Marinuka Manor
19475 Silver Creek Rd, Galesville, WI 54630 · Trempealeau County · (608) 582-2211
50 certified beds, about 34 residents a day · Non profit - Corporation · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525628 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 11, 2026, inspectors cited 0 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).
None of its 9 health citations since November 2023 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 3.85 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.21 of those hours.
7.9% 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.
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.
February 11, 2026Standard inspection · 0 citations
November 6, 2024Standard inspection · 0 citations
November 1, 2023Standard inspection, Complaint inspection · 9 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on interview and record review, the facility did not designate a person to serve as the director of food and nutrition services who had completed the minimum qualification requirements for the position. This practice could potentially affect all 33 residents residing in the facility. The facility does not have a director of food and nutrition services with the minimum requirements or a full time registered dietitian on site.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. This has the potential to affect all 33 of 33 residents residing in the facility. Dietary Supervisor (DS) M and Dietary Aide (DA) N did not use a hair restraint over their beards while preparing, serving, and operating in the kitchen.
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to dispose of garbage and refuse properly. This has the potential to affect all 33 of 33 residents residing in the facility. The facility did not ensure the garbage dumpster lids were closed; this was observed multiple times during the survey. This is evidenced by: The facility policy, entitled Pest Control, not dated, states: Ongoing measures are taken to prevent, contain, and eradicate household pests such as roaches, ants, mosquitoes, flies, mice and rats All state and local regulations are followed. On 10/30/23 at 9:30 AM, Surveyor performed the initial walkthrough of the kitchen with Dietary Supervisor (DS) M. When looking at the garbage dumpsters, Surveyor observed them to be open. [...]
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The facility did not a have a clear water management process or plan in effect to prevent transmission of Legionella infection. This has potential to effect 33 of 33 residents reviewed. Observations were made of laundry and nursing staff not performing hand hygiene with delivery of linens to residents. Registered Nurse (RN) D did not wear appropriate PPE during wound care for R4; staff did not use the proper technique by putting a barrier under R4's foot during wound care to ensure that R4 would be free from the spread of infection. [...]
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations and interviews, the facility did not ensure personal protection of resident medical records for 1 of 1 resident (R2). Licensed Practical Nurse (LPN) F did not ensure personal protection of R2's medical records when leaving the medication cart in the hallway unattended and the computer screen open.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interview, the facility did not implement policy and procedures related to screening employees for a prior history of abuse, neglect, exploitation of residents, or misappropriation of resident property for 1 of 8 employees reviewed. The facility did not ensure their abuse policy was implemented when one employee's background information disclosure (BID) was last obtained on 09/17/18.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility did not provide appropriate care and treatment for 1 of 2 sampled residents (R) (R13) who were at risk for pressure injuries. R13 was observed in bed in a supine position without being repositioned and without heels being elevated for 4 hours.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and record review, the facility did not ensure pharmaceutical services (including procedures that assure the accurate administering of all drugs and biologicals) to meet the needs of each resident, for 1 of 2 residents (R) observed receiving insulin. (R4) Staff did not follow current standard of practice of priming the insulin pen prior to setting the dose to be administered to ensure the insulin pen and needle are working and the air was removed to ensure the correct amount of insulin would be administered.
- C Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the facility failed to notify the State Long-Term Care Ombudsman of hospital transfers for 2 residents (R27 and R11) of 2 residents reviewed for hospitalization in the sample of 14. The facility failed to have a system in place to ensure notifying the State Long-Term Care Ombudsman of hospital transfers. This had the potential to affect all 33 residents that reside in the facility. R27 was hospitalized from [DATE] through 09/12/23 and the Ombudsman was not notified of that transfer to the hospital. R11 was hospitalized from [DATE] through 03/20/23 and the Ombudsman was not notified of that transfer to the hospital.
Fire safety inspections
14 fire safety citations on file: 2 on February 11, 2026, 8 on November 6, 2024, 4 on November 1, 2023.
Every fire safety citation14 citations
- D Have properly installed electrical wiring and gas equipment.
- D Have proper medical gas storage and administration areas.
- F Develop Emergency Preparedness policies and procedures.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Meet requirements for the installation and maintenance of electrical systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install proper backup exit lighting.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure proper usage of power strips and extension cords.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
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) | 3.85 | 4.21 | 3.86 |
| Registered nurses | 1.21 | 0.99 | 0.69 |
| All nursing staff on weekends | 3.37 | 3.77 | 3.42 |
| Nurse aides | 2.35 | ||
| Licensed practical nurses | 0.29 | ||
| Nursing staff turnover (share who left in a year) | 7.9% | 46.9% | 45.8% |
| Registered nurse turnover | 0.0% | 39.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.14 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 4.03 on weekdays and 3.37 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.96 in April to June 2025 to 3.85 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 | 3.85 | 1.21 | 4.03 | 3.37 | 0.0% | 0 of 90 | 34 |
| Oct to Dec 2025 | 4.10 | 1.17 | 4.31 | 3.55 | 0.0% | 0 of 92 | 31 |
| Jul to Sep 2025 | 4.22 | 1.10 | 4.42 | 3.71 | 0.0% | 0 of 92 | 30 |
| Apr to Jun 2025 | 3.96 | 1.05 | 4.13 | 3.53 | 0.0% | 0 of 91 | 33 |
| 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 | 18.9 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.1 | 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 | 2.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.6 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.2 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.1 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.0 | 15.5 | 12.0 |
Owners and operators
Legal business name: BETHANY-ST JOSEPH CORPORATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Braley, Matthew | Corporate director | Individual | 03/01/2022 | |
| Hanson, Charles | Corporate director | Individual | 03/01/2022 | |
| Kite, Cindi | Corporate director | Individual | 03/01/2018 | |
| Kotnour, Joseph | Corporate director | Individual | 03/21/2015 | |
| Passe, Nicholas | Corporate director | Individual | 03/01/2019 | |
| Patros, Paul | Corporate director | Individual | 03/01/2017 | |
| Pedace, Terri | Corporate director | Individual | 03/01/2021 | |
| Quarberg, Bradley | Corporate director | Individual | 03/21/2014 | |
| Sacie, Bonita | Corporate director | Individual | 03/01/2022 | |
| Spilde, Steve | Corporate director | Individual | 03/01/2017 | |
| Strohm, Barbara | Corporate director | Individual | 03/21/2014 | |
| Wichelt, Joyce | Corporate director | Individual | 03/01/2014 | |
| Ubbelohde, Craig | Corporate officer | Individual | 03/26/2012 | |
| Zeman, Elaine | Corporate officer | Individual | 03/27/2021 | |
| Feirtag, Megan | Operational/managerial control | Individual | 04/10/2022 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on November 1, 2023: "Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician."
- 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 November 1, 2023: "Keep residents' personal and medical records private and confidential."
- 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 November 1, 2023: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on November 1, 2023: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.37 hours per resident per day, below the Wisconsin average of 3.77.
Other nursing homes nearby
- Lake Winona Manor Winona, 14.5 mi · 4 of 5 stars · 27 citations
- Grand View Care Ctr Blair, 14.7 mi · 2 of 5 stars · 26 citations
- Onalaska Care Center Onalaska, 15.7 mi · 5 of 5 stars · 8 citations
- Sainte Anne Extended Healthcare Winona, 16.6 mi · 4 of 5 stars · 22 citations
- Sauer Health Care Winona, 17.2 mi · 1 of 5 stars · 19 citations
- Mulder Health Care Facility West Salem, 18.3 mi · 1 of 5 stars · 57 citations
- La Crescent Health Services La Crescent, 18.3 mi · 1 of 5 stars · 32 citations
- Lakeview Health Center West Salem, 19 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 Marinuka Manor's Medicare star rating?
- CMS rates Marinuka Manor 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Marinuka Manor get at its last inspection?
- 0 health deficiencies at the standard inspection on February 11, 2026. The Wisconsin average is 9.5.
- Has Marinuka Manor been fined?
- CMS lists no fines in the last three years.
- Does Marinuka Manor 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 Marinuka Manor?
- CMS lists 15 owners and managers. Legal business name: BETHANY-ST JOSEPH CORPORATION.
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.