Care & Rehab - Ladysmith 2
1001 E 11th St. N, Ladysmith, WI 54848 · Rusk County · (715) 532-5546
30 certified beds, about 29 residents a day · For profit - Corporation · Medicare and Medicaid since 2013
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525710 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 5, 2026, inspectors cited 1 health deficiency (the Wisconsin average is 9.5, the national average 9.2).
None of its 4 health citations since February 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.46 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
15.4% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
CMS links it to Care & Rehab, an affiliated group of 6 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.
May 5, 2026Standard inspection · 1 citation · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility did not ensure to accurately code the Minimum Data Set (MDS) assessments for 1 of 1 resident (R) reviewed. (R1) R1's comprehensive MDS assessment indicated a PASARR level 2 screen had not been completed. R1's medical record included a PASARR screen was completed on 2/17/25. This is evidenced by: On 05/05/26, Surveyor reviewed R1's medical record. R1 was admitted to the facility on [DATE] with diagnoses including depression, post-traumatic stress disorder, dementia with anxiety, adjustment disorder, anxiety disorder, and other psychotic disorders. Annual MDS (Minimum Data Set) dated 12/30/25 documented section A1500 as No for currently considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition. [...]
March 6, 2025Standard inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review and interview the facility did not provided the needed services and assistive devices. The facility practice had the potential to affect 1 of 5 residents (R) (R17) observed for transfer and ambulation This is evidenced by: Surveyor reviewed the facility policy titled Gait belts dated 7/24. The policy in part read: Policy: A gait belt provides a firm, grasping surface for the caregiver, protects the resident from accidental trauma to the skin, provides a sense of security to the resident, and protects the caregiver and resident from injury while transferring or ambulating. Suveyor reviewed the facility policy titled Fall Risk Management Policy dated 11/24. The policy in part read: Policy: It is the policy of Care and Rehab-Ladysmith to promote resident safety by identifying residents at risk for falling; assessing fall risk factors: [...]
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on random observation, record review and interview, the facility did not distribute foods in a sanitary manner. The facility practice affected one of one resident's (R) tray line service observed, (R17). This is evidenced by: Surveyor requested and reviewed the facility policy titled Food Handling Techniques For All Staff. which is not dated. The policy in part read: 1. What foods may not be touched with your bare hands? Answer: READY-TO-EAT FOODS Examples include: .Bread, toast, rolls, baked goods 2. What methods may be used to handle READY TO EAT FOODS? Answer: Utensils, tongs, napkins or disposable gloves. 3. Why is bare hand contact prohibited with READY-TO-EAT FOODS? Answer: Employees may transmit disease through unwashed or poorly washed hands. Wearing Gloves or using utensils protects the resident from germs the employee may be carrying on their hands. [...]
February 8, 2024Standard inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations and interviews, the facility did not establish and implement an ongoing infection prevention and control program to prevent and control the onset and spread of infection as evidenced by the following observations. The facility did not ensure 12 of 16 residents (R) (R3, R6, R9, R12, R15, R16, R17, R18, R20, R23, R24, R25) were given the opportunity to conduct hand hygiene prior to meal services. The facility staff did not perform sanitization of durable medical equipment to prevent the spread of infection when warranted between resident transfers affecting 2 of 2 resident (R7 and R12). This is evidenced by: The Facility Policy entitled Hand Hygiene - Skilled Nursing Facility Resident, revised 01/24, states: Hand washing is considered to be the single most important task that can be done to help prevent the transmission of infection. [...]
Fire safety inspections
1 fire safety citation on file: 1 on May 5, 2026.
Every fire safety citation1 citation
- F Install an approved automatic sprinkler system.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.46 | 4.21 | 3.86 |
| Registered nurses | 0.99 | 0.99 | 0.69 |
| All nursing staff on weekends | 4.12 | 3.77 | 3.42 |
| Nurse aides | 2.78 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 15.4% | 46.9% | 45.8% |
| Registered nurse turnover | 16.7% | 39.7% | 42.9% |
| Administrators who left | not reported |
CMS expects 4.04 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.60 on weekdays and 4.12 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.49 in April to June 2025 to 4.46 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.46 | 0.99 | 4.60 | 4.12 | 2.6% | 0 of 90 | 29 |
| Oct to Dec 2025 | 4.52 | 0.90 | 4.65 | 4.17 | 7.8% | 1 of 92 | 29 |
| Jul to Sep 2025 | 4.39 | 0.82 | 4.53 | 4.05 | 4.8% | 0 of 92 | 29 |
| Apr to Jun 2025 | 4.49 | 0.89 | 4.62 | 4.18 | 4.3% | 0 of 91 | 29 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.6 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.3 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.8 | 15.8 | 15.4 |
Owners and operators
Legal business name: SENIOR MANAGEMENT INC. CMS links this home to Care & Rehab, a group of 6 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Thayer, Grant | 5% or greater direct ownership interest | Individual | 100% | 12/08/2021 |
| Thayer, Grant | Corporate officer | Individual | 12/08/2021 | |
| Bechtel, Jessica | Operational/managerial control | Individual | 03/10/2025 | |
| Hautamaki, Rachel | Operational/managerial control | Individual | 12/08/2021 | |
| Novak, Annmarie | Operational/managerial control | Individual | 12/08/2021 | |
| Sadowska, Timothy | Operational/managerial control | Individual | 12/08/2021 | |
| Thayer, Grant | Operational/managerial control | Individual | 12/08/2021 | |
| Winiarczyk, Katherine | Operational/managerial control | Individual | 12/08/2021 | |
| Ladysmith Campus LLC | Adp of the SNF | Organization | 12/08/2021 | |
| Bechtel, Jessica | Adp of the SNF | Individual | 03/10/2025 | |
| Hautamaki, Rachel | Adp of the SNF | Individual | 12/08/2021 | |
| Novak, Annmarie | Adp of the SNF | Individual | 12/08/2021 | |
| Sadowska, Timothy | Adp of the SNF | Individual | 12/08/2021 | |
| Thayer, Grant | Adp of the SNF | Individual | 12/08/2021 | |
| Winiarczyk, Katherine | Adp of the SNF | Individual | 12/08/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 5, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 6, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 6, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 8, 2024: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Care & Rehab - Ladysmith 1 Ladysmith, 0 mi · 3 of 5 stars · 21 citations
- Cornell Health Services Cornell, 21.2 mi · 5 of 5 stars · 6 citations
Wisconsin contacts for a concern about a nursing home
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wisconsin Department of Health Services, Division of Quality Assurance, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wisconsin Board on Aging and Long Term Care, Ombudsman Program, 1-800-815-0015. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wisconsin DHS Provider Search (Survey History), where Wisconsin publishes its own records on licensed homes.
Common questions
- What is Care & Rehab - Ladysmith 2's Medicare star rating?
- CMS rates Care & Rehab - Ladysmith 2 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Care & Rehab - Ladysmith 2 get at its last inspection?
- 1 health deficiency at the standard inspection on May 5, 2026. The Wisconsin average is 9.5.
- Has Care & Rehab - Ladysmith 2 been fined?
- CMS lists no fines in the last three years.
- Does Care & Rehab - Ladysmith 2 accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Care & Rehab - Ladysmith 2?
- CMS lists 15 owners and managers, and links the home to Care & Rehab. Legal business name: SENIOR MANAGEMENT INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.