Deficiency Index

Wausau Manor Health Services

Wausau, Wisconsin · CCN 525369

25 surveys since 2010, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
64
Surveys
25
Harm or worse
3
Immediate jeopardy
1
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file19/25

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
68
Ownership
For profit - Corporation
Chain
NORTH SHORE HEALTHCARE
County
Marathon
Medicare-certified since
1984

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 51 for-profit facilities of 66–99 beds in Wisconsin.

Last survey on record

Jul 21, 2026

111 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.583.71
Registered-nurse hours per resident day1.17—
Annual nurse turnover32.1%44.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1473.7%E15.3%F315.8%
No harm, potential for minimalA—B—C15.3%
CMS’s current file: 19 of the 64 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6772×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8142×

    Dispose of garbage and refuse properly.

  • F5831×

    Keep residents' personal and medical records private and confidential.

In the surveyor’s words

From the most serious findings on record at Wausau Manor Health Services, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Oct 2, 2025

    Based on observation, interview and record review, the facility did not maintain a safe and sanitary environment in which food is prepared and distributed. This has the potential to affect all 56 residents who reside in the facility.Facility staff did not conduct appropriate hand hygiene during food preparation and were observed touching ready to eat foods with contaminated gloved hands.This is evidenced by:The facility policy, titled Food Preparation, revised last 9/2017, states: All Foods are prepared in accordance with the FDA Food Code.1. […]

  • No harm, potential for more than minimal, widespreadF814Oct 2, 2025

    Based on observation and interview, the facility did not ensure garbage and refuse were properly disposed in the outside garbage storage receptacles. This has the potential to affect all 33 residents residing in the facility.This is evidenced by:The facility policy titled, Environment, last revised 9/2017, states: .All trash will be contained in covered, leak-proof containers that prevent cross contamination.According to State Operations Manual, Appendix PP: Guidance to Surveyors for Long Term Care Facilities, revised last 4-25-25, garbage receptacles should be covered to prevent the harborage and feeding of pests.On 9/29/25 at 11:30 AM, Surveyor observed garbage dumpster uncovered, right side lid was open. […]

  • No harm, potential for more than minimal, widespreadF812Aug 17, 2023

    Based on observation, interview and record review, the facility did not prepare, store and distribute foods in a safe and sanitary manner. The facility practices had the potential to affect all 48 residents. Initial tour of the facility kitchen found the floors in the kitchen, storage areas and dish room with food particles and built-up dirt present on the floors, the steamer and ovens with built up dried matter on the sides and bottom and on the industrial can opener mounted to the food preparation counter. Food temperatures were not taken at point of service in the rehabilitation kitchenette to ensure proper holding temperatures prior to serving food to residents. The food temperature logs were not complete. […]

  • No harm, potential for more than minimal, patternF880Oct 2, 2025

    Based on observation, interview and record review, the facility did not maintain an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections.Staff did not perform hand hygiene when changing gloves during resident cares and procedures for 4 of 12 residents (R). R31, R9, R5, R56Staff did not clean the mechanical lift in between patient use.Findings include:Facility policy and procedure titled, Hand Hygiene, dated 11/02/22, states in part: Hand Hygiene is a general term for cleaning your hands by handwashing with soap and water or the use of antiseptic hand rub, also known as alcohol-based hand rub (ABHR).2. […]

  • No harm, potential for more than minimal, patternF880Jan 25, 2022

    Based on observations and interviews, the facility failed to maintain an infection prevention and control program designed to provide a safe environment to help prevent the development and transmission of communicable diseases and infections while in an outbreak status for COVID 19. This had the potential to affect 32 of 52 residents that reside on the long term care unit and 1 resident on the rehab unit. The center did not ensure staff wore appropriate PPE/eye protection in resident care areas when the community transmission rate was high for COVID-19. The center staff did not wear a mask that covered the mouth and nose for the long term care unit. A visitor was observed not wearing a face mask that covered the mouth and nose when visiting R1. This is evidenced by: 1. […]

Read 23 findings in full →The most serious and the most recent: 23 of 64 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 21, 2026Standard5 findings
  • Oct 2, 2025Standard8 findings
  • Aug 21, 2025Complaint2 findings
  • Jul 7, 2025Complaint1 finding
  • Aug 15, 2024Standard1 finding
  • Aug 17, 2023Standard2 findings
  • Jan 24, 2023Complaint1 finding
  • May 10, 2022Complaint1 finding
Show the 17 earlier surveys
  • Jan 25, 2022Infection control1 finding
  • Sep 24, 2019Complaint1 finding
  • Jul 19, 2018Standard5 findings
  • Sep 26, 2017Complaint3 findings
  • Jun 22, 2017Standard7 findings · 1 harm
  • Apr 4, 2017Complaint1 finding
  • Nov 9, 2016Complaint1 finding
  • Jun 8, 2016Standard1 finding
  • Feb 16, 2016Complaint1 finding
  • Jun 18, 2015Standard1 finding
  • Apr 24, 2014Standard3 findings
  • Jun 25, 2013—2 findings · 1 harm
  • Feb 13, 2013—7 findings
  • May 16, 2012—1 finding
  • Feb 1, 2012—3 findings
  • Feb 9, 2011—1 finding · 1 harm
  • Dec 1, 2010—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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