Home / Wisconsin / Sturgeon Bay
Door County Memorial Hospital SNF
323 S 18th Ave, Sturgeon Bay, WI 54235 · Door County · (920) 743-5566
32 certified beds, about 31 residents a day · Non profit - Corporation · Medicare and Medicaid since 1984
CMS high performing icon Inside a hospital Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525377 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 28, 2026, inspectors cited 1 health deficiency (the Wisconsin average is 9.5, the national average 9.2).
None of its 9 health citations since January 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 4.78 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.59 of those hours.
63.9% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
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.
101/24
302/25
407/25
104/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 9 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
3E
0F
Potential for minimal harm
0A
0B
0C
April 28, 2026Standard inspection · 1 citation · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff and resident interview, and record review, the facility did not ensure appropriate fall interventions were implemented for 2 residents (R) (R5 and R2) of 2 sampled residents. R5 had multiple falls from January to April 2026. Interventions to prevent falls or reduce injury from falls were not consistently implemented or care planned. R2 fell out of bed after a bolstered air mattress (a specialized mattress with raised, air-filled side chambers that create a protective barrier to prevent roll-outs and falls) was broken and replaced with a mattress without bolstered edges.
July 2, 2025Complaint inspection · 4 citations
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on staff and resident interview and record review, the facility did not ensure allegations of abuse and an injury of unknown origin were thoroughly investigated for 4 residents (R) (R1, R2, R10, and R7) of 8 sampled residents. R1 reported an allegation of abuse by Certified Nursing Assistant (CNA)-G on 4/10/25. The facility did not remove CNA-G from resident care pending an investigation or provide staff education regarding appropriate behavior with residents and professional boundaries. In addition, a skin assessment was not completed until two days after the allegation was reported. R2's family reported an allegation of abuse that involved CNA-L. The facility did not provide staff education on the facility's abuse policy or education on appropriate behavior during resident care. [...]
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview and record review, the facility did not ensure an activated Power of Attorney for Healthcare (POAHC) and physician were notified timely of a change in condition for 1 resident (R) (R7) of 12 sampled residents. R7 sustained a skin tear of unknown origin on 6/7/25. R7's physician and POAHC were not notified of the injury until 6/10/25.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview and record review, the facility did not report allegations of abuse and an injury of unknown origin to the State Agency (SA) for 3 residents (R) (R1, R10, and R7) of 4 sampled residents. R1 reported an allegation of abuse on 4/10/25. The facility did not report the allegation of abuse to the SA until 4/15/25. During an abuse investigation for R2, R10's Resident Representative ((RR)-E) reported an allegation of abuse involving Certified Nursing Assistant (CNA)-G and R10. The facility did not report the allegation of abuse to the SA. R7 had an injury of unknown origin that was discovered on 6/8/25. The facility did not report the injury of unknown origin to the SA until 6/11/25.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview and record review, the facility did not ensure medical records contained accurate and complete documentation for 2 residents (R) (R3 and R4) of 12 sampled residents. R4 hit R3 in the legs on 5/9/25. Neither R3 or R4's medical records contained documentation of the altercation.
February 19, 2025Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection for 2 residents (R) (R28 and R17) of 2 residents. This practice had the potential to affect more than 4 of the the 31 residents who resided in the facility. Staff did not ensure the facility's infection surveillance line list was current and up-to-date for R28 and R17. Staff did not ensure a laundry cart was covered to prevent contamination of clean linens and did not ensure clean and dirty areas were not subject to cross-contamination in the laundry room.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on staff interview and record review, the facility did not ensure notification was provided in accordance with a physician's order for 1 resident (R) (R17) of 1 sampled resident. R17 had an order for daily weights and to notify the physician if R17 gained or lost more than 5 pounds. Staff did not consistently follow the order.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview and record review, the facility did not ensure the accurate administration of medication for 1 resident (R) (R17) of 5 sampled residents. On 2/2/25, R17 was not administered an extra 1 milligram (mg) dose of bumetanide (a diuretic medication) in accordance with the physician's order.
January 4, 2024Standard inspection, Complaint inspection · 1 citation
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on staff interview and record review, the facility did not thoroughly investigate an allegation of abuse for 1 Resident (R) (R18) of 1 resident prior to allowing the accused staff member to continue providing resident care. This had the potential to affect 14 residents. On 12/28/23 at 6:30 PM, an allegation of verbal abuse involving Certified Nursing Assistant (CNA)-C and R18 was reported to Nursing Home Administrator (NHA)-A. CNA-C was not removed from resident care areas per the facility's policy pending the results of the investigation.
Fire safety inspections
14 fire safety citations on file: 2 on April 28, 2026, 3 on February 19, 2025, 9 on January 4, 2024.
Every fire safety citation14 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install proper backup exit lighting.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E Install corridor and hallway doors that block smoke.
- E Have restrictions on the use of highly flammable decorations.
- D Meet other general requirements.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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) | 4.78 | 4.21 | 3.86 |
| Registered nurses | 1.59 | 0.99 | 0.69 |
| All nursing staff on weekends | 4.58 | 3.77 | 3.42 |
| Nurse aides | 2.79 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | 63.9% | 46.9% | 45.8% |
| Registered nurse turnover | 38.9% | 39.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.40 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 4.87 on weekdays and 4.58 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.73 in April to June 2025 to 4.78 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 | 4.78 | 1.59 | 4.87 | 4.58 | 11.0% | 0 of 90 | 31 |
| Oct to Dec 2025 | 5.17 | 1.88 | 5.32 | 4.79 | 26.5% | 0 of 92 | 31 |
| Jul to Sep 2025 | 4.78 | 1.76 | 4.94 | 4.37 | 31.3% | 0 of 92 | 31 |
| Apr to Jun 2025 | 4.73 | 1.78 | 4.95 | 4.17 | 29.2% | 0 of 91 | 31 |
| 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 | 11.8 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.1 | 3.3 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.9 | 15.8 | 15.4 |
Owners and operators
Legal business name: DOOR COUNTY MEMORIAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alberts, Jamie | Corporate director | Individual | 01/01/2021 | |
| Andreae, Bradley | Corporate director | Individual | 01/01/2024 | |
| Collison, Edgar | Corporate director | Individual | 05/14/2025 | |
| Dahl, Corwin | Corporate director | Individual | 01/01/2021 | |
| Erickson, Robert | Corporate director | Individual | 05/15/2024 | |
| Helgeson, Erin | Corporate director | Individual | 01/01/2024 | |
| Helm, Pauline | Corporate director | Individual | 01/01/2023 | |
| Jarosh, Jonathan | Corporate director | Individual | 01/01/2024 | |
| Kitchens, Joel | Corporate director | Individual | 01/01/2021 | |
| Rabas, Jeffrey | Corporate director | Individual | 01/01/2022 | |
| Rebhan, Joseph | Corporate director | Individual | 01/01/2026 | |
| Richmond, Andrew | Corporate director | Individual | 10/01/2017 | |
| Seiler, Pamela | Corporate director | Individual | 05/27/2026 | |
| St. Jean, Michael | Corporate director | Individual | 01/01/2025 | |
| Sternard, Tammy | Corporate director | Individual | 01/01/2025 | |
| Vickman, Patricia | Corporate director | Individual | 10/01/2017 | |
| Ziegelbauer, Martha | Corporate director | Individual | 01/01/2022 | |
| Laluzerne, Andrew | Corporate officer | Individual | 10/29/2018 | |
| Stephens, Brian | Corporate officer | Individual | 01/06/2019 | |
| St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis | Operational/managerial control | Organization | 10/28/2016 | |
| Alberts, Jamie | Operational/managerial control | Individual | 01/01/2021 | |
| Andreae, Bradley | Operational/managerial control | Individual | 01/01/2024 | |
| Antonio, Maria Chona | Operational/managerial control | Individual | 07/01/2024 | |
| Bohrman, Nancy | Operational/managerial control | Individual | 07/01/2024 | |
| Collison, Edgar | Operational/managerial control | Individual | 05/14/2025 | |
| Dahl, Corwin | Operational/managerial control | Individual | 01/01/2021 | |
| Erickson, Robert | Operational/managerial control | Individual | 05/15/2024 | |
| Helgeson, Erin | Operational/managerial control | Individual | 01/01/2024 | |
| Helm, Pauline | Operational/managerial control | Individual | 01/01/2023 | |
| Jarosh, Jonathan | Operational/managerial control | Individual | 01/01/2024 | |
| Kitchens, Joel | Operational/managerial control | Individual | 01/01/2021 | |
| Laluzerne, Andrew | Operational/managerial control | Individual | 10/29/2018 | |
| Rabas, Jeffrey | Operational/managerial control | Individual | 01/01/2022 | |
| Rebhan, Joseph | Operational/managerial control | Individual | 01/01/2026 | |
| Richmond, Andrew | Operational/managerial control | Individual | 10/01/2017 | |
| Seiler, Pamela | Operational/managerial control | Individual | 05/27/2026 | |
| St. Jean, Michael | Operational/managerial control | Individual | 01/01/2025 | |
| Stephens, Brian | Operational/managerial control | Individual | 01/06/2019 | |
| Sternard, Tammy | Operational/managerial control | Individual | 01/01/2025 | |
| Urban, Caroline | Operational/managerial control | Individual | 07/01/2024 | |
| Vickman, Patricia | Operational/managerial control | Individual | 10/01/2017 | |
| Ziegelbauer, Martha | Operational/managerial control | Individual | 01/01/2022 | |
| St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis | Adp of the SNF | Organization | 02/14/2025 | |
| Alberts, Jamie | Adp of the SNF | Individual | 01/01/2021 | |
| Andreae, Bradley | Adp of the SNF | Individual | 01/01/2024 | |
| Antonio, Maria Chona | Adp of the SNF | Individual | 07/01/2024 | |
| Bohrman, Nancy | Adp of the SNF | Individual | 07/01/2024 | |
| Collison, Edgar | Adp of the SNF | Individual | 05/14/2025 | |
| Dahl, Corwin | Adp of the SNF | Individual | 01/01/2021 | |
| Erickson, Robert | Adp of the SNF | Individual | 05/15/2024 | |
| Helgeson, Erin | Adp of the SNF | Individual | 01/01/2024 | |
| Helm, Pauline | Adp of the SNF | Individual | 01/01/2023 | |
| Jarosh, Jonathan | Adp of the SNF | Individual | 01/01/2024 | |
| Kitchens, Joel | Adp of the SNF | Individual | 01/01/2021 | |
| Laluzerne, Andrew | Adp of the SNF | Individual | 10/29/2018 | |
| Rabas, Jeffrey | Adp of the SNF | Individual | 01/01/2022 | |
| Rebhan, Joseph | Adp of the SNF | Individual | 01/01/2026 | |
| Richmond, Andrew | Adp of the SNF | Individual | 10/01/2017 | |
| Seiler, Pamela | Adp of the SNF | Individual | 05/27/2026 | |
| St. Jean, Michael | Adp of the SNF | Individual | 01/01/2025 | |
| Stephens, Brian | Adp of the SNF | Individual | 01/06/2019 | |
| Sternard, Tammy | Adp of the SNF | Individual | 01/01/2025 | |
| Urban, Caroline | Adp of the SNF | Individual | 07/01/2024 | |
| Vickman, Patricia | Adp of the SNF | Individual | 10/01/2017 | |
| Ziegelbauer, Martha | Adp of the SNF | Individual | 01/01/2022 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on July 2, 2025: "Respond appropriately to all alleged violations."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 2, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 April 28, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 2, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
Other nursing homes nearby
- Sturgeon Bay Health Services Sturgeon Bay, 1.1 mi · 3 of 5 stars · 13 citations
- Amethyst Health of Algoma Algoma, 16.4 mi · 2 of 5 stars · 22 citations
- Luther Home Marinette, 21.2 mi · 3 of 5 stars · 29 citations
- Menominee Health Services Menominee, 23.8 mi · 5 of 5 stars · 11 citations
- Rennes Health and Rehab Center-East Peshtigo, 24.6 mi · 5 of 5 stars · 7 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 Door County Memorial Hospital SNF's Medicare star rating?
- CMS rates Door County Memorial Hospital SNF 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Door County Memorial Hospital SNF get at its last inspection?
- 1 health deficiency at the standard inspection on April 28, 2026. The Wisconsin average is 9.5.
- Has Door County Memorial Hospital SNF been fined?
- CMS lists no fines in the last three years.
- Does Door County Memorial Hospital SNF 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 Door County Memorial Hospital SNF?
- CMS lists 65 owners and managers. Legal business name: DOOR COUNTY MEMORIAL HOSPITAL.
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.