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St. Marys Home for the Aged

1635 S 21st Street, Manitowoc, WI 54220 · Manitowoc County · (920) 684-7171

84 certified beds, about 44 residents a day · Non profit - Church related · Medicare and Medicaid since 1996

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 525609 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 3, 2025, inspectors cited 4 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).

None of its 12 health citations since June 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 5.09 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 1.13 of those hours.

51.5% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).

CMS links it to Felician Services, an affiliated group of 3 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.

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 12 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
1F
Potential for minimal harm
0A
0B
0C
December 3, 2025Standard inspection, Complaint inspection · 6 citations
  1. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2026
    Inspectors wroteBased on staff interview and record review, the facility did not ensure reconciliation of discharge medications for 1 resident (R) (R51) of 2 sampled residents. R51 was private pay status and discharged to an Assisted Living (AL) facility on 8/25/25. Medications were not sent with R51 at the time of discharge. The pharmacy was not able to fill all of R51's medications because some were filled by the nursing facility less than 30 days prior. The facility delivered some medications to R51's AL facility on 8/26/25 but did not have a record of which medications were delivered. R51 missed three doses of a Parkinson's medication.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2026
    Inspectors wroteBased on staff and resident representative interview and record review, the facility did not ensure a new diagnosis of schizophrenia met clinical criteria for 1 resident (R) (R1) of 1 sampled resident. R1 was admitted to the facility on [DATE]. On 6/6/25, R1 received a new diagnosis of schizophrenia. The facility did not have evidence that R1's diagnosis met the diagnostic criteria in The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
  3. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 3, 2026
    Inspectors wroteBased on staff and resident representative interview and record review, the facility did not provide restorative therapy to increase and/or prevent decrease in range of motion (ROM) or activities of daily living (ADLs) for 1 resident (R) (R51) of 1 sampled resident. Power of Attorney for Healthcare (POAHC)-K received notice on 8/19/25 that R51's Medicare benefits were ending. Therapy was not provided while POAHC-K pursued an appeal.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2026
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure the resident environment remained as free of accident hazards as possible for 2 residents (R) (R23 and R12) of 3 sampled residents. R23 had a history of falls. R23's care plan contained an intervention for a call light within reach with prompt response to requests. During multiple observations, R23 did not have a call light within reach. R12 had a history of falls. R12's care plan contained an intervention to have a walker in front of R12 when in bed and in R12's recliner. During multiple observations, R12 did not have a walker in front of R12 when in bed or the recliner.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2026
    Inspectors wroteBased on observation, staff and resident interview, and record review, the facility did not provide necessary respiratory care and services for 2 residents (R) (R1 and R5) of 2 sampled residents. R1 had diagnoses of obstructive sleep apnea (OSA) and chronic obstructive pulmonary disease (COPD). R1 had an order for a bilevel positive airway pressure (BiPAP) machine with oxygen provided by a concentrator and connected to the machine via tubing. Staff did not clean R1's BiPAP machine per manufacturer's instructions. In addition, two open one-gallon jugs of distilled water for use with R1's BiPAP machine were expired. R5 had a diagnosis of OSA and an order for a continuous positive airway pressure (CPAP) machine. Staff did not clean R5's CPAP machine per manufacturer's instructions.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 3, 2026
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the development and transmission of communicable disease and infection for 3 residents (R) (R42, R11, and R1) of 16 sampled residents. R42 was on droplet precautions. Staff provided care for R42 without wearing personal protective equipment (PPE). R11 was on contact precautions. Staff provided care for R11 without wearing PPE. R1 had a diagnosis of pneumonia. R1 was not listed on the facility's infection control resident line list for surveillance.
April 30, 2025Complaint inspection · 1 citation
  1. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on staff interview and record review, the facility did not ensure a Significant Change in Status (SCIS) Minimum Data Set (MDS) assessment was completed timely for 1 resident (R) (R1) of 3 sampled residents. R1 met the criteria for a Significant Change in Status MDS assessment on 3/15/25. A SCIS assessment was not completed.
August 14, 2024Standard inspection · 1 citation
  1. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 14, 2024
    Inspectors wroteBased on staff interview and record review, the facility did not ensure vaccinations were reviewed, offered, or administered for 1 Resident (R) (R13) of 5 sampled residents. The facility did not offer R13 the PCV20® vaccine.
June 22, 2023Standard inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 22, 2023
    Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 30 residents residing in the facility. Cold food items were served outside the temperature safe zone and dessert was not covered appropriately during meal service. Hand hygiene was not completed appropriately during lunch service on 6/20/22.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2023
    Inspectors wroteBased on staff interview and record review, the facility did not ensure comprehensive care plans were developed for 3 Residents (R) (R6, R12, and R22) of 13 sampled residents. The facility did not develop a hospice care plans for R6 and R12 when R6 and R12 started hospice services. The facility did not develop a care plan which included the intervention of a splint to R22's left arm.
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2023
    Inspectors wroteBased on staff and resident interview, and record review, the facility did not ensure the accurate administration of medication for 1 Resident (R) (R4) of 13 sampled residents. R4 did not receive scheduled pain medication timely when the facility ran out of the medication and did not have a current prescription.
  4. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2023
    Inspectors wroteBased on staff interview and record review, the facility did not ensure monitoring of a high-risk medication for 1 Resident (R) (R15) of 5 residents reviewed. R15's medical record did not contain monitoring for the side effects of Lasix (a diuretic medication).

Fire safety inspections

13 fire safety citations on file: 4 on December 3, 2025, 8 on August 14, 2024, 1 on June 22, 2023.

Every fire safety citation13 citations
  1. F
    Have exits that are accessible at all times.
    K 271 · December 3, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 3, 2025 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 3, 2025 · Corrected (the home has a date of correction)
  4. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · December 3, 2025 · Corrected (the home has a date of correction)
  5. F
    Provide emergency officials' contact information.
    E 31 · August 14, 2024 · Corrected (the home has a date of correction)
  6. F
    Provide primary/alternate means for communication.
    E 32 · August 14, 2024 · Corrected (the home has a date of correction)
  7. F
    Provide properly protected cooking facilities.
    K 324 · August 14, 2024 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 14, 2024 · Corrected (the home has a date of correction)
  9. E
    Have properly located and lighted "Exit" signs.
    K 293 · August 14, 2024 · Corrected (the home has a date of correction)
  10. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · August 14, 2024 · Corrected (the home has a date of correction)
  11. E
    Have restrictions on the use of highly flammable decorations.
    K 753 · August 14, 2024 · Corrected (the home has a date of correction)
  12. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 14, 2024 · Corrected (the home has a date of correction)
  13. D
    Have properly located and lighted "Exit" signs.
    K 293 · June 22, 2023 · Corrected (the home has a date of correction)

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.

MeasureThis homeWisconsinUnited States
All nursing staff (RN, LPN and aides)5.094.213.86
Registered nurses1.130.990.69
All nursing staff on weekends4.603.773.42
Nurse aides3.51
Licensed practical nurses0.45
Nursing staff turnover (share who left in a year)51.5%46.9%45.8%
Registered nurse turnover16.7%39.7%42.9%
Administrators who left0

CMS expects 4.11 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 5.28 on weekdays and 4.60 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.54 in April to June 2025 to 5.09 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.091.135.284.60 12.8%0 of 9044
Oct to Dec 20254.711.104.884.26 11.2%0 of 9245
Jul to Sep 20254.341.034.523.88 6.2%0 of 9248
Apr to Jun 20254.541.234.763.99 6.8%0 of 9142
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Wisconsin, Jan to Mar 20264.190.954.363.748.8%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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Wisconsin

JobMedianMiddle halfEmployed
Wisconsin, all employers
CNAs (nursing assistants)$21.70$19.03 to $22.7528,370
LPNs and LVNs$30.65$28.67 to $36.067,390
Registered nurses$45.93$39.39 to $49.3368,060
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeWisconsinUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
24.116.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
5.02.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
9.42.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.83.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.818.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.25.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.215.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
36.923.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.515.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.01.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.82.31.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for St. Marys Home for the Aged's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

60.1% this home

Better than the national rate

US median of homes 51.5% · Wisconsin: 52 better, 26 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 125 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · Wisconsin: 0 better, 6 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 132 eligible stays.

Infections that led to a hospital stay

5.5% this home

No different from the national rate

US median of homes 7.1% · Wisconsin: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 77 eligible stays.

Self-care and mobility at discharge

58.6% this home

Median of homes: Wisconsin54.2% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 87 residents counted.

Falls with major injury

0.0% this home

Median of homes: Wisconsin0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 101 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Wisconsin2.2% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 101 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Wisconsin100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 60 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ST. MARY'S HOME FOR THE AGED, INC. CMS links this home to Felician Services, a group of 3 nursing homes averaging 3.7 stars overall.

NameRoleTypeShareSince
Felician Services Inc5% or greater direct ownership interestOrganization100%11/09/2009
Felician Services Inc5% or greater mortgage interestOrganization06/30/2012
Sidhu, SarfrazContracted managing employeeIndividual01/01/2024
Bruckschen, MeganW-2 managing employeeIndividual11/14/2022
Corbeil, LindseyW-2 managing employeeIndividual08/13/2021
Denor, JeremyW-2 managing employeeIndividual08/16/2021
Hillmer, MichaelW-2 managing employeeIndividual03/06/2017
Jacobi, RoselleW-2 managing employeeIndividual01/09/2023
Miller, MichaelW-2 managing employeeIndividual11/13/2018
Otten, ShannonW-2 managing employeeIndividual02/06/2023
Schubert, LukeW-2 managing employeeIndividual09/01/2023
Spies, BarbaraW-2 managing employeeIndividual07/08/2023
Thompson, ReneeW-2 managing employeeIndividual03/20/2023
Wech, DarcyW-2 managing employeeIndividual12/01/2016
Bruckschen, MeganCorporate directorIndividual11/14/2022
Corbeil, LindseyCorporate directorIndividual08/13/2021
Denor, JeremyCorporate directorIndividual08/16/2021
Donlon, MarciaCorporate directorIndividual06/01/2021
Etheridge, MichaelCorporate directorIndividual06/01/2016
Goetz, CameronCorporate directorIndividual12/01/2019
Hillmer, MichaelCorporate directorIndividual03/06/2017
Jacobi, RoselleCorporate directorIndividual01/09/2023
Maurer, MaryCorporate directorIndividual08/01/2013
Miller, MichaelCorporate directorIndividual11/13/2018
Otten, ShannonCorporate directorIndividual02/06/2023
Sauer, MatthewCorporate directorIndividual06/01/2012
Schubert, LukeCorporate directorIndividual09/01/2023
Soltys, FrankCorporate directorIndividual12/02/2013
Spies, BarbaraCorporate directorIndividual07/08/2023
Swetlik, DennisCorporate directorIndividual06/01/2018
Thompson, ReneeCorporate directorIndividual03/20/2023
Veeser, ThomasCorporate directorIndividual02/01/2019
Wech, DarcyCorporate directorIndividual12/01/2016
Otten, ShannonCorporate officerIndividual04/26/2023

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on December 3, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on December 3, 2025: "Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 3, 2025: "Provide and implement an infection prevention and control program."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 22, 2023: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."

Other nursing homes nearby

Wisconsin contacts for a concern about a nursing home

These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.

Common questions

What is St. Marys Home for the Aged's Medicare star rating?
CMS rates St. Marys Home for the Aged 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did St. Marys Home for the Aged get at its last inspection?
4 health deficiencies at the standard inspection on December 3, 2025. The Wisconsin average is 9.5.
Has St. Marys Home for the Aged been fined?
CMS lists no fines in the last three years.
Does St. Marys Home for the Aged 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 St. Marys Home for the Aged?
CMS lists 34 owners and managers, and links the home to Felician Services. Legal business name: ST. MARY'S HOME FOR THE AGED, INC.

Sources

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