
Title 18 SNF Title 19 NFSHEBOYGAN, WI 53081
NSH MEADOW VIEW LLC (LIMITED LIABILITY
COMPANY)
MORNINGSIDE HEALTH SERVICES
3431 N 13TH ST
(920) 457-5046
(920) 457-4753
NOAH BRICKNER
SHEBOYGAN
Northeastern
Lic. 1182
Skilled Care
50 Beds 525607
Title 18 SNF Title 19 NFSHEBOYGAN, WI 53083
NSH MORNINGSIDE LLC (LIMITED LIABILITY
COMPANY)
SHEBOYGAN HEALTH SERVICES
3129 MICHIGAN AVE
(920) 458-1155
(920) 458-1173
REID GIOVANINE
SHEBOYGAN
Northeastern
Lic. 2921
Skilled Care
64 Beds 525456
Title 18 SNF Title 19 NFSHEBOYGAN, WI 53082
NSH SHEBOYGAN LLC (LIMITED LIABILITY
COMPANY)
SHEBOYGAN PROGRESSIVE HEALTH SERVICES
1902 MEAD AVE
(920) 458-8333
(920) 458-3346
TRICIA PENNEY
SHEBOYGAN
Northeastern
Lic. 2130
Skilled Care
50 Beds 525511
Title 18 SNF Title 19 NFSHEBOYGAN, WI 53081
NSH PROGRESSIVE LLC (LIMITED LIABILITY
COMPANY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 31 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
SHEBOYGAN SENIOR COMMUNITY, INC
3505 COUNTY ROAD Y
(920) 458-2137
(920) 458-5922
PAUL TREFFERT
SHEBOYGAN
Northeastern
Lic. 2662
Skilled Care
60 Beds 525598
Title 18 SNF Title 19 NFSHEBOYGAN, WI 53083
SHEBOYGAN SENIOR COMMUNITY INC
(NONPROFIT CHURCH/CORP)
SUNNY RIDGE OPERATIONS LLC
3014 ERIE AVE
(920) 459-3028
(920) 459-4341
EMILY RADEMACHER
SHEBOYGAN
Northeastern
Lic. 2363
Skilled Care
121 Beds 525568
Title 18 SNF Title 19 NFSHEBOYGAN, WI 53081
SUNNY RIDGE OPERATIONS LLC (FOR
PROFIT CORPORATION)
ASPIRUS CARE & REHAB-MEDFORD
135 S GIBSON ST
(715) 748-8100
(715) 748-8199
MALLORI STRAMA
TAYLOR
Northwestern
Lic. 2572
Skilled Care
50 Beds 525641
Title 18 SNF Title 19 NFMEDFORD, WI 54451
ASPIRUS MEDFORD HOSPITAL & CLINICS INC
(NONPROFIT CORPORATION)
RIB LAKE HEALTH SERVICES
650 PEARL ST
(715) 427-5291
(715) 427-5848
ZACH ZIESEMER
TAYLOR
Northwestern
Lic. 2732
Skilled Care
50 Beds 525329
Title 18 SNF Title 19 NFRIB LAKE, WI 54470
NSH RIB LAKE LLC (LIMITED LIABILITY
COMPANY)
GRAND VIEW CARE CENTER
620 GRANDVIEW AVE
(608) 989-2511
(608) 989-2679
LEAH STEELE
TREMPEALEAU
Northwestern
Lic. 2893
Skilled Care
50 Beds 525624
Title 18 SNF Title 19 NFBLAIR, WI 54616
GRAND VIEW CARE CENTER INC
(NONPROFIT CORPORATION)
MARINUKA MANOR
19475 SILVER CREEK RD
(608) 582-2211
(608) 582-4068
MCKENNA PULS
TREMPEALEAU
Northwestern
Lic. 2498
Skilled Care
50 Beds 525628
Title 18 SNF Title 19 NFGALESVILLE, WI 54630
CITY OF GALESVILLE (GOVERNMENT CITY)
DOVE HEALTHCARE - OSSEO
51019 RIDGE VIEW ROAD
(715) 597-2493
(715) 597-2470
BENJAMIN FRANKS
TREMPEALEAU
Northwestern
Lic. 3166
Skilled Care
40 Beds 525709
Title 18 SNF Title 19 NFOSSEO, WI 54758
OSSEO REHABILITATION AND NURSING
CENTER (FOR PROFIT CORPORATION)
PIGEON FALLS HEALTH CARE CENTER
13197 CHURCH ST
(715) 983-2293
(715) 983-5700
ROSEMARIE THESING
TREMPEALEAU
Northwestern
Lic. 3228
Skilled Care
37 Beds 525687
Title 18 SNF Title 19 NFPIGEON FALLS, WI 54760
TREMPEALEAU COUNTY HEALTH CARE
CENTER (GOVERNMENT COUNTY)
TREMPEALEAU COUNTY HEALTH CARE CENTER-IMD
W20410 STATE RD 121
(715) 538-4312
(715) 538-2426
TERRIE SOMMER
TREMPEALEAU
Northwestern
Lic. 2961
Skilled Care - IMD
34 Beds 52A407
Title 19 NFWHITEHALL, WI 54773
TREMPEALEAU COUNTY HEALTH CARE
CENTER (GOVERNMENT COUNTY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 32 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
TREMPEALEAU COUNTY-IMD
W20410 STATE RD 121
(715) 538-4312
(715) 538-2426
JERRY DEETZ
TREMPEALEAU
Northwestern
Lic. 5001
Skilled Care - IMD
112 Beds
WHITEHALL, WI 54773
TREMPEALEAU COUNTY HEALTH CARE
CENTER (GOVERNMENT COUNTY)
VERNON MANOR
310 FAIRLANE DR
(608) 637-5400
(608) 637-5441
MICHAEL SPITZER
VERNON
Southern
Lic. 2678
Skilled Care
80 Beds 525562
Title 18 SNF Title 19 NFVIROQUA, WI 54665
VERNON COUNTY (GOVERNMENT COUNTY)
NORSELAND NURSING HOME
323 BLACK RIVER AVE
(608) 634-3747
(608) 634-3799
MEGAN ARNOLD
VERNON
Southern
Lic. 2495
Skilled Care
59 Beds 525619
Title 18 SNF Title 19 NFWESTBY, WI 54667
CITY OF WESTBY (GOVERNMENT CITY)
DELAVAN HEALTH SERVICES
905 E GENEVA ST
(262) 728-6319
(262) 728-6693
LAURA HOLMSTROM
WALWORTH
Southeastern
Lic. 3157
Skilled Care
50 Beds 525324
Title 18 SNF Title 19 NFDELAVAN, WI 53115
NSH DELAVAN LLC (LIMITED LIABILITY
COMPANY)
EAST TROY MANOR
3271 NORTH ST
(262) 642-3995
(262) 642-3930
CHRISTIE LEADLEY
WALWORTH
Southeastern
Lic. 2548
Skilled Care
50 Beds 525561
Title 18 SNF Title 19 NFEAST TROY, WI 53120
WISCONSIN ILLINOIS SENIOR HOUSING INC
(NONPROFIT CORPORATION)
HOLTON MANOR
645 N CHURCH ST
(262) 723-4963
(262) 723-8982
ALYSSA SARASIN
WALWORTH
Southeastern
Lic. 2665
Skilled Care
60 Beds 525541
Title 18 SNF Title 19 NFELKHORN, WI 53121
WISCONSIN ILLINOIS SENIOR HOUSING INC
(NONPROFIT CORPORATION)
LAKELAND HEALTH CARE CENTER
1922 CTY RD NN
(262) 741-3600
(262) 741-3682
DENISE JOHNSON
WALWORTH
Southeastern
Lic. 2416
Skilled Care
90 Beds 525625
Title 18 SNF Title 19 NFELKHORN, WI 53121
WALWORTH COUNTY (GOVERNMENT
COUNTY)
GENEVA LAKE MANOR
211 S CURTIS ST
(262) 248-3145
(262) 248-3564
ANDREW SOWLES
WALWORTH
Southeastern
Lic. 2693
Skilled Care
60 Beds 525565
Title 18 SNF Title 19 NFLAKE GENEVA, WI 53147
WISCONSIN ILLINOIS SENIOR HOUSING INC
(NONPROFIT CORPORATION)
GOLDEN YEARS OF LAKE GENEVA
611 HARMONY DRIVE
(262) 249-1960
(262) 249-1962
JONATHAN STANKEVITZ
WALWORTH
Southeastern
Lic. 5051
Skilled Care
54 Beds 525727
Title 18 SNFLAKE GENEVA, WI 53147
GOLDEN YEARS NURSING HOME INC
(LIMITED LIABILITY COMPANY)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 33 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
WILLIAMS BAY HEALTH SERVICES
146 CLOVER ST
(262) 245-6400
(262) 245-9271
KATIE SCHELLHORN
WALWORTH
Southeastern
Lic. 3220
Skilled Care
50 Beds 525346
Title 18 SNF Title 19 NFWILLIAMS BAY, WI 53191
NSH WILLIAMS BAY LLC (FOR PROFIT
CORPORATION)
SHELL LAKE HEALTH CARE CENTER
802 E CTY HWY B
(715) 468-7292
(715) 468-4232
JENNIE KLASSA
WASHBURN
Northwestern
Lic. 2748
Skilled Care
50 Beds 525553
Title 18 SNF Title 19 NFSHELL LAKE, WI 54871
SHELL LAKE SNF LLC (FOR PROFIT
CORPORATION)
DOVE HEALTHCARE - SPOONER
510 FIRST ST
(715) 635-1415
(715) 635-7498
JEREMY KILEY
WASHBURN
Northwestern
Lic. 1164
Skilled Care
75 Beds 525673
Title 18 SNF Title 19 NFSPOONER, WI 54801
SPOONER REHABILIATION AND NURSING
CENTER LLC (FOR PROFIT CORPORATION)
VIRGINIA HIGHLANDS CARE AND REHAB LLC
W173 N10915 BERNIES WAY
(262) 509-3300
(262) 251-7359
ERIN BINDER
WASHINGTON
Northeastern
Lic. 5003
Skilled Care
121 Beds 525653
Title 18 SNF Title 19 NFGERMANTOWN, WI 53022
VIRGINIA HIGHLANDS CARE AND REHAB
CENTER LLC (FOR PROFIT CORPORATION)
PAVILION AT GLACIER VALLEY (THE)
1900 AMERICAN EAGLE DR
(262) 297-6300
(262) 297-6301
DAWN GORDON
WASHINGTON
Northeastern
Lic. 3232
Skilled Care
106 Beds 525461
Title 18 SNF Title 19 NFSLINGER, WI 53086
THI OF WISCONSIN AT HARTFORD LLC
(LIMITED LIABILITY COMPANY)
CEDAR LAKE HEALTH AND REHABILITATION CENTER
5595 CTY RD Z
(262) 306-2100
(262) 306-2101
KELLI DERUYTER
WASHINGTON
Northeastern
Lic. 705
Skilled Care
75 Beds 525465
Title 18 SNF Title 19 NFWEST BEND, WI 53095
BENEVOLENT CORPORATION CEDAR
COMMUNITY (NONPROFIT CORPORATION)
SAMARITAN NURSING AND REHAB
531 E WASHINGTON ST
(262) 335-4500
(262) 335-4699
MATTEO FURNO
WASHINGTON
Northeastern
Lic. 2385
Skilled Care
131 Beds 525165
Title 18 SNF Title 19 NFWEST BEND, WI 53095
SAMARITAN NURSING AND REHAB LLC (FOR
PROFIT CORPORATION)
ARIA OF BROOKFIELD
18740 W BLUEMOUND RD
(262) 782-0230
(262) 797-8306
TAYLOR LINDSEY
WAUKESHA
Southeastern
Lic. 3050
Skilled Care
170 Beds 525424
Title 18 SNF Title 19 NFBROOKFIELD, WI 53045
ARIA OF BROOKFIELD (FOR PROFIT
CORPORATION)
CARE AGE OF BROOKFIELD
1755 N BARKER RD
(262) 821-3939
(262) 821-3944
JENNIFER GREEN
WAUKESHA
Southeastern
Lic. 3121
Skilled Care
110 Beds 525519
Title 18 SNF Title 19 NFBROOKFIELD, WI 53045
REGENCY TERRACE SOUTH INC (FOR
PROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 34 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
CONGREGATIONAL HOME, INC
13900 W BURLEIGH RD
(262) 781-0550
(262) 781-0559
KRIS SPRTEL
WAUKESHA
Southeastern
Lic. 2471
Skilled Care
66 Beds 525700
Title 18 SNFBROOKFIELD, WI 53005
CONGREGATIONAL HOME INC (NONPROFIT
CHURCH/CORP)
FRANCISCAN WOODS
19525 W NORTH AVE
(262) 785-1114
(262) 780-3805
JAMES WEIBELER
WAUKESHA
Southeastern
Lic. 3129
Skilled Care
110 Beds 525528
Title 18 SNF Title 19 NFBROOKFIELD, WI 53045
WHEATON FRANCISCAN HLTHCARE-
TERRACE AT ST FRANCIS (NONPROFIT
CORPORATION)
MASONIC CENTER HEALTH & REHAB, INC
400 N MAIN ST
(262) 965-7245
(262) 965-4053
TORRES THOMAS
WAUKESHA
Southeastern
Lic. 2869
Skilled Care
50 Beds 525572
Title 18 SNF Title 19 NFDOUSMAN, WI 53118
MASONIC CENTER FOR HEALTH AND REHAB,
INC. (NONPROFIT CORPORATION)
LINDENGROVE MENOMONEE FALLS
W180 N8071 TOWN HALL RD
(262) 253-2700
(262) 253-2283
MICHELLE KOZLOWSKI
WAUKESHA
Southeastern
Lic. 2973
Skilled Care
73 Beds 525421
Title 18 SNFMENOMONEE FALLS, WI 53051
LINDENGROVE COMMUNITIES LLC (FOR
PROFIT CORPORATION)
MENOMONEE FALLS HEALTH SERVICES
N84 W17049 MENOMONEE AVE
(262) 255-1180
(262) 255-1638
HARISH DOSHI
WAUKESHA
Southeastern
Lic. 2947
Skilled Care
50 Beds 525415
Title 18 SNF Title 19 NFMENOMONEE FALLS, WI 53051
NSH MENOMONEE LLC (LIMITED LIABILITY
COMPANY)
LINDENGROVE MUKWONAGO
837 E VETERANS WAY
(262) 363-6830
(262) 363-6837
SUZANNE WHITTY
WAUKESHA
Southeastern
Lic. 5002
Skilled Care
47 Beds 525645
Title 18 SNFMUKWONAGO, WI 53149
LINDENGROVE COMMUNITIES LLC (FOR
PROFIT CORPORATION)
MUSKEGO HEALTH AND REHABILITATION CENTER
S77 W18690 JANESVILLE RD
(262) 679-0246
(262) 679-9717
PAM DUCOMMUN
WAUKESHA
Southeastern
Lic. 1089
Skilled Care
49 Beds 525686
Title 18 SNF Title 19 NFMUSKEGO, WI 53150
BAY AT MUSKEGO HEALTH AND
REHABILITATION CENTERLLC (FOR PROFIT
CORPORATION)
TUDOR OAKS HEALTH CENTER
S77 W12929 MCSHANE DR
(414) 529-0100
(414) 529-0537
CYNTHIA BERG
WAUKESHA
Southeastern
Lic. 2730
Skilled Care
50 Beds 525279
Title 18 SNF Title 19 NFMUSKEGO, WI 53150
AMERICAN BAPTIST HOMES OF THE
MIDWEST (NONPROFIT CHURCH/CORP)
LINDENGROVE NEW BERLIN
13755 W FIELDPOINTE DR
(262) 796-3660
(262) 796-2765
MICHAEL JONES
WAUKESHA
Southeastern
Lic. 2974
Skilled Care
110 Beds 525064
Title 18 SNF Title 19 NFNEW BERLIN, WI 53151
LINDENGROVE COMMUNITIES LLC (FOR
PROFIT CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 35 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
LAKE COUNTRY HEALTH SERVICES
2195 NORTH SUMMIT VILLAGE WAY
(262) 560-2400
(262) 567-4714
CHAD BASCHE
WAUKESHA
Southeastern
Lic. 5032
Skilled Care
100 Beds 525702
Title 18 SNF Title 19 NFOCONOMOWOC, WI 53066
NSH SUMMIT LLC (LIMITED LIABILITY
COMPANY)
SHOREHAVEN HEALTH AND REHABILITATION CENTER
1305 W WISCONSIN AVE
(262) 567-8341
(262) 567-0273
EMILY KARLS
WAUKESHA
Southeastern
Lic. 799
Skilled Care
88 Beds 525560
Title 18 SNF Title 19 NFOCONOMOWOC, WI 53066
LUTHERAN HOMES OF OCONOMOWOC INC
(NONPROFIT CORPORATION)
ARIA OF WAUKESHA
1451 CLEVELAND AVE
(262) 547-2123
(262) 547-6204
TAYLOR LINDSEY
WAUKESHA
Southeastern
Lic. 3059
Skilled Care
105 Beds 525490
Title 18 SNF Title 19 NFWAUKESHA, WI 53186
ARIA OF WAUKESHA (FOR PROFIT
CORPORATION)
CROSSROADS CARE CENTER PEWAUKEE
N26 W23977 WATERTOWN RD
(262) 523-0933
(262) 523-1674
ALYSSA HERRMANN
WAUKESHA
Southeastern
Lic. 3248
Skilled Care
120 Beds 525646
Title 18 SNF Title 19 NFWAUKESHA, WI 53188
CCC OF PEWAUKEE (FOR PROFIT
CORPORATION)
KENSINGTON CARE AND REHAB CENTER
1810 KENSINGTON DR
(262) 548-1400
(262) 548-1430
CHRISTINE KLEKAMP
WAUKESHA
Southeastern
Lic. 3219
Skilled Care
150 Beds 525242
Title 18 SNF Title 19 NFWAUKESHA, WI 53188
WAUKESHA HEALTHCARE AND
REHABILITATION CENTER, LLC (LIMITED
LIABILITY COMPANY)
LINDENGROVE WAUKESHA
425 N UNIVERSITY DR
(262) 524-6400
(262) 524-9233
COURTNEY POTTER
WAUKESHA
Southeastern
Lic. 2972
Skilled Care
61 Beds 525422
Title 18 SNFWAUKESHA, WI 53188
LINDENGROVE COMMUNITIES LLC (FOR
PROFIT CORPORATION)
GREENTREE HEALTH AND REHABILITATION CENTER
70 GREENTREE RD
(715) 823-2194
(715) 823-1306
BRIANNA KLEMP
WAUPACA
Northeastern
Lic. 3051
Skilled Care
50 Beds 525348
Title 18 SNF Title 19 NFCLINTONVILLE, WI 54929
WOLF RIVER HEALTHCARE LLC (FOR PROFIT
CORPORATION)
THE PINES POST ACUTE AND MEMORY CARE
1625 E MAIN ST
(715) 823-3135
(715) 823-1503
AMY BRAUER
WAUPACA
Northeastern
Lic. 3052
Skilled Care
50 Beds 525497
Title 18 SNF Title 19 NFCLINTONVILLE, WI 54929
CLOVERLEAF HEALTHCARE LLC (FOR
PROFIT CORPORATION)
WI VETERANS HOME AINSWORTH HALL
N2665 CTY RD QQ
(715) 258-5586
(715) 256-3226
SHANNON HARDEL
WAUPACA
Northeastern
Lic. 3128
Skilled Care
205 Beds 525719
Title 18 SNF Title 19 NFKING, WI 54946
STATE OF WI DEPT OF VETERANS AFFAIRS
(GOVERNMENT STATE)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 36 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
WI VETERANS HOME MOSES HALL
210 CUMBERLIDGE AVE
(715) 258-5586
(715) 256-3226
RHONDA KOZIK
WAUPACA
Northeastern
Lic. 2484
Skilled Care
192 Beds 525718
Title 18 SNF Title 19 NFKING, WI 54946
STATE OF WI DEPT OF VETERANS AFFAIRS
(GOVERNMENT STATE)
MANAWA COMMUNITY NURSING CENTER
400 EAST 4TH ST
(920) 596-2566
(920) 596-2588
PHILIP CASTLEBERG
WAUPACA
Northeastern
Lic. 2616
Skilled Care
25 Beds 525316
Title 18 SNF Title 19 NFMANAWA, WI 54949
MANAWA COMMUNITY NURSING CENTER INC
(FOR PROFIT CORPORATION)
ST JOSEPH RESIDENCE
107 E BECKERT RD
(920) 982-5354
(920) 982-5420
GIDGET BLANK
WAUPACA
Northeastern
Lic. 2040
Skilled Care
50 Beds 525599
Title 18 SNF Title 19 NFNEW LONDON, WI 54961
ST JOSEPH RESIDENCE INC (NONPROFIT
CHURCH/CORP)
BETHANY HOME
1226 BERLIN STREET
(715) 258-5521
(715) 258-6989
GREGORY REICHENBACH
WAUPACA
Northeastern
Lic. 963
Skilled Care
100 Beds 525538
Title 18 SNF Title 19 NFWAUPACA, WI 54981
BETHANY HOME INC (NONPROFIT
CHURCH/CORP)
CROSSROADS CARE CENTER OF WEYAUWEGA
717 E ALFRED ST
(920) 867-3121
(920) 867-3997
ASHLEY STREU
WAUPACA
Northeastern
Lic. 2801
Skilled Care
84 Beds 525315
Title 18 SNF Title 19 NFWEYAUWEGA, WI 54983
CROSSROADS CARE CENTER OF
WEYAUWEGA , LLC (LIMITED LIABILITY
COMPANY)
PEABODY MANOR
2600 S HERITAGE WOODS DR
(920) 738-3000
(920) 225-7791
JACOB KOESHALL
WINNEBAGO
Northeastern
Lic. 2622
Skilled Care
58 Beds 525548
Title 18 SNF Title 19 NFAPPLETON, WI 54915
THEDACARE INC (NONPROFIT
CORPORATION)
OAKRIDGE GARDENS NURSING CENTER, INC
1700 MIDWAY RD
(920) 739-0111
(920) 739-4002
MORGAN RUTTA
WINNEBAGO
Northeastern
Lic. 2639
Skilled Care
107 Beds 525463
Title 18 SNF Title 19 NFMENASHA, WI 54952
OAKRIDGE GARDENS NURSING CENTER INC
(FOR PROFIT CORPORATION)
OMRO CARE CENTER
500 GRANT AVE
(920) 685-2755
(920) 685-0599
TINA MARCHAN
WINNEBAGO
Northeastern
Lic. 3241
Skilled Care
50 Beds 525406
Title 18 SNF Title 19 NFOMRO, WI 54963
OMRO NURSING AND REHAB, LLC (FOR
PROFIT CORPORATION)
BETHEL HOME, INC
225 N EAGLE ST
(920) 235-4653
(920) 232-5247
KELLY FITZPATRICK
WINNEBAGO
Northeastern
Lic. 2005
Skilled Care
100 Beds 525554
Title 18 SNF Title 19 NFOSHKOSH, WI 54902
BETHEL HOME INC (NONPROFIT
CORPORATION)
Department of Health Services
STATE OF WISCONSIN
DIRECTORY OF LICENSED WISCONSIN NURSING HOMES - ALPHABETICAL BY COUNTY AND CITY
KEY TO DESCRIPTIONS:
Title 18 = Title XVIII, Medicare Certification
Title 19 = Title XIX, Medicaid Certifcation
IMD = Institute for Mental Diseases
SNF = Skilled Nursing Facility
NF = Nursing Facility
Tuesday, August 27, 2024
Page 37 of 37
DIVISION OF QUALITY ASSURANCE
PO Box 2969
Madison, WI 53701-2969
PROVIDER/ADDRESS Contact and Phones
County
DQA Region
License Number,
Level and Beds
Owner, Ownership, Certification
Types, Provider Number
EDEN REHABILITATION SUITES AND GREEN HOUSE
HOMES, INC
3151 EDEN CT
(920) 651-4000
(920) 651-4001
ANDREA BOWERS
WINNEBAGO
Northeastern
Lic. 5035
Skilled Care
50 Beds 525704
Title 18 SNF Title 19 NFOSHKOSH, WI 54904
EDEN REHAB SUITES AND GREEN HOUSE
HOMES, INC (NONPROFIT CORPORATION)
EDENBROOK OF OSHKOSH
1850 BOWEN ST
(920) 233-4011
(920) 233-5177
CINDY ANDERSON
WINNEBAGO
Northeastern
Lic. 3242
Skilled Care
110 Beds 525299
Title 18 SNF Title 19 NFOSHKOSH, WI 54901
NORTHPOINT NURSING AND REHAB, LLC
(LIMITED LIABILITY COMPANY)
EVERGREEN HEALTH CENTER
1130 N WESTFIELD ST
(920) 233-2340
(920) 237-2109
PEGGY BELLIN
WINNEBAGO
Northeastern
Lic. 2057
Skilled Care
80 Beds 525647
Title 18 SNF Title 19 NFOSHKOSH, WI 54902
EVERGREEN RETIREMENT COMMUNITY INC
(NONPROFIT CORPORATION)
PARK VIEW HEALTH CENTER
725 BUTLER AVE
(920) 237-6300
(920) 237-6944
LINZI GAZGA PARISH
WINNEBAGO
Northeastern
Lic. 2436
Skilled Care
168 Beds 525638
Title 18 SNF Title 19 NFOSHKOSH, WI 54901
WINNEBAGO COUNTY (GOVERNMENT
COUNTY)
NORTH SHORE HEALTHCARE AT MARSHFIELD
814 W 14TH ST
(715) 387-1188
(715) 387-4095
DANIELLE RUMMELLS
WOOD
Northeastern
Lic. 3081
Skilled Care
120 Beds 525304
Title 18 SNF Title 19 NFMARSHFIELD, WI 54449
NSH MARSHFIELD LLC (FOR PROFIT
CORPORATION)
NORWOOD HEALTH CENTER-CENTRAL
1600 N CHESTNUT AVE
(715) 384-2188
(715) 387-1533
MARISSA KORNACK
WOOD
Northeastern
Lic. 2441
Skilled Care
32 Beds 52A251
Title 19 NFMARSHFIELD, WI 54449
WOOD COUNTY BOARD (GOVERNMENT
COUNTY)
EDGEWATER HAVEN NURSING HOME
1351 WISCONSIN RIVER DR
(715) 885-8300
(715) 885-8351
JUSTIN CIESLEWICZ
WOOD
Northeastern
Lic. 2369
Skilled Care
79 Beds 525088
Title 18 SNF Title 19 NFPORT EDWARDS, WI 54469
WOOD COUNTY BOARD (GOVERNMENT
COUNTY)
EDENBROOK OF WISCONSIN RAPIDS
130 STRAWBERRY LN
(715) 424-1600
(715) 424-4817
TIFFANY WAGNER
WOOD
Northeastern
Lic. 3236
Skilled Care
80 Beds 525429
Title 18 SNF Title 19 NFWISCONSIN RAPIDS, WI 54494
STRAWBERRY LANE NURSING AND REHAB,
LLC (LIMITED LIABILITY COMPANY)
WISCONSIN RAPIDS HEALTH SERVICES
1350 RIVER RUN DR
(715) 421-3140
(715) 421-7116
OLUSOLA AJAYI
WOOD
Northeastern
Lic. 2100
Skilled Care
114 Beds 525212
Title 18 SNF Title 19 NFWISCONSIN RAPIDS, WI 54494
NSH WISCONSIN RAPIDS LLC (FOR PROFIT
CORPORATION)
